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Hand & Upper Limb
intermediate
X-Type

Lunate Fractures - Isolated, Associated with Perilunate, Management

Carpal Fractures

A 32-year-old man presents after a high-energy fall onto an outstretched hand. Radiographs show a fracture through the body of the lunate with an associated perilunate dislocation. CT scan confirms a comminuted lunate fracture with dorsal fragment displacement. Regarding lunate fractures and their classification:

Mark each as TRUE or FALSE

A

Lunate fractures are rare (0.5-6.5% of carpal fractures) and are classified into five types: Type 1 ...

B

The lunate has a tenuous blood supply with variable intraosseous anastomoses; it receives vessels th...

C

Isolated lunate fractures are more common than those associated with perilunate dislocations; the lu...

D

Type 5 (transverse body) fractures are most commonly associated with perilunate dislocations and rep...

E

The differential diagnosis includes Kienböck's disease (avascular necrosis of the lunate); distingui...

Answer the questions to see explanations

Click T (True) or F (False) for each option