%0 Journal Article
%T Lunate migration following Darrach's procedure: a case report.
%A de Roeck NJ
%A Packer GJ
%J Journal of Orthopaedic Surgery
%D 2003
%I Hong Kong Academy of Medicine Press
%X We report a case of a 28-year-old female patient who underwent Darrach's procedure to her dominant right wrist affected by rheumatoid disease. She developed severe pain in the wrist 4 weeks postoperatively. Collapse of the scaphoid and proximal migration of the lunate was noted. Total wrist arthrodesis using the Arbeitsgemeinschaft f¨¹r Osteosynthesefragen wrist arthrodesis plate was performed, which alleviated the pain. Darrach's procedure is described for conditions causing derangement of the distal radio-ulnar joint, the classical inflammatory cause being rheumatoid arthritis. It is however a potentially destabilising procedure. The extreme complication encountered in this case highlights the risk of Darrach's procedure if pre-existing ligamentous instability is present.
%U http://www.josonline.org/abstracts/v11n2/213.html