A 65-year-old female presented to the emergency department with right hand pain after falling down stairs. On examination, she had swelling of the right hand with limited motion of the wrist and hand. She was diagnosed with a lunate dislocation of the right wrist which requires emergent orthopedic consultation and may need to be repositioned in the emergency department or operating room. Complications are common after a lunate dislocation such as arthritis and wrist instability.

2.  HPI- 65 y/o female presents to the ED c/o right hand
pain on the dorsal aspect after falling down 6 steps.
No LOC
PMX- DM, HTN
Social- Positive Tobacco
Psx- Tonsillectomy
Allergies- PCN

3.  P- 70 BP- 170/90 RR- 20 T- 98.8
 HEENT- NCAT, EMOI
 Cardio- RRR, S1, S2
 Ext- Distal pulses intact, Swelling of the right hand
with limited motion of the wrist and hand

5.  LUNATE DISLOCATION

6.  Reposition the lunate in its proper orientation. If this
cannot be done in the ED then it can be
accomplished in the OR. Even if the lunate
dislocation can be repositioned nonsurgically, a
surgical procedure is usually required to stabilize the
bones to allow for proper healing
 Requires emergent orthopedics consultation.

7.  Complications are common after sustaining a lunate
dislocation. These can include arthritis, persistent
pain, and instability of the wrist joint. Prompt
treatment helps to lower the chance of these
complications
 Recovery from a lunate dislocation will take a
minimum of 6 months, if not longer.