EMERGENCY – Long case 2

47-year-old male, fall on outstretched hand.

What do you see?
Pain. Fracture?

Click here to see the answer


* The lunate is displaced and rotated volarly and there is no normal alignment with the radius, consistent with lunate dislocation (stage IV carpal dislocation).

* Lunate dislocations are relatively uncommon and typically occur in young adults with high energy trauma resulting in loading of a dorsiflexed wrist. 

* There is injury of all of the perilunate ligaments, most significantly the dorsal radiolunate ligament. 

Teaching point:
Be sure it is a lunate dislocation, and not a perilunate dislocation (stage II carpal dislocation)! In this case, the lunate remains in normal alignment with the distal radius, but the carpus is dislocated dorsally relative to the lunate. This injury has 60% association with scaphoid fractures.

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Get free registration for ECR 2019!

ECR 2019 will be the 25th to take place in Vienna, and to celebrate this very special anniversary, all European Diploma in Radiology (EDiR) candidates who succeed in an upcoming examination in 2018 and submit an abstract for ECR 2019 can attend the meeting free of charge*

* Please note that fees already paid (reduced congress fees at national events, etc.) and congress payments made after attending a diploma course (also not through third party) will definitely not be refunded by the ESR!

** Successful candidates of the EDiR examination at ECR 2018 are not eligible to benefit from this promotion

EDiR: Question of the day: #3

We dare you to solve one of the hardest questions of the EDiR examination!
The European Board of Radiology raffles amongst the winners an examination place for the EDiR that will take place at the ECR 2019.
The registration for the ECR 2019 is also included!

73-year-old male. Referred for macroscopic haematuria. He was taking anticoagulants and there were stones in the right kidney. Axial US image of the bladder was performed. Which of the following could cause the appearance seen on these images?

Please, click here to enter your answer. Solve the question before 13:30.

Winner will be announced here, on the EBR blog, at 14:00.

Good luck!