Dorsal lunate dislocation following a routine pickleball swing: A case report
Dorsal lunate dislocation
Keywords:
Lunate dislocation, pickleball, wrist injuryAbstract
Pickleball has gained substantial popularity across diverse age groups, and the increasing number of participants has been accompanied by more frequently reported injuries. Upper extremity conditions related to pickleball range from overuse tendinitis to fractures after falls. More serious injuries, including wrist fractures and dislocations, are typically associated with significant trauma. We present the case of a recreational pickleball player who sustained a dorsal lunate dislocation during a routine paddle swing, without a fall or direct impact. The injury was recognized after a delay, ultimately requiring treatment with a salvage procedure.
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Mayfield JK, Johnson RP, Kilcoyne RK. Carpal dislocations: pathomechanics and progressive perilunar instability. J Hand Surg Am. 1980;5(3):226-41. doi: 10.1016/S0363-5023(80)80007-4.
Pelrine E, Larson E, Freilich A, Dacus AR, Deal N. Treatment and outcomes of missed perilunate dislocations: a case series. J Wrist Surg. 2023;13(2):171-5. doi: 10.1055/s-0043-1768929.
Olsen A, Li A, Johnson DD, Manson CH. Pickleball primer: an overview of common injuries, treatment, and optimization strategies in pickleball athlete. J Am Acad Orthop Surg. 2024;32(17):763-77. doi: 10.5435/JAAOS-D-23-00705.
Yu J, Yendluri A, Linden GS, Namiri NK, Corvi JJ, Song J, et al. Increasing incidence of pickleball injuries presenting to US emergency departments: a 10-year epidemiologic analysis of mechanisms and trends. Orthop J Sports Med. 2025;13(1):23259671241305364. doi: 10.1177/23259671241305364.
Forrester MB. Pickleball-related injuries treated in emergency departments. J Emerg Med. 2020;58(2):275-9. doi: 10.1016/j.jemermed.2019.09.016.
Kasper AA, Gibbons JL, Abboudi J, Aita D, Takei TR, Fletcher D, et al. Pickleball- and paddleball-related injuries to the upper extremity. Cureus. 2023;15(6):e39831. doi: 10.7759/cureus.39831.
Herzberg G, Comtet JJ, Linscheid RL, Amadio PC, Cooney WP, Stalder J. Perilunate dislocation and fracture-dislocations: a multicenter study. J Hand Surg Am. 1993;18(5):768-79. doi: 10.1016/0363-5023(93)90041-Z.
Alonso-Tejero D, Luengo-Alonso G, Jiménez-Díaz V, García-Lamas L, Porras-Moreno MÁ, Cecilia-López D. Chronic isolated dorsal dislocation of the lunate: a rare presentation of carpal instability. Strategies Trauma Limb Reconstr. 2022;17(1):59-62. doi: 10.5005/jp-journals-10080-1543.
Shinohara T, Tatebe M, Okui N, Yamamoto M, Kurimoto S, Hirata H. Proximal row carpectomy for chronic unreduced perilunate dislocations. Acta Orthop Belg. 2011;77(6):765-70. PMID: 22308621.
Viegas SF, Patterson RM, Peterson PD, Pogue DJ, Jenkins DK, Sweo TD, et al. Ulnar-sided perilunate instability: an anatomic and biomechanic study. J Hand Surg Am. 1990;15(2):268-78. doi: 10.1016/0363-5023(90)90107-3.
Siddiqui N, Sarkar S. Isolated dorsal dislocation of the lunate. Open Orthop J. 2012;6:531-4. doi: 10.2174/1874325001206010531.
USA Pickleball. Tips on how to not pop up your dinks [Internet]. 2024 [cited 2025 Oct 12]. Available from: https://usapickleball.org/blog/tips-on-how-to-not-pop-up-your-dinks/
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Copyright (c) 2026 Franklin Chen, Brian Li, Isabelle Chen
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.








