Open and Arthroscopic Treatment of Perilunate Injuries

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Perilunate injuries: diagnosis and treatment.

Perilunate injuries are severe disruptions of the carpus, which present a formidable challenge to the treating physician. Accurate recognition of the pattern of injury is not always straightforward. The injury can propagate through ligaments and/or bone, creating multiple variations of a basic injury pattern. Posteroanterior and lateral radiographs will depict a perilunate injury, but additiona...

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Arthroscopic treatment of perilunate dislocations and fracture dislocations.

Background The key to a successful result in the treatment of perilunate dislocations (PLDs) and fracture-dislocations (PLFDs) is the restoration of normal alignment of the carpal bones, followed by stable maintenance until healing. This article aimed to assess whether arthroscopic techniques are a reliable surgical option for the treatment of this challenging injury. Materials and Methods Twen...

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Perilunate Injuries: In Brief

2 Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, MA Perilunate injuries result from high-energy trauma to the carpus. Early diagnosis and treatment is essential to optimizing outcome. Initial management should consist of closed reduction of any carpal malalignment. Subsequent open reduction with percutaneous pinning or internal screw fixation and soft tissue repair i...

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Traumatic mechanisms and therapeutic results of the perilunate injuries.

OBJECTIVE In this study, eighteen patients who have had perilunate injury with dislocation or fracture, were evaluated and the patho-mechanics and surgical treatment were studied. SUBJECTS AND METHODS According to the Green and O'Brien's classification, type 1 injury occurred in one patient, type 2 in nine, type 4A in five, type 4C in one and type 4D in one. The other one case could not be cl...

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ژورنال

عنوان ژورنال: Clinical Orthopaedics and Related Research

سال: 2006

ISSN: 0009-921X

DOI: 10.1097/01.blo.0000205889.11824.03