Carpal dislocations: pathomechanics and progressive perilunar instability.

In brief: Mayfield et al. Classification: carpal dislocations and progressive perilunar instability.

According to Melsom and Leslie, the earliest description of perilunate dislocation was by Malgaigne in 1855, before the advent of radiography [7]. It later was described by Cousins, Destot, de Quervain, and others [7]. According to Melsom and Leslie [7] Tavernier reported the first series in 1906. Many years later, in 1968, the concept of the proximal row as an intercalated segment was describe...

Lunate and Perilunar Dislocations.

In his treatise on joint injuries Astley Cooper (1832) included only one example of carpal dislocation. Speed (1950) estimated that carpal fractures and dislocations comprised oneeighth of injuries about the wrist. Although they are so common carpal dislocations are often unrecognised or mismanaged (Watson-Jones 1946, Cave 1958, McLaughlin 1959, Wade 1960). There is still disagreement about the...

Bilateral perilunar dislocation of the carpus; report of a case.

Greater arc injury of the wrist with fractured lunate bone: a case report.

Carpal dislocation and fracture dislocation are uncommon and difficult to treat. Early diagnosis and treatment of such injuries are necessary to prevent progressive carpal instability and traumatic arthritis. Perilunate fracture dislocation is a combination of ligamentous and osseous injuries that involve the 'greater arc' of the perilunate. Despite being severe, these injuries often go unrecog...

Screw fixation in the management of the fractured carpal scaphoid.

Although most recent fractures of the carpal scaphoid unite with immobilisation in a well-fitting plaster, some fail to do so within a reasonable time, say three months. Fractures associated with perilunar dislocation are particularly prone to delay. For these, as well as for fractures showing delayed union or non-union, internal fixation provides a speedy return to activity. Over a period of t...