background: trans-scaphoid perilunate fracture-dislocation and perilunate dislocations are among uncommon injuries, most commonly seen in young patients due to high energy trauma. the treatment can be achieved either surgically by open reduc tion and internal fixation or closed reduction and casting.   methods: to compare surgical versus non-operative results of treatment of trans-scaphoid peri...

Perilunate dislocations are a devastating injury to the carpus that carry a guarded long-term prognosis. Mayfield type 4 perilunate dislocations are rare, high-energy injuries that carry a risk for avascular necrosis (AVN) of the lunate. When AVN ensues and the carpus collapses, primary treatment with a proximal row carpectomy or arthrodesis has been advocated. This case reports a successful cl...

Objective: To assess hand function after open reduction of acute and delayed perilunate dislocations. Methods: Seven patients (5 men) with perilunate dislocations were treated with open reduction and internal fixation. The injuries included 2 dorsal trans-radial perilunate dislocations, 4 trans-radial styloid perilunate dislocations, and one combined dorsal and styloid trans-radial dislocations...

OBJECTIVE To qualitatively assess surgeries performed in patients with perilunate dislocations without associated fractures, who were operated using the closed reduction and percutaneous fixation method. The follow-up time ranged from one to seven years. METHODS 628 patient records with traumatic wrist injuries, operated by the same group of Hand Surgeons between 2008 and 2014 due to acute tr...

The management of perilunate dislocations diagnosed later than three months continue to elicit debate with literature being scarce. We report a 22-year-old male with transscaphoid perilunate dislocation who reported to our hospital 8 months after sustaining the injury. Open reduction was done along with bone grafting. Five years after the surgery the patient is symptom-free with an excellent ra...

BACKGROUND Distal radius radiographic indices may play a role as risk factors in pathogenesis of Kienbock's disease, scaphoid fracture and nonunion. Perilunate fracture dislocations are devastating wrist injuries, and their relationship and distal radius indices have not been addressed in the literature. OBJECTIVES The aim of this study was to evaluate the possible role of distal radius radio...

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...

The wrist represents a complex anatomic region in the human extremity and a highly functional and intricate structural joint. Most perilunate injuries result from a staged disruption of the ligamentous structures. Forces may be directed through the carpal bones themselves resulting in a fracture. Early anatomic reduction of any carpal malalignment is of the utmost importance. Unfortunately, eve...

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...