Functional Outcome of Surgically Managed Perilunate Injuries

George, Jaiben; Kumar, Kannan Karuppiah; Vijayakumar, Girish; Ravishankar, Muniramaiah

doi:10.1007/s43465-020-00225-0

Cited by 6 publications

(4 citation statements)

References 21 publications

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“…The complexity of the carpal bone architecture makes the diagnosis challenging, especially in polytrauma patient. Thus, all carpal injuries can be missed in 25% of the cases [ 5 , 6 ]. Lunate injuries include PLDs and PLFDs.…”

Section: Discussionmentioning

confidence: 99%

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A variant of perilunate dislocation: A case report and literature review

Alzahrani,

Alzahrani

et al. 2024

Radiology Case Reports

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Section: Discussionmentioning

confidence: 99%

“…Additionally, the ligaments were repaired to restore carpal alignment and stability. Several authors recommend similar repair techniques using the dorsal approach, which reduces the risk of avascular necrosis and improves the visualization of the carpal structures [ 5 , 15 ].…”

Section: Discussionmentioning

confidence: 99%

A variant of perilunate dislocation: A case report and literature review

Alzahrani,

Alzahrani

et al. 2024

Radiology Case Reports

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“…If the ligament is severely damaged, anatomical repair may be difficult. Even with sutures, the repair is weak, so additional fixation using other devices is often required to maintain the reduced state (Chou et al., 2012; George et al., 2020). Most cases without ligament repair were in the closed surgery group, and minimal-invasive surgery was considered to have a more positive effect on soft tissue healing than invasive surgery.…”

Section: Discussionmentioning

confidence: 99%

Complications and outcomes of operative treatment for acute perilunate injuries: a systematic review

Lee

Kim

et al. 2023

J Hand Surg Eur Vol

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We systematically reviewed the incidence of complications and outcomes of different surgical methods for acute perilunate injury in the MEDLINE, Scopus, Embase and Cochrane Library databases. Forty-three articles with 880 patients were included. The most common complications were arthritis (30%), carpal instability (15%), avascular necrosis of the lunate (12%), complex regional pain syndrome (11%), and nonunion or avascular necrosis of the scaphoid (9%). In the meta-analysis, the mean scapholunate gap was 1.7 mm in the closed surgery group and 2.3 mm in the open surgery group, which was a statistically significant difference. The mean flexion–extension arc of the wrist and modified Mayo wrist score were better in the closed surgery group than in the open surgery group. However, these findings may relate to different cohorts in terms of injury severity. Therefore, the causal relationship between closed surgery and better outcomes may be uncertain as less severe subluxations are more likely to be treated closed.

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“…The Mayo modified wrist score assessed the patient's satisfaction, which evaluates pain, pleasure, range of motion (ROM), and grip strength. 10 …”

Section: Methodsmentioning

confidence: 99%

Aesthetic and Functional Outcomes of Open Carpal Tunnel Release and Thread Carpal Tunnel Release: A Randomized Clinical Trial

Akhoondinasab,

Saraee,

Akbari

et al. 2024

Indian J Plast Surg

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Background and Objectives Surgical techniques for carpal tunnel release (CTR) have gradually become less invasive. No substantial evidence supports replacing the open carpal tunnel release (OCTR) with novel minimally invasive approaches. Thread carpal tunnel release (TCTR) is a new minimally invasive CTR method associated with promising results. This study aimed to compare the aesthetic and functional outcomes of OCTR with TCTR. Materials and Methods This study was a randomized clinical trial conducted in a hospital in Tehran, Iran, in 2022. Patients were randomized to OCTR and TCTR groups through simple randomization. Data such as demographics, nerve conduction study, electromyography, pain, and sensory evaluation by monofilament test were recorded in patients at baseline and after 3 months. Aesthetic evaluation was conducted by assessing the scar length and patients' satisfaction 3 months after the surgery. Results Twenty patients (10 in each group) entered the final analysis. Nerve conduction study, electromyography, and sensory evaluation were similar between groups 3 months after the operation. The TCTR group had lower postsurgical pain (p < 0.001) and lower scar length (p < 0.001) compared to the OCTR group. Overall satisfaction was not statistically different between TCTR and OCTR. Conclusion The TCTR method is safe in patients with CTS, and its efficacy is similar to OCTR. It can be a good alternative for OCTR, with a better aesthetic outcome.

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Functional Outcome of Surgically Managed Perilunate Injuries

Cited by 6 publications

References 21 publications

A variant of perilunate dislocation: A case report and literature review

A variant of perilunate dislocation: A case report and literature review

Complications and outcomes of operative treatment for acute perilunate injuries: a systematic review

Aesthetic and Functional Outcomes of Open Carpal Tunnel Release and Thread Carpal Tunnel Release: A Randomized Clinical Trial

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