Perilunate Dislocations and Fracture Dislocations

Muppavarapu, Raghuveer C.; Capo, John T.

doi:10.1016/j.hcl.2015.04.002

Cited by 49 publications

(49 citation statements)

References 23 publications

(35 reference statements)

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“…15 The goal of managing combined perilunate injuries and SRL ligament disruptions is to anatomically reconstruct the carpus and stabilize the radiocarpal joint while minimizing pain and maintaining functional ROM. 1 The study population in the current study achieved a low overall mean and median pain score at terminal follow-up (3.6 vs. 4.0). Both groups of patients exhibited severe limitations in their postoperative wrist ROM consistent with previous literature for either injury pattern alone.…”

Section: Discussionmentioning

confidence: 71%

Perilunate Injury with Concomitant Short Radiolunate Ligament Disruption: Prevalence and Surgical Outcomes—"An Unusual Perilunate Injury Variant”

2020

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Background In the classic description of perilunate injuries, the short radiolunate ligament (SRL) remains intact. Objective This study was aimed to determine the occurrence of SRL disruptions with perilunate injuries and review the clinical and radiographic outcomes after surgical management. Patients and Methods A retrospective review was conducted for patients who sustained a perilunate injury and a concomitant disruption of the SRL at a single–level-1 trauma center between January 2013 and January 2017. Patients with the combined injury pattern were compared with those with perilunate injury alone without SRL injury during the study period. Outcome measures included pain scores (visual analogue score), wrist and forearm range of motion, patient's return to their former occupation, and multiple radiographic parameters. Results Twenty-seven patients were treated operatively for a perilunate injury. Eight of these patients (30%) were found to have associated disruption of the SRL. When compared with patients with perilunate injury alone, these patients had a lower rate of return to work (57% [4 of 7] vs. 92% [12 of 13]), a significantly longer mean length of time to return to work (5.9 vs. 3.8 months), and a higher rate of associated upper extremity injury (75% [3 of 8] vs. 16% [3 of 19]. Conclusion Combined SRL disruption and perilunate dislocation or fracture dislocation represent a high-energy variant from the classic description of a perilunate injury. A heightened awareness for this combined injury pattern should be maintained when treating patients with perilunate injuries. Level of Evidence This is a Level III, prognostic study.

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Section: Discussionmentioning

confidence: 71%

Perilunate Injury with Concomitant Short Radiolunate Ligament Disruption: Prevalence and Surgical Outcomes—"An Unusual Perilunate Injury Variant”

2020

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“…Perilunate dislocations are typically caused by axial loading of the carpus from high energy trauma (eg, road traffic incidents, industrial injuries, falls from height), resulting in hyperextension, ulnar deviation, and intercarpal supination 123…”

Section: What Is the Diagnosis?mentioning

confidence: 99%

A wrist injury

Ahmad

Vashista

2021

BMJ

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“…Perilunate dislocation (PLD) and perilunate fracture dislocation (PLFD) are severe injuries that seriously disrupt carpal alignment [2,3]. PLDs comprise 7% of all carpal injuries [4], and are mainly caused by high-energy trauma in younger patients [5].…”

Section: Introductionmentioning

confidence: 99%

Trans-scaphoid Perilunate Fracture Dislocation

Kim¹,

Oh²,

Koh³

et al. 2021

Arch Hand Microsurg

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Trans-scaphoid perilunate fracture dislocations, which account for more than half of total cases of perilunate injuries, are common in young patients and occur as a result of high-energy injuries, and improper management can impair wrist alignment and function. Understanding the related wrist anatomy and pathomechanics may help surgeons evaluate and diagnose patients. Early operation to reduce and fix the injuries should be considered to achieve optimal clinical and radiological outcomes. In this review article, we present an overview of wrist pathoanatomy, the pathomechanics of trans-scaphoid perilunate fracture dislocations, operative treatment options including an arthroscopic procedure, and reported clinical and radiological outcomes.

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Perilunate Dislocations and Fracture Dislocations

Cited by 49 publications

References 23 publications

Perilunate Injury with Concomitant Short Radiolunate Ligament Disruption: Prevalence and Surgical Outcomes—"An Unusual Perilunate Injury Variant”

Perilunate Injury with Concomitant Short Radiolunate Ligament Disruption: Prevalence and Surgical Outcomes—"An Unusual Perilunate Injury Variant”

A wrist injury

Trans-scaphoid Perilunate Fracture Dislocation

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