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...

A 32 year old man, right-handed soldier, was admitted to Emergency Department two hours after undergoing right wrist injury following a 2 meter fall onto the hand, in hyperextension. Clinical examination revealed a deformity of the wrist with an obvious open lunate enucleation (A). The neurovascular status was intact. Standard radiograph of the wrist demonstrated a completely enucleated lunate,...

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...

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...