Treatment of acute lunate and perilunate dislocations

J Hand Surg Am. 2008 Oct;33(8):1424-32. doi: 10.1016/j.jhsa.2008.07.016.

Abstract

Acute lunate and perilunate dislocations are uncommon but devastating carpal injuries with a guarded prognosis. This article outlines the pathoanatomy, diagnosis, indications for treatment, technique, and expected results of open reduction and internal fixation.

Publication types

  • Review

MeSH terms

  • Acute Disease
  • Arthroscopy / methods
  • Bone Nails
  • Carpal Joints / injuries*
  • Female
  • Follow-Up Studies
  • Fracture Fixation, Internal / instrumentation
  • Fracture Fixation, Internal / methods*
  • Fracture Healing / physiology
  • Fractures, Bone / diagnostic imaging
  • Fractures, Bone / surgery
  • Humans
  • Injury Severity Score
  • Joint Dislocations / diagnostic imaging
  • Joint Dislocations / surgery*
  • Lunate Bone / injuries*
  • Lunate Bone / surgery
  • Male
  • Pain Measurement
  • Radiography
  • Range of Motion, Articular / physiology
  • Recovery of Function
  • Risk Assessment
  • Treatment Outcome