Acute perilunate dislocations.
In reviewing the literature on acute perilunate dislocations, we found wide disagreement as to the best treatment for these injuries. A fundamental background on the evolution and evaluation of the perilunate dislocation is given, in which the older literature was found to support initial closed treatment. Subsequent follow-up has proved that open treatment may actually give similar, yet more predictable, results. It is concluded that in most patients--and especially in a noncompliant city hospital population--open reduction-internal fixation will achieve the best overall results in the treatment of these injuries.
Ferenz
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CC
Division of Hand Surgery, State University of New York, Downstate/King's County Medical Centers, Brooklyn.
D006801:Humans; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000628:therapy; D012667:Lunate Bone / Q000033:anatomy & histology / Q000293:injuries*; D011859:Radiography