title: Perilunate Dislocations and Fracture Dislocations.
abstract: Perilunate dislocations and fracture dislocations are the result of an axial load with hyperextension and ulnar deviation of the wrist, combined with intercarpal supination. Prompt treatment injuries is essential. There is a high rate of missed or incorrect diagnosis. In the past, closed management was recommended. These methods proved to be ineffective. Current research and data show better results with anatomic restoration of carpal alignment and direct ligament repair. A combined dorsal and volar approach is preferred. This article reviews the current literature and discusses the surgical techniques to restore carpal alignment and repair the scapholunate interosseous ligament.
authors.affiliation: Division of Hand Surgery, NYU Hospital for Joint Diseases, New York University School of Medicine, 530 First Avenue, Suite 8U, New York, NY 10016, USA.
authors.forename: Raghuveer C
authors.initials: RC
authors.lastname: Muppavarapu
authors.affiliation: Division of Hand Surgery, NYU Hospital for Joint Diseases, New York University School of Medicine, 530 First Avenue, Suite 8U, New York, NY 10016, USA. Electronic address: njhanddoc@yahoo.com.
authors.forename: John T
authors.initials: JT
authors.lastname: Capo
mesh_terms: D005593:Fracture Fixation, Internal / Q000379:methods*; D050723:Fractures, Bone / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D004204:Joint Dislocations / Q000175:diagnosis / Q000601:surgery*; D007593:Joint Instability / Q000175:diagnosis / Q000601:surgery*; D008023:Ligaments, Articular / Q000293:injuries / Q000601:surgery*; D012667:Lunate Bone / Q000293:injuries*; D019651:Plastic Surgery Procedures / Q000379:methods*; D014954:Wrist Injuries / Q000175:diagnosis / Q000601:surgery*
keywords: Carpal dislocation; Carpal ligament injury; Lunate dislocation; Perilunate injury; Wrist instability