Perilunate Injuries: Current Aspects of Management. Issue 10 (October 2021)

• Record Type: Journal Article
• Authors: Kinghorn, Alison; Finlayson, Graham; Faulkner, Alastair; Riley, Nicholas
• Is Part Of: Injury. Volume 52:Issue 10(2021)
• Page Start: 2760
• Page End: 2767
• Publication Date: 2021-10
• Subjects: Perilunate dislocation -- Perilunate fracture dislocation -- Lunate dislocation -- Hand and wrist trauma -- Carpal injuries; Wounds and injuries -- Surgery -- Periodicals; Accidents -- Periodicals; Wounds and Injuries -- surgery -- Periodicals; Lésions et blessures -- Chirurgie -- Périodiques; Electronic journals; Electronic journals; 617.1
• DOI: 10.1016/j.injury.2021.09.012
• Languages: English
• ISSNs: 0020-1383

Abstract

Abstract: Perilunate dislocations (PLD) and perilunate fracture dislocations (PLFD) are high-energy injuries which can result in long-term complications and significant disability. Early identification of these injuries, followed by prompt, appropriate management is key to optimising patient outcomes. Knowledge of the carpal anatomy is essential in order to understand the varied patterns of injury and plan appropriate definitive management. Emergent reduction and close monitoring of the median nerve, followed by prompt stabilisation or repair of the injured structures remain the mainstay of treatment. In this review, we present a summary of the current evidence regarding the identification and management of these complex injuries.