Trans-triquetral Perilunate fracture dislocation.

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Abstract

12. Hand Clin. 2015 Aug;31(3):399-408. doi: 10.1016/j.hcl.2015.04.002. Perilunate Dislocations and Fracture Dislocations. Muppavarapu RC(1), Capo JT(2). Author information: (1)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. (2)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. 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. Copyright © 2015 Elsevier Inc. All rights reserved. DOI: 10.1016/j.hcl.2015.04.002