Spectrum of carpal dislocations and fracture-dislocations: imaging and management.

Journal and index pages often block iframe embedding. This reader keeps the evidence details in Orthonotes and leaves the source page one click away.

Abstract

[Indexed for MEDLINE] 20. Injury. 2021 Oct;52(10):2760-2767. doi: 10.1016/j.injury.2021.09.012. Perilunate Injuries: Current Aspects of Management. Kinghorn A(1), Finlayson G(2), Faulkner A(3), Riley N(4). Author information: (1)Department of Trauma and Orthopaedics, University Hospital of Wales, Heath Park, Cardiff, CF14 4XW, UK. Electronic address: afkinghorn@gmail.com. (2)Department of Trauma and Orthopaedics, Musgrave Park Hospital, Stockmans Lane, Belfast, BT9 7JB, UK. (3)Department of Trauma and Orthopaedics, Ninewells Hospital, Dundee, DD1 9SY. (4)Oxford University Hospitals NHS Foundation Trust, Windmill Road, Headington, Oxford, OX3 7HE, UK. 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. Copyright © 2021 Elsevier Ltd. All rights reserved. DOI: 10.1016/j.injury.2021.09.012