Article

Fracture-Dislocations of the Carpus: Perilunate Injury

Orthopedic Surgery Department, Allegheny General Hospital, 1307 Federal Street, 2nd Floor, Pittsburgh, PA 15212, USA.
Orthopedic Clinics of North America (Impact Factor: 1.7). 01/2013; 44(1):93-106. DOI: 10.1016/j.ocl.2012.08.009
Source: PubMed

ABSTRACT The progressive perilunar instability model described by Mayfield is still used to predict the pattern of injury. Diagnosis of injury and clinical and radiographic findings depend on the pattern of injury. Open procedures are preferred for anatomic reduction after initial closed reduction is performed for acute injuries. A dorsal, volar, or combined dorsal/volar approach may be necessary and is often decided by surgeon preference. Loss of motion and diminished grip strength are common consequences despite appropriate treatment. Successful outcomes depend on time to treatment, open or closed nature of injury, extent of chondral damage, residual instability, and fracture union.

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