Open and arthroscopic treatment of perilunate injuries

Carpal dislocations are rare and complex injuries. Nearly every combination of radiocarpal and intercarpal dislocation has been described, but few fit neatly into a particular pattern or classification scheme. The injury may be subtle clinically and radiographically, and the diagnosis is frequently delayed. Prompt recognition, accurate reduction, and stable temporary internal fixation all contribute to improved outcomes. Internal fixation techniques depend on the pathology imparted on the carpus. Open reduction, arthroscopic, and fluoroscopically aided percutaneous techniques can be used to successfully treat carpal dislocations. We report our experiences treating perilunate injuries.

Level V (expert opinion).