Related Experiment Video
Updated: Jul 14, 2026
04:08
Metacarpal Small Incision for Carpal Tunnel Syndrome
Published on: April 5, 2024
Perilunar carpal dislocations treatment outcome
Jacek Gagała1, Marta Tarczyńska, Piotr Kosior
1Katedra i Klinika Ortopedii i Traumatologii AM im. prof. Feliksa Skubiszewskiego.
Ortopedia, Traumatologia, Rehabilitacja
|June 27, 2007
Summary
Early diagnosis and open reduction improve outcomes for perilunar carpal dislocations. Late treatment of wrist dislocations leads to instability, pain, and reduced function.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Hand Surgery
Background:
- Perilunar carpal dislocations are complex wrist injuries.
- Understanding long-term outcomes is crucial for effective management.
- Factors influencing outcomes include injury type, diagnosis timing, and treatment.
Purpose of the Study:
- To analyze the late outcomes of perilunar carpal dislocations.
- To determine the impact of injury type, diagnosis delay, and treatment on wrist function.
Main Methods:
- Retrospective analysis of 37 patients (1981-2004) with perilunar dislocations.
- Evaluation using DASH and Mayo scores, wrist range of motion, stability, grip strength, and X-rays.
- Follow-up assessments of patients with varying injury types and treatment histories.
Main Results:
- Early diagnosis of wrist dislocations correlated with better follow-up results.
- Open reduction for early diagnosed perilunar dislocations yielded the best outcomes.
- Late-diagnosed transscaphoid perilunar dislocations and lunate dislocations frequently resulted in posttraumatic wrist instability.
Conclusions:
- Delayed diagnosis and treatment of wrist injuries significantly increase the risk of long-term complications.
- These complications include wrist instability, persistent pain, and decreased range of motion and hand skills.
- Timely and appropriate management is essential for optimal recovery from perilunar dislocations.
