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Updated: Apr 10, 2026

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Acute Proximal Row Carpectomy after Complex Carpal Fracture Dislocation.

Marjolein Russchen1, Amir Reza Kachooei1, Teun Teunis1

  • 1Orthopaedic Hand and Upper Extremity Service, Massachusetts General Hospital, Yawkey Center, 55 Fruit Street, Suite 2100, Boston, MA 02114 USA.

Journal of Hand and Microsurgery
|June 17, 2015
PubMed
Summary

Acute proximal row carpectomy (PRC) offers a viable treatment for complex wrist injuries like perilunate fracture-dislocations. This surgical option can provide pain relief and satisfactory motion for select patients.

Keywords:
AcutePerilunate fracture dislocationProximal row carpectomyScapholunate ligamentTraumaWrist arthritis

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Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Trauma Surgery

Background:

  • Perilunate fracture-dislocations are complex wrist injuries.
  • Acute proximal row carpectomy (PRC) is an uncommon treatment for these injuries.

Observation:

  • This report details five male patients (ages 31-87) treated with acute PRC for perilunate fracture-dislocations.
  • Indications included lunate fracture, scaphoid fracture with scapholunate ligament injury, and pre-existing arthritis from gout.
  • Follow-up ranged from 4.5 months to 7.5 years.

Findings:

  • Four out of five patients experienced no pain post-surgery.
  • Three patients achieved a satisfactory range of motion.
  • One patient had a concomitant bridging plate, and one was lost to follow-up.

Implications:

  • Acute proximal row carpectomy (PRC) is a potential treatment for complex carpal fracture-dislocations.
  • PRC may be particularly beneficial for patients with lunate fractures, combined scaphoid and ligament injuries, or significant wrist arthritis.