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Perilunate Injuries.

Nicholas D Pappas, Donald H Lee1

  • 1Vanderbilt Orthopaedic Institute, Nashville, TN. Donald.H.Lee@Vanderbilt.edu.

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Summary
This summary is machine-generated.

Perilunate injuries, often from high-energy carpal trauma, can be missed due to subtle signs. Early reduction is key, though complications like stiffness and arthritis are common but often well-tolerated.

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Area of Science:

  • Orthopedic Surgery
  • Trauma Care
  • Hand and Wrist Surgery

Background:

  • Perilunate injuries are severe carpal traumas.
  • They often present with subtle radiographic and physical findings, leading to delayed diagnosis.
  • Prompt recognition and treatment are crucial for optimal outcomes.

Purpose of the Study:

  • To discuss the fundamental presentation of perilunate injuries.
  • To outline the essential treatment strategies for perilunate injuries.
  • To review the common complications and their tolerance after treatment.

Main Methods:

  • Review of clinical presentation of perilunate injuries.
  • Discussion of diagnostic challenges.
  • Overview of surgical and non-surgical treatment principles.
  • Analysis of post-treatment complications and patient-reported outcomes.

Main Results:

  • Perilunate injuries require high-energy trauma.
  • Delayed diagnosis is frequent due to subtle clinical and radiographic signs.
  • Early anatomic reduction of carpal malalignment is critical.
  • Common complications include stiffness, decreased grip strength, and arthritis.
  • Recent evidence suggests these complications are often well-tolerated.

Conclusions:

  • Early diagnosis and anatomic reduction are paramount for perilunate injuries.
  • While complications are common, they may be better tolerated than previously thought.
  • This review covers basic presentation and treatment for these complex carpal injuries.