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Perilunate Injuries: Current Aspects of Management
Alison Kinghorn1, Graham Finlayson2, Alastair Faulkner3
1Department of Trauma and Orthopaedics, University Hospital of Wales, Heath Park, Cardiff, CF14 4XW, UK.
Injury
|October 31, 2021
Summary
Early identification and prompt management of perilunate dislocations (PLD) and perilunate fracture dislocations (PLFD) are crucial for optimizing patient outcomes and preventing long-term disability. Understanding carpal anatomy guides effective treatment strategies for these complex wrist injuries.
Area of Science:
- Orthopedic Surgery
- Trauma Surgery
- Anatomy
Background:
- Perilunate dislocations (PLD) and perilunate fracture dislocations (PLFD) are severe wrist injuries resulting from high-energy trauma.
- These injuries can lead to significant long-term complications and functional disability if not managed appropriately.
- A thorough understanding of carpal anatomy is fundamental for diagnosing and treating these complex conditions.
Framework:
- This review synthesizes current evidence on the identification and management of PLD and PLFD.
- It emphasizes the importance of early recognition and diagnosis.
- The review highlights the necessity of understanding intricate carpal biomechanics and injury patterns.
Implementation:
- The primary treatment involves emergent reduction of the dislocation.
- Close monitoring of the median nerve status is essential post-reduction.
- Prompt surgical stabilization or repair of damaged carpal structures is the mainstay of definitive management.
Implications:
- Optimal management of PLD and PLFD can significantly improve patient outcomes.
- Timely intervention minimizes the risk of chronic pain, stiffness, and disability.
- This review provides a concise guide for clinicians managing these challenging wrist injuries.
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