Perilunate Dislocations With Median Nerve Involvement: Importance of Early Diagnosis and Surgical Intervention-A Case...

Perilunate dislocation in the wrist is a rare injury yet challenging and is missed in 25% of cases on initial presentation. We present two cases of carpal injury. First case is a delayed presentation of perilunate dislocation with median nerve compression and ipsilateral fracture of shaft of radius. The second case is acute presentation of transcaphoid fracture, perilunate dislocation with median nerve compression. Both the patients underwent open reduction and internal fixation with percutaneous K-wires with first case via solar approach and second via dorsal approach. Both patients demonstrated near-normal wrist motion and satisfactory functional recovery by 3 months of follow-up, with no early recurrence of dislocation. Early diagnosis and prompt intervention by surgery is crucial to prevent complications and poor outcome.