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Perilunate fracture-dislocation: a continually missed injury

D H Sochart¹, P D Birdsall, A S Paul

¹Department of Orthopaedics, Bury General Hospital, Manchester.

Journal of Accident & Emergency Medicine

|May 1, 1996

Summary

Diagnoses of perilunate fracture-dislocation are often missed despite typical X-ray findings. A systematic X-ray analysis method is presented to improve diagnostic accuracy for this wrist injury.

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Area of Science:

Orthopedic Surgery
Radiology
Emergency Medicine

Background:

Perilunate fracture-dislocation is a severe wrist injury.
Delayed diagnosis can lead to poor outcomes.

Observation:

Five cases of perilunate fracture-dislocation with initially missed diagnoses are reviewed.
Radiological appearances were typical, indicating diagnostic challenges.

Findings:

A simple, systematic method for X-ray analysis of the wrist is described.
This method aims to aid in identifying perilunate fracture-dislocation.

Implications:

Improved diagnostic accuracy for perilunate fracture-dislocation.
Enhanced understanding of subtle radiological signs.

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Potential for earlier surgical intervention and better patient prognoses.