Diagnostic and treatment of perilunate dislocations

Overview

Perilunate dislocation and fracture-dislocations are rare but substantial injuries. These possible injuries must be particularly considered during primary examination because adequate and early diagnostics and surgical treatment involving the repair of the ligamentous lesions and fracture osteosynthesis provide better functional outcomes compared to the treatment of chronic injuries. Conservative treatment by reduction and fixation in plaster cast or by closed reduction and percutaneous pinning does not lead to favourable functional outcomes.

Key words:
perilunate dislocation, perilunate transscaphoid dislocation, diagnostics, surgical treatment, functional outcomes.