Authors :
Rupendra Sahu; Rohit Shukla; Archesh Dave
Volume/Issue :
Volume 11 - 2026, Issue 10 - October
Google Scholar :
https://tinyurl.com/2b7zwa2w
DOI :
https://doi.org/10.38124/ijisrt/26Oct359
Note : A published paper may take 4-5
working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and
ResearchGate.
Abstract :
Background: Perilunate dislocations (PLDs) and perilunate fracture-dislocations (PLFDs) are rare wrist injuries usually caused by high-energy trauma, in which normal carpal alignment and the intercarpal ligaments are disrupted. Prompt anatomical reduction and secure fixation are important for recovering wrist function and reducing the risk of later complications. This study evaluated the clinical and radiological results of acute PLDs and PLFDs managed with external fixation and percutaneous Kirschner-wire (K-wire) fixation.
Keywords :
Perilunate Dislocation; Perilunate Fracture-Dislocation; External Fixation; Kirschner Wire; Ligamentotaxis; Carpal Alignment; Wrist; Cooney Score.
References :
- Herzberg G, Comtet JJ, Linscheid RL, Amadio PC, Cooney WP, Stalder J. Perilunate dislocations and fracture-dislocations: a multicenter study. J Hand Surg Am. 1993;18(5):768–779.
- Cooney WP, Bussey R, Dobyns JH, Linscheid RL. Difficult wrist fractures: perilunate fracture-dislocations of the wrist. Clin Orthop Relat Res. 1987;(214):136–147.
- Herzberg G. Perilunate and axial carpal dislocations and fracture-dislocations. J Hand Surg Am. 2008;33(9):1659–1668.
- Sauder DJ, Athwal GS, Faber KJ, Roth JH. Perilunate injuries. Orthop Clin North Am. 2007;38(2):279–288, vii.
- Adkison JW, Chapman MW. Treatment of acute lunate and perilunate dislocations. Clin Orthop Relat Res. 1982;(164):199–207.
- Apergis E, Maris J, Theodoratos G, Pavlakis D, Antoniou N. Perilunate dislocations and fracture-dislocations: closed and early open reduction compared in 28 cases. Acta Orthop Scand Suppl. 1997;275:55–59.
- Weil WM, Slade JF III, Trumble TE. Open and arthroscopic treatment of perilunate injuries. Clin Orthop Relat Res. 2006;445:120–132.
- Melone CP Jr, Murphy MS, Raskin KB. Perilunate injuries: repair by dual dorsal and volar approaches. Hand Clin. 2000;16(3):439–448.
- Minami A, Kaneda K. Repair and/or reconstruction of scapholunate interosseous ligament in lunate and perilunate dislocations. J Hand Surg Am. 1993;18(6):1099–1106.
- Knoll VD, Allan C, Trumble TE. Trans-scaphoid perilunate fracture-dislocations: results of screw fixation of the scaphoid and lunotriquetral repair with a dorsal approach. J Hand Surg Am. 2005;30(6):1145–1152.
- Souer JS, Rutgers M, Andermahr J, Jupiter JB, Ring D. Perilunate fracture-dislocations of the wrist: comparison of temporary screw versus K-wire fixation. J Hand Surg Am. 2007;32(3):318–325.
- Fernandez DL, Ghillani R. External fixation of complex carpal dislocations: a preliminary report. J Hand Surg Am. 1987;12(3):335–347.
- Fernandez DL, Jakob RP, Büchler U. External fixation of the wrist: current indications and technique. Ann Chir Gynaecol. 1983;72(6):298–302.
- Herzberg G, Forissier D. Acute dorsal trans-scaphoid perilunate fracture-dislocations: medium-term results. J Hand Surg Br. 2002;27(6):498–502.
- Ruch DS, Smith BP. Arthroscopic and open management of dynamic scaphoid instability. Orthop Clin North Am. 2001;32(2):233–240, vii.
- Budoff JE. Treatment of acute lunate and perilunate dislocations. J Hand Surg Am. 2008;33(8):1424–1432.
- Hildebrand KA, Ross DC, Patterson SD, Roth JH, MacDermid JC, King GJ. Dorsal perilunate dislocations and fracture-dislocations: questionnaire, clinical, and radiographic evaluation. J Hand Surg Am. 2000;25(6):1069–1079.
- Forli A, Courvoisier A, Wimsey S, Corcella D, Moutet F. Perilunate dislocations and transscaphoid perilunate fracture-dislocations: a retrospective study with minimum ten-year follow-up. J Hand Surg Am. 2010;35(1):62–68.
- Siegert JJ, Frassica FJ, Amadio PC. Treatment of chronic perilunate dislocations. J Hand Surg Am. 1988;13(2):206–212.
Background: Perilunate dislocations (PLDs) and perilunate fracture-dislocations (PLFDs) are rare wrist injuries usually caused by high-energy trauma, in which normal carpal alignment and the intercarpal ligaments are disrupted. Prompt anatomical reduction and secure fixation are important for recovering wrist function and reducing the risk of later complications. This study evaluated the clinical and radiological results of acute PLDs and PLFDs managed with external fixation and percutaneous Kirschner-wire (K-wire) fixation.
Keywords :
Perilunate Dislocation; Perilunate Fracture-Dislocation; External Fixation; Kirschner Wire; Ligamentotaxis; Carpal Alignment; Wrist; Cooney Score.