Perilunate injuries are complex injuries of the bony and ligamentous structures of the wrist. They require operative management with careful restoration of carpal alignment and open reduction and internal fixation of associated fractures. Even with optimal treatment, mild to moderate dysfunction affects most patients.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.ocl.2007.02.001 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Background: Perilunate/lunate injuries are frequently misdiagnosed. We hypothesize that utilization of a machine learning algorithm can improve human detection of perilunate/lunate dislocations.
Methods: Participants from emergency medicine, hand surgery, and radiology were asked to evaluate 30 lateral wrist radiographs for the presence of a perilunate/lunate dislocation with and without the use of a machine learning algorithm, which was used to label the lunate.
Do perilunate dislocations and fracture-dislocations result in different radiological outcomes following wrist alignment reconstruction? A single-center retrospective study including 51 patients with perilunate injuries.
Arch Orthop Trauma Surg
January 2025
Department of Hand, Plastic, Reconstructive and Burn Surgery, BG Unfallklinik Tuebingen, Eberhard Karls University Tuebingen, Tübingen, Germany.
Introduction: Perilunate dislocations (PLD) and perilunate fracture-dislocations (PLFD) are high-energy wrist injuries often linked to significant post-traumatic osteoarthritis. This study aims to determine whether PLD and PLFD yield different radiological outcomes following surgical treatment while identifying prognostic factors for worse outcomes.
Materials And Methods: We retrospectively analyzed 51 patients treated for perilunate injuries between 2000 and 2022.
Descriptive Epidemiology and Management of Perilunate Injuries.
Ann Plast Surg
October 2024
From the Division of Plastic & Reconstructive Surgery, Department of Surgery, University of California, San Francisco, San Francisco, CA.
Article Synopsis
- Perilunate injuries, usually caused by high-impact trauma, can compress the median nerve and lead to complications if untreated, making prompt evaluation and treatment essential.
- A study reviewed 33 cases at a trauma center over nine years, noting that injuries often resulted from falls and vehicle incidents, with most cases showing some nerve issues.
- Surgical intervention was common, with 95% of patients needing surgery, and more than half requiring a carpal tunnel release, highlighting the need for personalized treatment strategies based on each case.
[Review of 10 patients with pure perilunate carpal dislocation at a minimum of 18years follow-up].
Ann Chir Plast Esthet
January 2025
Service de chirurgie orthopédique et traumatologie, CHU de Guadeloupe, route de Chauvel, 97142 Les Abymes, Guadeloupe.
Article Synopsis
- The study aimed to assess the long-term functional abilities and occurrence of osteoarthritis in patients treated for a posterior perilunate carpal dislocation without associated bone lesions, with a follow-up of at least 18 years.
- Ten patients participated, with evaluations based on various clinical and radiographic criteria, showing an average Cooney score of 67.5/100, alongside notable results in pain, grip strength, and wrist mobility.
- Results indicated a 60% prevalence of osteoarthritis, but this was not significantly linked to the patients' functional performance, highlighting the role of initial lunate displacement and reduction quality in long-term outcomes.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!