• Injury · Oct 2021

    Review Practice Guideline

    Perilunate Injuries: Current Aspects of Management.

    • Alison Kinghorn, Graham Finlayson, Alastair Faulkner, and Nicholas Riley.
    • Department of Trauma and Orthopaedics, University Hospital of Wales, Heath Park, Cardiff, CF14 4XW, UK. Electronic address: afkinghorn@gmail.com.
    • Injury. 2021 Oct 1; 52 (10): 2760-2767.

    AbstractPerilunate dislocations (PLD) and perilunate fracture dislocations (PLFD) are high-energy injuries which can result in long-term complications and significant disability. Early identification of these injuries, followed by prompt, appropriate management is key to optimising patient outcomes. Knowledge of the carpal anatomy is essential in order to understand the varied patterns of injury and plan appropriate definitive management. Emergent reduction and close monitoring of the median nerve, followed by prompt stabilisation or repair of the injured structures remain the mainstay of treatment. In this review, we present a summary of the current evidence regarding the identification and management of these complex injuries.Copyright © 2021 Elsevier Ltd. All rights reserved.

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