Executive Editor: Chris Colton

Authors: Matej Kastelec, Renato Fricker, Fiesky Nuñez, Terry Axelrod

Carpus - Perilunate, fracture

General considerations

Perilunate fracture-dislocations present an extensive array of injuries. Fractures of adjacent carpal bones may occur, instead of ligamentous ruptures, when the disrupting force propagates around the midcarpal joint.
Recognition and repair of all bony and soft-tissue components are essential in order to restore carpal stability, and to prevent posttraumatic degenerative joint disease.

Unlike the pure ligamentous injury of the perilunate dislocation, these injuries can be well treated by careful attention to the bony elements.

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v1.0 2008-11-08