Perilunate Injuries: Current Aspects of Management.

Carpal injuries Hand and wrist trauma Lunate dislocation Perilunate dislocation Perilunate fracture dislocation

Journal

Injury
ISSN: 1879-0267
Titre abrégé: Injury
Pays: Netherlands
ID NLM: 0226040

Informations de publication

Date de publication:
Oct 2021
Historique:
entrez: 31 10 2021
pubmed: 1 11 2021
medline: 3 11 2021
Statut: ppublish

Résumé

Perilunate 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.

Identifiants

pubmed: 34717826
pii: S0020-1383(21)00786-5
doi: 10.1016/j.injury.2021.09.012
pii:
doi:

Types de publication

Practice Guideline Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

2760-2767

Informations de copyright

Copyright © 2021 Elsevier Ltd. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of Competing Interest Authors confirm no conflicts of interest.

Auteurs

Alison Kinghorn (A)

Department of Trauma and Orthopaedics, University Hospital of Wales, Heath Park, Cardiff, CF14 4XW, UK. Electronic address: afkinghorn@gmail.com.

Graham Finlayson (G)

Department of Trauma and Orthopaedics, Musgrave Park Hospital, Stockmans Lane, Belfast, BT9 7JB, UK.

Alastair Faulkner (A)

Department of Trauma and Orthopaedics, Ninewells Hospital, Dundee, DD1 9SY.

Nicholas Riley (N)

Oxford University Hospitals NHS Foundation Trust, Windmill Road, Headington, Oxford, OX3 7HE, UK.

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Classifications MeSH