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Perilunate Dislocation

Perilunate Dislocation is a topic covered in the 5-Minute Emergency Consult.

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  • Lunate remains located and in line with the radius but the distal carpal bones are displaced dorsally (∼95% of the time) or volarly (∼5% of the time)
  • Early surgical treatment is recommended.
  • This injury has a high incidence of post-traumatic arthritis.


  • Mechanism of injury is usually wrist hyperextension with ulnar deviation.
  • These are high-energy injuries:
    • Falls from a height
    • Motor vehicle accidents
    • Industrial accidents
    • Sporting accidents

Scaphoid is frequently fractured with perilunate dislocations.

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TY - ELEC T1 - Perilunate Dislocation ID - 307046 ED - Barkin,Adam Z, ED - Barkin,Roger M, ED - Hayden,Stephen R, ED - Rosen,Peter, ED - Schaider,Jeffrey J, ED - Shayne,Philip, ED - Wolfe,Richard E, BT - 5-Minute Emergency Consult UR - https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307046/all/Perilunate_Dislocation PB - Lippincott Williams & Wilkins ET - 5 DB - Emergency Central DP - Unbound Medicine ER -