Perilunate Dislocation
Basics
Description
Description
- 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 posttraumatic arthritis
Etiology
Etiology
- 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
ALERT
Scaphoid is frequently fractured with perilunate dislocations
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Citation
Schaider, Jeffrey J., et al., editors. "Perilunate Dislocation." 5-Minute Emergency Consult, 6th ed., Lippincott Williams & Wilkins, 2020. Emergency Central, emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307046/all/Perilunate_Dislocation.
Perilunate Dislocation. In: Schaider JJJ, Barkin RMR, Hayden SRS, et al, eds. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2020. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307046/all/Perilunate_Dislocation. Accessed December 12, 2024.
Perilunate Dislocation. (2020). In Schaider, J. J., Barkin, R. M., Hayden, S. R., Wolfe, R. E., Barkin, A. Z., Shayne, P., & Rosen, P. (Eds.), 5-Minute Emergency Consult (6th ed.). Lippincott Williams & Wilkins. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307046/all/Perilunate_Dislocation
Perilunate Dislocation [Internet]. In: Schaider JJJ, Barkin RMR, Hayden SRS, Wolfe RER, Barkin AZA, Shayne PP, Rosen PP, editors. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2020. [cited 2024 December 12]. Available from: https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307046/all/Perilunate_Dislocation.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC
T1 - Perilunate Dislocation
ID - 307046
ED - Barkin,Adam Z,
ED - Shayne,Philip,
ED - Rosen,Peter,
ED - Schaider,Jeffrey J,
ED - Barkin,Roger M,
ED - Hayden,Stephen R,
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 - 6
DB - Emergency Central
DP - Unbound Medicine
ER -