Perilunate dislocation of the carpus is defined as loss of contact between the capitate and the lunate; it accounts for 5–10% of all carpal injuries. These dislocations follow multiple trauma in 10% of cases and always result from high-energy injuries, when the wrist is more or less locked in hyperextension (motorcycle handlebars) or resulting from falls from a height. In this chapter tips and tricks of reduction and fixation of these injuries are discussed.
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