Abstract
Palmar perilunate dislocations are very rare injuries constituting about 3% of all perilunate injuries. There is ambiguity in the literature regarding the mechanism of injury. Like their more common dorsal counterpart, palmar perilunate dislocations develop progressively, finally leading to dorsal dislocation of the lunate. They are often manifested as fracture-dislocation injury with the most frequent fracture being that of the scaphoid and the next most common fracture that of the lunate. Like other perilunate injuries, proper diagnosis is likely to be missed. Since these injuries are inherently unstable, open reduction and internal fixation constitutes the treatment of choice.
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References
Taleisnik J (1985) The wrist. Churchill Livingstone, New York
Herzberg G, Comtet JJ, Linscheid RL et al (1993) Perilunate dislocations and fracture dislocations: a multicenter study. J Hand Surg [Am] 18:768–779
Garcia-Elias M (1999) Carpal instabilities and dislocations. In: Green DP (ed) Green’s operative hand surgery (ch 28), Churchill Livingstone, New York, pp 865–928
Youssef B, Deshmukh SC (2008) Volar perilunate dislocation: a case report and review of the literature. Open Orthop J 2:57–58
Witvoet J, Allieu Y (1973) Lesions traumatiques fraiches. Rev Chi Orthop 59:98–125
Saunier J, Chamay A (1981) Volar perilunar dislocation of the wrist. Clin Orthop 157:139–142
Aitken AP, Nalebuff EA (1960) Volar transnavicular perilunar dislocation of the carpus. J Bone Joint Surg Am 42:1051–1057
Bilos ZJ, Hui PW (1981) Dorsal dislocation of the lunate with carpal collapse. Report of two cases. J Bone Joint Surg Am 63:1484–1486
Fernandes HJA, Koberle G, Ferreira GH et al (1983) Volar transcaphoid perilunar dislocation. Hand 15:276–280
Hayeems EB, Schemitsch EH (1996) Volar transscaphoid perilunate fracture dislocation: case report and review. J Trauma 40:1031–1033
Peshin C, Mahajan S, Singh H et al (2009) Volar transcaphoid perilunate dislocation; a case report. Internet J Orthop Surg 13:1. doi:10.5580/8bf
Bjerregaard P, Holst-Nielsen F (1988) Transstyloid dorsal luxation of the lunate. Case report. Scand J Plast Reconstr Surg Hand Surg 22:261–264
Conway WF, Gilula LA, Manske PR et al (1989) Translunate, palmar perilunate fracture-subluxation of the wrist. J Hand Surg [Am] 14(4):635–639
Nishiyama Y, Sato K, Nakamura T (2012) Radial and volar perilunate trans-scaphoid fracture dislocation: a case report. Hand Surg 17(1):93–97
Green DP (1988) Carpal dislocations and instabilities. In: Green DP (ed) Operative hand Surgery. Churchill Livingstone, New York, pp 875–938
Niazi TB (1996) Volar perilunate dislocation of the carpus: a case report and elucidation of its mechanism of occurrence. Injury 27:209–211
Green DP, O’Brien ET (1980) Classification and management of carpal dislocations. Clin Orthop 149:55–72
Pournaras J, Kappas A (1979) Volar peilunar dislocation. A case report. J Bone Joint Surg Am 61:625–626
Roman A, Sendino M, Salomon G et al (1994) A rare case of carpal dislocation. Ann Chir Main Memb Super 13(3):207–213
Park MJ, Steinberg DR (2012) Volar perilunate dislocations: possible association with prior wrist injuries. Hand 7:217–220
Marya SK, Khurana JS, Dave PK (1987) Volar perilunar dislocation of the carpus-a case report. Injury 18:357–358
Minami A, Ogino T, Hamada M (1989) Rupture of extensor tendons associated with a palmar perilunar dislocation. J Hand Surg [Am] 14(5):843–847
Masmejean EH, Romano SJ, Saffar PH (1998) Palmar perilunate fracture-dislocation of the carpus. J Hand Surg [Br] 23:264–265
Teisen H, Hjarbaek J (1988) Classification of fresh fractures of the lunate. J Hand Surg [Br] 13:458–462
Ruijters R, Kortmann J (1988) A case of translunate luxation of the carpus. Acta Orthop Scand 59:461–463
Kalra M, Menon J, Sharma B (2005) A rare case of volar trans-scaphoid perilunate dislocation. Injury Extra 36(9):405–406
Schwartz GB (1986) A volar transscaphoid perilunate fracture dislocation. Orthop Rev 15:170–173
Woodward AH, Neviaser RJ, Nisenfeld F (1975) Radial and volar perilunate transscaphoid fracture dislocation. South Med J 68:926–928
Mason GC, Bowman MW, Fu FH (1986) Translunate, perilunate fracture-dislocation of the wrist. A case report. Orthopedics 9:1001–1004
Vichard P, Tropet Y, Balmat P et al (1991) Reflections on 4 cases of ante-lunar carpal luxations. Ann Chir Main Memb Super 10:331–336
Noble J, Lamb DW (1979) Translunate scapho-radial fracture. Hand 11:47–49
Carmichael KD, Bell C (2005) Volar perilunate trans-scaphoid fracture-dislocation in a skeletally immature patient. Orthopedics 28(1):69–70
Wodecki P, Guigui P, Masmejean E (2002) Volar transcaphocapitate perilunate disclocation of the carpus: a new variety, a new approach. Chir Main 21:143–147
Mueller JJ (1984) Avascular necrosis and collapse of the lunate following a volar perilunate dislocation: a case report and review of this complication in dislocations of the wrist. Orthopedics 7:1009–1014
Schwartz MG, Green SM, Coville FA (1990) Dorsal dislocation of the lunate with multiple extensor tendon ruptures. J Hand Surg [Am] 15:132–133
Markiewitz AD, Ruby LK, O’Brien ET (1997) Carpal fractures and dislocations. In: Lichtman DM, Alexander AH (eds) The wrist and its disorders (ch 13), 2 edn. WB Saunders, Philadelphia, pp 189–233
Garcia-Elias M, Geissler W (2005) Carpal instability. In: Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH (eds) Green’s operative hand surgery (ch 14), Elsevier Churchill Livingstone, London, pp 535–604
Klein A, Webb LX (1987) The crowded carpal sign in volar perilunar dislocation. J Trauma 27:82–84
Hawken R, Fullilove SM (2007) Delayed post-traumatic midcarpal dislocation. J Hand Surg [Eur] 32(5):554–555
Amar MF, Loudyi D, Chbani B et al (2009) Volar transscaphoid perilunate fracture dislocation. A case report. Chir Main 28(6):374–377
Kozin SH (1998) Perilunate injuries: diagnosis and treatment. J Am Acad Orthop Surg 6:114–120
Apergis E (2004) καταγματα-εξαρθρήματα του καρπου. Konstantaras Medical Books, Athens
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Apergis, E. (2013). Palmar Perilunate Dislocations or Fracture-Dislocations. In: Fracture-Dislocations of the Wrist. Springer, Milano. https://doi.org/10.1007/978-88-470-5328-1_6
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DOI: https://doi.org/10.1007/978-88-470-5328-1_6
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