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SPECIAL ARTICLE  WRIST TRAUMATOLOGY Freefree

Minerva Orthopedics 2021 April;72(2):103-12

DOI: 10.23736/S2784-8469.21.04059-5

Copyright © 2021 EDIZIONI MINERVA MEDICA

language: English

Perilunate fracture-dislocations: definition, diagnosis and treatment

Augusto MARCUZZI 1, Julien TEODORI 1 , Debora LANA 2, Roberto ADANI 1, Andrea VITALI 3, Massimiliano LEIGHEB 4, Giancarlo CARUSO 3

1 Unit of Hand Surgery, University Hospital of Modena, Modena, Italy; 2 Department of Hand Surgery, Orthopedic Clinic III, Rizzoli-Bologna Orthopedic Institute, Bologna, Italy; 3 Unit of Hand Surgery, AUSL Toscana Centro-Firenze, Firenze, Italy; 4 Unit Orthopedics and Traumatology, Maggiore della Carità University Hospital, University of Eastern Piedmont, Novara, Italy



The wrist represents a complex articular syncytium designed to develop grip and traction forces while maintaining high stability. In the case of direct trauma to the carpus, a perilunate dislocation of the carpus may occur, possibly associated with fracture of the carpal bones. The diagnosis and therapeutic classification of these lesions represent an important challenge for the hand surgeon, both in acute treatment and in the management of outcomes. In the following article we describe our diagnostic and therapeutic algorithm with the possible surgical techniques that can be implemented in the different patterns found.


KEY WORDS: Joint dislocation; Hand; Surgery; Prostheses and implants

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