Arthroscopic Management of Perilunate Injuries

Liu, Bo; Chen, Shanlin; Zhu, Jieshun; Gao, Tian

doi:10.1016/j.hcl.2017.06.002

Cited by 29 publications

(28 citation statements)

References 16 publications

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“…In 2017, Liu et al [59] published another similar paper. The mean operation time was shortened to 155 minutes.…”

Section: Discussionmentioning

confidence: 98%

“…With a conventional open procedure, there is greater exposure, more capsular and soft tissue scarring will occur, and postoperative fibrosis and stiffness will increase. From this point of view, many surgeons recently described arthroscopic surgical techniques for TSPLFD [18,[55][56][57][58][59][60] and the arthroscopic approach is preferred by the senior author [60]. Though technically challenging, arthroscopic reduction and internal fixation are possible and reliable for TSPLFD.…”

Section: Treatmentmentioning

confidence: 99%

“…Though technically challenging, arthroscopic reduction and internal fixation are possible and reliable for TSPLFD. Promising short-term results have been reported including improved postoperative ROM with less stiffness and short rehabilitation periods [18,55,59,60].…”

Section: Treatmentmentioning

confidence: 99%

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Trans-scaphoid Perilunate Fracture Dislocation

Kim¹,

Oh²,

Koh³

et al. 2021

Arch Hand Microsurg

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Trans-scaphoid perilunate fracture dislocations, which account for more than half of total cases of perilunate injuries, are common in young patients and occur as a result of high-energy injuries, and improper management can impair wrist alignment and function. Understanding the related wrist anatomy and pathomechanics may help surgeons evaluate and diagnose patients. Early operation to reduce and fix the injuries should be considered to achieve optimal clinical and radiological outcomes. In this review article, we present an overview of wrist pathoanatomy, the pathomechanics of trans-scaphoid perilunate fracture dislocations, operative treatment options including an arthroscopic procedure, and reported clinical and radiological outcomes.

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“…In 2017, Liu et al [59] published another similar paper. The mean operation time was shortened to 155 minutes.…”

Section: Discussionmentioning

confidence: 98%

Section: Treatmentmentioning

confidence: 99%

See 1 more Smart Citation

Trans-scaphoid Perilunate Fracture Dislocation

Kim¹,

Oh²,

Koh³

et al. 2021

Arch Hand Microsurg

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“…It has been reported that the procedures traditionally conducted by open surgery for the carpal trauma could be replaced by arthroscopic procedures 5,13 . With the development of wrist arthroscopy techniques, more patients with carpal trauma will be treated with more minimally invasive arthroscopic procedures 20 .…”

Section: Discussionmentioning

confidence: 99%

“…For example, arthroscopic bone grafting for scaphoid nonunion could be performed in most of the cases, avoiding massive surgical trauma to the soft tissue 5,13 . More complex conditions, such as perilunate dislocations, could be treated in a minimally invasive manner by arthroscopic-assisted procedures as well 20 . Another example is the quite aggressive open partial or total wrist arthrodesis procedures, which now could also be performed arthroscopically 9,21 .…”

Section: Introductionmentioning

confidence: 99%

Clinical and Epidemiological Features Among Patients with Wrist Arthroscopy Surgery: A Hospital‐based Study in China

Yin

Liu

Zhu

et al. 2020

Orthopaedic Surgery

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Propose To analyze the clinical and epidemiological features of patients who underwent wrist arthroscopy procedures. Methods This is a cross‐sectional epidemiological study. The study included a cohort of patients who underwent wrist arthroscopy procedures in a national orthopaedic referral center from 1 February, 2014 to 1 February, 2019. The medical records, diagnosis, and every wrist arthroscopy procedure of all the patients were collected and reviewed. The epidemiological features, detail of the diagnoses, and the procedures of all the patients were systemically analyzed. All the patients were divided into two groups: trauma and non‐trauma conditions. The complexity of the wrist arthroscopy procedure was classified into simple procedures (exploration or debridement) and complex procedures (repair or reconstruction). χ2 test was used to compare proportions between the procedures of different complexity and the two groups of patients. Results A total of 533 patients (332 males and 201 females) were included in this study. More than half (56%) of the patients were in the age group 21–40 and nearly two thirds (62%) of all the 533 patients were male. The diagnoses of all the patients could be classified into eight categories: (i) TFCC injury; (ii) ulnar impactions syndrome; (iii) carpal trauma (carpal bone fractures and/or carpal ligament injures); (iv) distal radius fractures; (v) carpal bone cyst or necrosis; (vi) ganglion cyst; (vii) wrist arthritis; and (viii) disorders of small joint of the hand. The most common conditions treated with wrist arthroscopy were TFCC injury (172 cases), followed by carpal trauma (125 cases) and ulnar impaction syndrome (84 cases). The simple arthroscopic procedures (exploration or debridement) account for 53% of all the procedures while complex reparative or reconstructive procedures account for 47%. There was a significant difference in the proportion between simple procedures and complex procedures in both trauma and non‐traumatic patients. Repair or reconstruction procedures were more frequently performed for wrist trauma patients, whereas exploration or debridement procedures were more frequently performed for non‐trauma patients. Conclusions The largest group of patients who underwent wrist arthroscopy surgery are those who complained of ulnar‐sided wrist pain and the commonly conducted wrist arthroscopy procedures have evolved from simple exploration/debridement to the more complex repair or reconstruction procedures in China.

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Arthroscopic-Assisted and Limited Open Approach to Perilunate Dislocations

Liu

2021

Wrist and Elbow Arthroscopy With Selected Open Procedures

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Arthroscopic Management of Perilunate Injuries

Cited by 29 publications

References 16 publications

Trans-scaphoid Perilunate Fracture Dislocation

Trans-scaphoid Perilunate Fracture Dislocation

Clinical and Epidemiological Features Among Patients with Wrist Arthroscopy Surgery: A Hospital‐based Study in China

Arthroscopic-Assisted and Limited Open Approach to Perilunate Dislocations

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