Bilateral Perilunar Dislocation of the Carpus

Fitzgerald, Helen

doi:10.1302/0301-620x.32b3.386

Cited by 6 publications

(3 citation statements)

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“…In previous cases of congenital carpal ligamentous laxity, patients who did not have Marfan syndrome developed bilateral palmar flexion instability [6]. A single previous case of bilateral perilunate dislocation of which we were aware resulted from severe wrist trauma [2].…”

Section: Discussionmentioning

confidence: 90%

Carpal ligamentous laxity with bilateral perilunate dislocation in Marfan syndrome

1985

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A case of persistent bilateral perilunate dislocation unrelated to trauma in a patient with Marfan syndrome is discussed. This finding is believed to be a manifestation of the generalized ligamentous laxity occurring in this disorder. Radiographs of eight additional Marfan syndrome patients failed to demonstrate similar carpal instability. Because some carpal derangements are dynamic events, stress views or wrist fluoroscopy may be necessary to demonstrate unsuspected carpal instability in Marfan patients.

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Section: Discussionmentioning

confidence: 90%

Carpal ligamentous laxity with bilateral perilunate dislocation in Marfan syndrome

1985

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“…S imultaneous bilateral chronic volar lunate dislocation is rare. Only 3 bilateral fresh cases have been reported in the literature [2][3][4] . There have been no reports of bilateral chronic lunate dislocation.…”

Section: Discussionmentioning

confidence: 99%

Simultaneous Bilateral Chronic Volar Lunate Dislocation

Ishizaki

Omokawa

Hasegawa

et al. 2022

JBJS Case Connector

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Case: A 24-year-old professional judo competitor suffered injuries to both the wrists when he fell on his back while lifting a 90-kg barbell in the bilateral dorsiflexed wrist position. Simultaneous bilateral volar lunate dislocation had been missed for a year. The degenerated lunates were simultaneously removed using a palmar approach. At 12 months postoperatively, the patient returned to judo competitions without pain. Radiography showed no progression of the intercarpal alignment abnormality. Conclusion:Simultaneous bilateral chronic volar lunate dislocation is extremely rare. Long-term follow-up is necessary to check for carpal alignment. Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/B873).

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“…According to Mayfield the disruption of ligaments due to perilunate dislocation is not random but follows the progressive perilunate instability, lunate dislocation occurs when all perilunate ligaments are torn, and represents the fourth and last stage of perilunate dislocation (3). However, the simultaneous bilateral form is so rare that is worthy of report, with only a few cases mentioned in the literature (4)(5)(6)(7)(8). We present the case of a patient with an open volar dislocation of the right wrist associated with a closed dorsal dislocation of the left wrist and distal radioulnar subluxation.…”

Section: Introductionmentioning

confidence: 99%

An Extraordinary case report: Bilateral pure perilunate dislocation

Laffani Mohamed,

Chrak Abdellah,

El Khaymy Khalid

et al. 2024

World J. Adv. Res. Rev.

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Introduction: Perilunate dislocation of the carpus is an unusual injury, requiring high-energy trauma. The simultaneous bilateral form is so rare that is worthy of report, with only a few cases mentioned in the literature. We present the case of a patient with an open volar dislocation of the right wrist associated with a closed dorsal dislocation of the left wrist and distal radioulnar subluxation. Case report: A 30-year-old, right hand dominant male, suffered injuries to both wrists after being involved in a high-speed car accident. Examination of the patient revealed diffuse swelling and tenderness to both wrists with a lacerated wound over the dorsum of right wrist. Anteroposterior and lateral X-rays of both wrists were obtained, which showed bilateral perilunate pure dislocations: volar in the right side and dorsal the left side combined with a dorsal subluxation of the distal radioulnar joint. Discussion: Perilunate dislocations are relatively rare injuries involving approximately only 7% of all injuries of the carpus. It is often overlooked in primary evaluations, approximately 25% of perilunate injuries were missed. A better comprehension of the injury's mechanism and its full extent has led to better management strategies. It is recommended in the literature, that the best treatment of these injuries is open reduction, restoration of carpal bones relationship, repair of the ligaments and a proper rehabilitation and physiotherapy program.

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Bilateral Perilunar Dislocation of the Carpus

Cited by 6 publications

References 0 publications

Carpal ligamentous laxity with bilateral perilunate dislocation in Marfan syndrome

Carpal ligamentous laxity with bilateral perilunate dislocation in Marfan syndrome

Simultaneous Bilateral Chronic Volar Lunate Dislocation

An Extraordinary case report: Bilateral pure perilunate dislocation

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