Arthroscopic Management of Perilunate Injuries

Abstract

The key to successful treatment of perilunate injuries is to achieve early anatomic reduction and maintain the carpal alignment. Open surgery may lead to capsular scarring and joint stiffness. Furthermore, there is increased chance of damage of the already tenuous blood supply to scaphoid and the torn ligaments. Recently, arthroscopic-assisted management of perilunate injuries has been suggested. This article describes the surgical technique and outcome of this minimally invasive approach for perilunate injuries.

Keywords: Minimally invasive surgery; Perilunate dislocation; Scaphoid fracture; Wrist arthroscopy.