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1

Stanbury, Spencer J., and John C. Elfar. "Perilunate Dislocation and Perilunate Fracture-dislocation." American Academy of Orthopaedic Surgeon 19, no. 9 (September 2011): 554–62. http://dx.doi.org/10.5435/00124635-201109000-00006.

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2

Bhat, Anil K., Jayakrishnan K. Narayana Kurup, and Ashwath M. Acharya. "Volar Translunate Perilunate Dislocation: Case Report and Analysis of Review of Literature." Journal of Hand and Microsurgery 11, S 01 (May 28, 2018): S16—S21. http://dx.doi.org/10.1055/s-0038-1648335.

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AbstractVolar translunate perilunate dislocations are the rarest form of perilunate dislocations with only a handful of cases reported till now. The injury mechanism is not uniform, and the pattern of injury does not follow traditional classifications. We report a case of volar translunate perilunate dislocation with a review of literature of very few previous reported cases of these rare injuries.
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3

Rubin, Guy, Amir Eliyahu, Erez Grinbaum, and Nimrod Rozen. "Perilunate Dislocation Above the Age of 65 Years: Case Series and Review of Literature." Geriatric Orthopaedic Surgery & Rehabilitation 12 (January 2021): 215145932110362. http://dx.doi.org/10.1177/21514593211036230.

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Introduction Perilunate and fracture dislocations predominantly follow a high-energy mechanism. Perilunate dislocations have an incidence of 0.5/105 individuals/year, occurring at a mean age of 26 years and are frequently seen in men. This study aimed to describe the characteristics of this injury in elderly population of patients using literature review and our experience with four cases aged >65 years. Materials and Methods We treated four patients with perilunate dislocation aged >65 years. All the patients’ medical records were reviewed retrospectively. A literature review for case studies of perilunate dislocation was conducted with the purpose of finding cases including patients aged >65 years. Results Three of our patients had injuries that were missed in the first visit in the emergency department. The mechanism of injury was high energy in only two patients. Two patients had posterior perilunate dislocation, while the other two had transradial perilunate dislocation. Three patients were available for follow-up. The overall outcome was satisfaction according the Mayo wrist score and minimal disability according to the Disabilities of the Arm, Shoulder and Hand score. All patients reported that pain was absent and they were able to return to their regular activities. The literature review found only seven papers documenting treatment of patients aged >65 years. Discussion Perilunate dislocation is extremely rare in the population aged >65 years. Although the rate of missed diagnosis in our cohort was extremely high, the overall satisfaction and return to function was high. Conclusions This case series and literature review highlight the unique characteristics of this injury in the age group of patients aged >65 years. Although perilunate dislocation in patients aged >65 years is rare, clinicians should be aware of the presentation of this condition in the elderly.
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4

Navaratnam, A. V., S. Ball, C. Emerson, and R. Eckersley. "Perilunate dislocation." BMJ 345, no. 06 1 (November 6, 2012): e7026-e7026. http://dx.doi.org/10.1136/bmj.e7026.

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5

LEUNG, Y. F., S. P. S. IP, A. WONG, and W. Y. IP. "Trans-Triquetral Dorsal Perilunate Fracture Dislocation." Journal of Hand Surgery (European Volume) 32, no. 6 (December 2007): 647–48. http://dx.doi.org/10.1016/j.jhse.2007.05.012.

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A rare case of trans-triquetral dorsal perilunate dislocation is described. It differs from the Mayfield and Johnson theory of progressive perilunar instability in greater arc injuries which states that the injury passes from the radial to the ulnar carpal bones and soft tissues in stages. This injury supports the concept of a reverse greater arc injury from ulnar to radial being possible with the radial carpal bones being spared in some cases.
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6

Kloss, Brian T., Shaheena R. Patierno, and Anne Marie Sullivan. "Transscaphoid perilunate dislocation." International Journal of Emergency Medicine 3, no. 4 (September 4, 2010): 501–2. http://dx.doi.org/10.1007/s12245-010-0212-x.

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7

Rohman, Lebur, and Andrew Hebron. "Perilunate Fracture Dislocation." Journal of Emergency Medicine 47, no. 3 (September 2014): e90-e93. http://dx.doi.org/10.1016/j.jemermed.2013.08.142.

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8

Maser, Steven A., Joseph S. Harhay, and John B. Webber. "Transcaphoid Perilunate Dislocation." Orthopedics 12, no. 7 (July 1989): 1029–31. http://dx.doi.org/10.3928/0147-7447-19890701-18.

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9

Siddiqui, NA, and SP Sarkar. "Isolated Dorsal Dislocation of the Lunate." Open Orthopaedics Journal 6, no. 1 (November 30, 2012): 531–34. http://dx.doi.org/10.2174/1874325001206010531.

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Lunate dislocations are well described in the volar direction as part of the perilunate dislocation, sometimes together with fractures of the other carpal bones or distal radius, as described by the anatomical studies of Mayfield [1]. It is a result of disruption of the complex inter-carpal and radiocarpal ligaments that hold the well conforming carpus in their normal position. Given the strength of these structures a significant trauma is required to cause them to fail. However, we present a case of a patient who not only presented with relatively trivial trauma that resulted in a lunate dislocation, but it was also in the dorsal direction and not associated with any fracture or neurological compromise. In addition, she presented several days after her injury. We treated her with closed manipulation and percutaneous K-wire fixation followed by a short period of immobilisation in a Plaster-of-Paris cast, with rapid return to full duties at work. As many volar lunate dislocations may be missed at presentation, we suggest that in patients with relatively trivial trauma there should also be a suspicion of the lunate dislocating dorsally, which may be treated successfully without the aggressive open surgery usually required in volar perilunate dislocations.
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10

Quintero, Jorge I., Kjell Van Royen, Fadi Bouri, Mohammed Muneer, and Huey Tien. "Avascular necrosis of the lunate secondary to perilunate fracture dislocation: Case report and review of the literature." SAGE Open Medical Case Reports 9 (January 2021): 2050313X2110323. http://dx.doi.org/10.1177/2050313x211032398.

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This is a 39-year-old male, fell from a bike, left wrist with trans-styloid perilunate fracture dislocation that underwent open reduction internal fixation, 20 months after surgery the patient developed avascular necrosis of the lunate, final wrist fusion was performed secondary to the arthritic changes on the wrist. Anatomic dissection was performed and vascularity of the lunate was identified, its origin is from the volar palmar arch, when dislocated palmarly and more than 90 degrees the vessel is still intact. More than 512 patients with perilunate dislocation and perilunate fracture dislocation are included we identified in the literature transient avascular necrosis of the lunate in nine and seventeen of pure avascular necrosis of the lunate. Concluding that avascular necrosis of the lunate after perilunate dislocation or perilunate fracture dislocation is an infrequent finding especially when the volar ligaments are intact.
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11

Huang, Hui-Kuang, Tung-Yeh Tsai, and Jung-Pan Wang. "Reduction and Association of the Lunotriquetral Ligament for Reverse Perilunate Dislocation." Journal of Wrist Surgery 08, no. 06 (February 27, 2019): 508–12. http://dx.doi.org/10.1055/s-0039-1677743.

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Abstract Background Reverse perilunate injuries are rare. Contrary to perilunate injuries, the violent force would start from the lunotriquetral ligament, go reversely toward the radial side, and cause the reverse or ulnar-sided perilunate dislocation. Case Description We describe a 31-year-old man with a reverse perilunate dislocation, who presented to our institution 3 weeks after a motorcycle accident. The patient was successfully treated with the reduction and association of the lunate and triquetrum (RALT) procedure by using closed maneuver and percutaneous headless compression screw fixation. The patient can obtain a good radiographic result and satisfactory function at the 30-month follow-up. Literature Review Many case series were reported concerning the perilunate injuries. However, few cases of reverse perilunate dislocation have been reported in the literature. No cases of reverse perilunate dislocation treated 3 weeks after the injury with the RALT procedure have been reported. Clinical Relevance In this case, we found that the dislocation could still be reduced with the closed maneuver. With the RALT procedure, the carpal alignment can be maintained and the stability can be regained. Also, the functional outcomes are good.
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12

Partap, Amanda, and Ian James Persad. "Perilunate instability: A rare variant." SAGE Open Medical Case Reports 9 (January 2021): 2050313X2110169. http://dx.doi.org/10.1177/2050313x211016980.

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Perilunate dislocations and perilunate fracture dislocations are rare injuries that occur as a result of high energy trauma. We describe a case of a volar fracture dislocation of the proximal pole of the scaphoid with an associated scapholunate and lunotriquetral ligament disruption as well as a lunate fossa fracture of the distal radius. These injuries are serious injuries that require a high degree of clinical acumen and radiographic scrutiny to allow for prompt treatment in order to avoid the sequelae of long-term complications that can arise. This case serves as a reminder of the complexity of these injuries and their associated mechanics.
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13

Nunez, Fiesky A., T. David Luo, Jesse B. Jupiter, and Fiesky A. Nunez. "Scaphocapitate Syndrome With Associated Trans-Scaphoid, Trans-Hamate Perilunate Dislocation." HAND 12, no. 2 (September 23, 2016): NP27—NP31. http://dx.doi.org/10.1177/1558944716668837.

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Background: Perilunate fracture dislocations are often associated with fractures of the distal pole of the scaphoid or the proximal pole of the capitate. However, the combination of perilunate dislocation with multiple carpal fractures and associated scaphocapitate syndrome is very rare. Methods: We report a unique case of scaphocapitate fracture syndrome with perilunate dislocation and fracture of the hamate resulting from a high-energy injury to the wrist during a dirt-bike competition. Results: Open reduction and internal fixation of the scaphoid fracture with a 3.0-mm headless screw, the head of the capitate with a 1.5-mm lag screw, and the hamate fracture with a 1.3-mm lag screw was performed. The lunotriquetral dissociation was reduced, with the ligament repaired and the joint stabilized using a Kirschner wire. All screw heads are carefully buried under the articulate cartilage. Conclusions: Prompt anatomic reduction and stable osteosynthesis of all fractures in this patient resulted in successful healing and return to activity.
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14

Kim, Hee-Soo, Won-Tack Oh, Il-Hyun Koh, Yun-Rak Choi, and Ho-Jung Kang. "Trans-scaphoid Perilunate Fracture Dislocation." Archives of Hand and Microsurgery 26, no. 2 (June 1, 2021): 69–81. http://dx.doi.org/10.12790/ahm.21.0080.

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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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15

Imerci, Ahmet, Mahmut Tuzlu, Huseyin Tamer Ursavas, Muhammet Bozoglan, and Umut Canbek. "Perilunate Dislocation: Case Report." Journal of Academic Emergency Medicine Case Reports 4, no. 3 (2013): 115–17. http://dx.doi.org/10.5505/jaemcr.2013.60362.

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16

Banerjee, Ashis. "Transstyloid perilunate carpal dislocation." Acta Orthopaedica Scandinavica 62, no. 4 (January 1991): 397–98. http://dx.doi.org/10.3109/17453679108994482.

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17

SONG, D., S. GOODMAN, L. A. GILULA, and R. WOLLSTEIN. "Ulnocarpal Translation in Perilunate Dislocations." Journal of Hand Surgery (European Volume) 34, no. 3 (May 20, 2009): 388–90. http://dx.doi.org/10.1177/1753193409103093.

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The purpose of this study was to assess ulnar translation in perilunate dislocation injuries. Twenty-five patients with perilunate dislocations were assessed after surgical reduction. Ulnar translation of the carpus and carpal collapse were measured using standard methods. Measurements before and after pin removal were compared. The average Gilula score for ulnar translation was 54%. Eighty percent of patients had ulnocarpal translation (above 50% of lunate uncovering) after reduction. Measurements of lunate uncovering in perilunate dislocations were significantly higher than normal values ( P<0.01). Scores for patients in whom the ulnar translocation component was addressed by pinning during initial treatment were significantly improved. Measurements before and after pin removal were not significantly different irrespective of the method of measurement. IRB approval was obtained prior to study preparation.
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18

Matthewson, Graeme, Samuel Larrivee, and Tod Clark. "Case Report of an Acute Complex Perilunate Fracture Dislocation Treated with a Three-Corner Fusion." Case Reports in Orthopedics 2018 (2018): 1–5. http://dx.doi.org/10.1155/2018/8397638.

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Perilunate fracture dislocations are a rare but devastating injury, which is often missed on initial presentation leading to significant delays in treatment. With the delay in treatment and a high energy mechanism of injury, patients are at increased risk of developing complex regional pain syndrome following trauma. In this report, we review the case of a 57-year-old left-hand dominant female who presented to a clinic with a five-and-a-half-week-old transtriquetral, perilunate fracture dislocation with comminution of the scaphoid facet. Due to the increased likelihood of a secondary procedure and low probability of a satisfactory outcome with open reduction internal fixation secondary to the loss of the scaphoid articulation, a salvage procedure was deemed her best option. To our knowledge, this is the first case reported in the literature in which a scaphoidectomy, triquetromy, and midcarpal fusion (three-corner fusion) was performed in the acute setting for a perilunate fracture dislocation.
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19

Plucknette, Benjamin F., and Peter C. Rhee. "An Unusual Variant of a Floating Forearm Injury: A Case Report and Review." HAND 13, no. 6 (July 18, 2018): NP32—NP38. http://dx.doi.org/10.1177/1558944718789411.

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Background: “Floating forearm” injuries, perilunate injuries, with an elbow dislocation, are rare and challenging to treat. Methods: We present the case of an unusual variant of a floating forearm injury, trans-scaphoid perilunate fracture dislocation and elbow dislocation, with a concomitant open both-bone forearm fracture after a fall from a ladder. Treatment involved irrigation and debridement of the forearm wound, open reduction and internal fixation of the forearm and perilunate injury, and closed reduction of the elbow. Results: At final follow-up, he had returned to his previous occupation. Radiographs demonstrated fully healing fractures without evidence of osteonecrosis or degeneration. Conclusions: A review of the presentation, evaluation, and management of this rare injury pattern is provided.
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20

Kastanis, Grigorios, George Velivasakis, Anna Pantouvaki, and Manolis Spyrantis. "An Unusual Localization of Lunate in a Transcaphoid Volar Lunate Dislocation: Current Concepts." Case Reports in Orthopedics 2019 (July 11, 2019): 1–5. http://dx.doi.org/10.1155/2019/7207856.

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Perilunate dislocation and fracture dislocations are rare injuries corresponding to 10% of all carpal injuries. They usually come with high-energy trauma, with associated injuries representing 61%. Volar lunate dislocation or fracture-dislocation accounts for 3% of perilunate injuries. We present a case of a 42-year-old polytrauma male, transmitted to our department 48 hours after a car accident with a trans-scaphoid volar lunate dislocation. During operation, the lunate was displaced volarly to the ulnar side of the wrist, forward to the styloid process of the distal ulna, while the scaphoid fracture appeared at the waist with comminution, and the proximal pole of the scaphoid protruded under the dorsal capsule. Carpal injuries are often missed out in polytrauma patients, and these injuries are underestimated because of the severity of the other visceral or extremity lesions. Untreated or improperly treated, those injuries lead to serious morbidity and loss of function. Therefore, good functional prognosis with decreased percentage of complications can be achieved following early recognition and early open surgical ligamentous complex repair.
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21

Jasmine, Mark S., John W. Packer, and George S. Edwards. "Irreducible trans-scaphoid perilunate dislocation." Journal of Hand Surgery 13, no. 2 (March 1988): 212–15. http://dx.doi.org/10.1016/s0363-5023(88)80050-9.

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22

Rhind, John-Henry, Abhinav Gulihar, and Andrew Smith. "Trans-triquetral Perilunate fracture dislocation." Trauma Case Reports 14 (April 2018): 27–30. http://dx.doi.org/10.1016/j.tcr.2018.01.003.

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23

Hayeems, Eran B., and Emil H. Schemitsch. "Volar Transscaphoid Perilunate Fracture Dislocation." Journal of Trauma: Injury, Infection, and Critical Care 40, no. 6 (June 1996): 1031–33. http://dx.doi.org/10.1097/00005373-199606000-00033.

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24

Carl, Hans-Dieter, and Peter Schaller. "Spontaneous Course of Perilunate Dislocation." European Journal of Trauma 29, no. 2 (April 1, 2003): 101–4. http://dx.doi.org/10.1007/s00068-003-1232-5.

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25

Chen, Wun-Schen. "CONCURRENT PERILUNATE DISLOCATION IN PATIENTS WITH ELBOW DISLOCATION." Journal of Trauma: Injury, Infection, and Critical Care 37, no. 3 (September 1994): 504–7. http://dx.doi.org/10.1097/00005373-199409000-00029.

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26

Sgromolo, Nicole M., Ian A. Mullikin, and Peter C. Rhee. "Perilunate Injury with Concomitant Short Radiolunate Ligament Disruption: Prevalence and Surgical Outcomes—"An Unusual Perilunate Injury Variant”." Journal of Wrist Surgery 09, no. 04 (May 20, 2020): 312–20. http://dx.doi.org/10.1055/s-0040-1710396.

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Abstract Background In the classic description of perilunate injuries, the short radiolunate ligament (SRL) remains intact. Objective This study was aimed to determine the occurrence of SRL disruptions with perilunate injuries and review the clinical and radiographic outcomes after surgical management. Patients and Methods A retrospective review was conducted for patients who sustained a perilunate injury and a concomitant disruption of the SRL at a single–level-1 trauma center between January 2013 and January 2017. Patients with the combined injury pattern were compared with those with perilunate injury alone without SRL injury during the study period. Outcome measures included pain scores (visual analogue score), wrist and forearm range of motion, patient's return to their former occupation, and multiple radiographic parameters. Results Twenty-seven patients were treated operatively for a perilunate injury. Eight of these patients (30%) were found to have associated disruption of the SRL. When compared with patients with perilunate injury alone, these patients had a lower rate of return to work (57% [4 of 7] vs. 92% [12 of 13]), a significantly longer mean length of time to return to work (5.9 vs. 3.8 months), and a higher rate of associated upper extremity injury (75% [3 of 8] vs. 16% [3 of 19]. Conclusion Combined SRL disruption and perilunate dislocation or fracture dislocation represent a high-energy variant from the classic description of a perilunate injury. A heightened awareness for this combined injury pattern should be maintained when treating patients with perilunate injuries. Level of Evidence This is a Level III, prognostic study.
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27

Murakawa, Daisuke, Takeshi Makino, Shinichiro Kishimoto, and Hideki Hamamoto. "VOLAR PERILUNATE TRANS-SCAPHOID DISLOCATION: A CASE." Hand Surgery 19, no. 03 (January 2014): 419–21. http://dx.doi.org/10.1142/s0218810414720289.

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28

Gunge, Noriyuki, Takehisa Tsuneoka, Koutaro Imamura, Eiji Hirano, and Takeshi Okazaki. "Follow-up Study of Perilunate Dislocation." Orthopedics & Traumatology 36, no. 1 (1987): 242–47. http://dx.doi.org/10.5035/nishiseisai.36.242.

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29

Chari, RangaP. "Bilateral dorsal perilunate dislocation of wrist." Indian Journal of Orthopaedics 44, no. 2 (2010): 230. http://dx.doi.org/10.4103/0019-5413.61724.

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30

Healey, David C., A. Alan Giachino, and Anna F. Conway. "Periscaphoid Perilunate Dislocation of the Wrist." Journal of Bone & Joint Surgery 84, no. 7 (July 2002): 1201–4. http://dx.doi.org/10.2106/00004623-200207000-00017.

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31

Ali, Nadeem, SuhailAhmad Bhat, Abedullah Bhat, and Avijit Mahajan. "Compound transstyloid, transscaphoid, perilunate fracture dislocation." Journal of the Scientific Society 40, no. 2 (2013): 111. http://dx.doi.org/10.4103/0974-5009.115485.

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32

Chae, Seung-Bum, and Jun-Ho Nam. "Bilateral Trans-Scaphoid Perilunate Fracture Dislocation." Journal of the Korean Society for Surgery of the Hand 20, no. 3 (2015): 127. http://dx.doi.org/10.12790/jkssh.2015.20.3.127.

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33

Ran, Yuval, Laurian Copel, Maurice Aghasi, and Nahum Halperin. "Translunate, Transscaphoid, Transcapitate, Perilunate Fracture Dislocation." Journal of Trauma: Injury, Infection, and Critical Care 67, no. 1 (July 2009): E8—E10. http://dx.doi.org/10.1097/01.ta.0000241234.19910.70.

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34

LIVESLEY, PETER J., and E. H. COMPTON. "An Unusual Type of Perilunate Dislocation." Journal of Trauma: Injury, Infection, and Critical Care 31, no. 3 (March 1991): 429–30. http://dx.doi.org/10.1097/00005373-199103000-00024.

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35

Kelleher, John C., I. M. Lowdon, A. H. R. W. Simpson, and P. Burge. "Recurrent dorsal trans-scaphoid perilunate dislocation." Plastic and Reconstructive Surgery 77, no. 6 (June 1986): 1018. http://dx.doi.org/10.1097/00006534-198606000-00064.

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36

Kim, Sung Soo, Sung Keun Sohn, and Dae Hee Lee. "Volar Perilunate Dislocation: A case report." Journal of the Korean Society of Fractures 12, no. 2 (1999): 440. http://dx.doi.org/10.12671/jksf.1999.12.2.440.

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37

Lo, Bruce M., and Brian Kerns. "Bilateral Perilunate Dislocation After a Fall." Journal of Emergency Medicine 46, no. 2 (February 2014): 223–24. http://dx.doi.org/10.1016/j.jemermed.2013.08.058.

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38

Baptista, Mário, Elisabete Ribeiro, Melanie Ribau, Nuno Vieira Ferreira, Pedro Varanda, and Luís Filipe Rodrigues. "Open Perilunate Fracture Dislocation with Lunate Extrusion: A Case Report and Literature Review." Case Reports in Orthopedic Research 4, no. 2 (August 5, 2021): 210–16. http://dx.doi.org/10.1159/000518209.

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Perilunate injuries with lunate extrusion are extremely rare, representing an extreme subgroup of the Mayfield type 4 spectrum, with prognosis and management remaining controversial. We present a 45-year-old man with an open type 4 perilunate fracture dislocation, with lunate extrusion through the volar skin. Despite emergent treatment with open reduction and internal fixation, lunate and scaphoid proximal pole avascular necrosis developed. However, the overall functional outcome was satisfactory for daily activities at 30 months follow-up, with substantial improvement in the range of motion after hardware removal. To our knowledge, this is the third reported case of an open perilunate injury with lunate extrusion in the literature.
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39

Suzuki, Taku, Kazuki Sato, Toshiyasu Nakamura, Yoshiaki Toyama, and Hiroyasu Ikegami. "RADIAL PERILUNATE TRANS-STYLOID TRANS-TRIQUETRUM FRACTURE DISLOCATION: A CASE REPORT." Hand Surgery 13, no. 01 (January 2008): 41–44. http://dx.doi.org/10.1142/s0218810408003803.

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40

Yamabe, E., T. Nakamura, T. Matsumura, and Y. Toyama. "Re: Palmar dislocation of the scaphoid with dorsal perilunate dislocation." Journal of Hand Surgery (European Volume) 33, no. 5 (October 2008): 682–83. http://dx.doi.org/10.1177/1753193408092493.

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41

Lee, Bong-Jin, Sung-Soo Kim, Sung-Rak Lee, Jong-Mun Jin, Min Geun Yoon, and Myung-Sang Moon. "Palmar Scaphoid Dislocation Associated With Dorsal Perilunate Dislocation: Case Report." Journal of Hand Surgery 35, no. 5 (May 2010): 726–31. http://dx.doi.org/10.1016/j.jhsa.2010.02.009.

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42

Nishiyama, Yuichiro, Kazuki Sato, Toshiyasu Nakamura, Masato Okazaki, Yoshiaki Toyama, and Hiroyasu Ikegami. "RADIAL AND VOLAR PERILUNATE TRANS-SCAPHOID FRACTURE DISLOCATION: A CASE REPORT." Hand Surgery 17, no. 01 (January 2012): 93–97. http://dx.doi.org/10.1142/s0218810412720045.

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43

Yoshida, Kenji, Hiroyuki Tanaka, Hiroshi Inoue, Kensuke Yamanaka, and Akio Inoue. "Carpal instability after reduction of perilunate dislocation." Orthopedics & Traumatology 38, no. 2 (1989): 908–11. http://dx.doi.org/10.5035/nishiseisai.38.908.

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44

MASMEJEAN, E. H., S. J. ROMANO, and P. H. SAFFAR. "Palmar Perilunate Fracture-Dislocation of the Carpus." Journal of Hand Surgery 23, no. 2 (April 1998): 264–65. http://dx.doi.org/10.1016/s0266-7681(98)80193-9.

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We report an uncommon palmar translunate, transhamate carpal fracture dislocation. CT-scans with three-dimensional reconstruction were most helpful for the assessment of the injury, which was treated operatively through a palmar approach. The lunate and hamate fractures were fixed using mini-screws and the radial styloid fracture and the scaphoid were reduced and stabilized with K-wires.
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45

Sochart, D. H., P. D. Birdsall, and A. S. Paul. "Perilunate fracture-dislocation: a continually missed injury." Emergency Medicine Journal 13, no. 3 (May 1, 1996): 213–16. http://dx.doi.org/10.1136/emj.13.3.213.

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46

Waugh, Amy M., Darren L. Johnson, Barton Branam, James A. Madaleno, and Michael Boland. "Perilunate Dislocation in a Collegiate Football Player." Athletic Therapy Today 14, no. 1 (January 2009): 41–43. http://dx.doi.org/10.1123/att.14.1.41.

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47

Barbee, Major George A., Cristóbal S. Berry-Cabán, and Brandy R. Jacobs. "Acute perilunate dislocation in a pediatric patient." Journal of the American Academy of Physician Assistants 26, no. 6 (June 2013): 27–29. http://dx.doi.org/10.1097/01.jaa.0000430340.10272.a5.

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48

PANDIT, R. "Proximal and Palmar Dislocation of the Lunate and Proximal Scaphoid as a Unit in a Case of Scaphocapitate Syndrome." Journal of Hand Surgery 23, no. 2 (April 1998): 266–68. http://dx.doi.org/10.1016/s0266-7681(98)80194-0.

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Various patterns of transscaphoid, transcapitate fracture-dislocations have been described in the literature. There is little information on the method of management and the long-term results of such severe and rare injuries. The case described here involved a transscaphoid, transcapitate, palmar perilunate fracture-dislocation with ejection of the proximal pole of the scaphoid and lunate into the palmar aspect of the forearm. The functional result 32 months after delayed open reduction and internal fixation is reported.
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49

REDDY, K. J., and G. J. PACKER. "Stabilization of an Acute Perilunate Dislocation Using the “Tag” Suture Anchor." Journal of Hand Surgery 23, no. 2 (April 1998): 262–63. http://dx.doi.org/10.1016/s0266-7681(98)80192-7.

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A case of acute perilunate dislocation associated with acute scapholunate dissociation and acute carpal tunnel syndrome is described in which the treatment was facilitated by the use of the TAG suture anchor.
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50

Park, JongWoong, JongWoo Kang, JongHoon Park, and DongHun Suh. "Complete dorsal dislocation of the carpal scaphoid with perilunate dorsal dislocation." Indian Journal of Orthopaedics 50, no. 4 (2016): 444. http://dx.doi.org/10.4103/0019-5413.185615.

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