How do you fix a dislocated lunate?

Treatment of Perilunate and Lunate Dislocations Treatment of both perilunate and lunate dislocations is closed reduction and splinting in the emergency department. Both the wrist and elbow should be immobilized in the neutral position (eg, with a sugar tong splint ).

Why is lunate most commonly dislocated?

Mechanism. Lunate dislocations typically occur due to a fall on an outstretched hand (or during a motor vehicle injury) where there is forceful dorsiflexion of the wrist 3. There is injury of all of the perilunate ligaments, most significantly the dorsal radiolunate ligament.

What does a lunate fracture feel like?

A fracture of the carpal bones of the wrist may present with swelling and bruising. There will usually be tenderness to palpation over the affected bone. Range of motion may be decreased. Lunate fractures will present with weakness in the wrist and pain reproduced by palpating the third metacarpal bone.

What is Perilunate dissociation?

Perilunate dislocations are pure ligamentous injuries. They result from high-energy trauma. They may lead to severe disruption of carpal anatomy, leading to profound changes in wrist biomechanics.

What are the signs and symptoms of lunate dislocation?

Lunate dislocation is associated with following signs and symptoms: Significant pain in the wrist and palm of hand is a major symptom of lunate dislocation. Swollen wrist is another symptom of lunate dislocation. Difficulty in moving wrist and hand.

How is lunate dislocation treated in the wrist?

Lunate dislocation involves injury to a small bone of the wrist. In case of lunate dislocation, the carpal bone which is a small bone present in the wrist is displaced from its usual position. Closed reduction is the initial phase of the surgical treatment of lunate dislocation and offers following three advantages:

Are there any complications from lunate dislocation surgery?

There may be complications in soft tissue including disruption of carpal ligaments that can cause long-term instability of carpal. Some patients can also have severe wrist pain. Even after successful surgery of lunate dislocation, there are chances of Kienbock disease or avascular necrosis of the lunate which can be a complication.

Which is more common lunate or perilunate dislocation?

Perilunate dislocations are more common than lunate dislocations. These dislocations result from great force that causes the wrist to bend backward, usually a fall on an outstretched hand or an injury in a car crash. When one of the carpal bones is dislocated, the wrist and palm of the hand are painful.