Wrist Injuries ; Trans-scaphoid perilunate fracture dislocation ; Regional anatomy ; Orthopedic surgery ; Arthroscopic surgery
Abstract
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 re view 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.