Arthroscopic Reduction and Stabilization of Chronic Perilunate Wrist Dislocations.

ABSTRACT: An acute perilunate wrist injury that is unreduced for more than 6 weeks results in severe disability, and even open reduction with stabilization through wide dorsal and volar approaches is technically challenging. This report describes an arthroscopic technique for reduction and percutaneous wire stabilization of a chronic perilunate wrist dislocations. The technique involves initial radiocarpal and midcarpal access through the 6R and 3-4 portals, and these portals are used for synovectomy and debridement of capsular flap tears. The midcarpal joint is accessed initially through the radiocarpal joint, and additional midcarpal portals are used for sequential perilunate adhesiolysis before carpal mobilization and reduction. A percutaneous wire drilled into the lunate is used as a joystick to

SUBMITTER: Bhatia DN 

PROVIDER: S-EPMC4912605 | biostudies-literature | 2016 Apr

REPOSITORIES: biostudies-literature