The Orthobullets Podcast Podiums⎪Hand⎪Perilunate Injuries: "Setting the bar high"
Aug 4, 2025
Join Devin Collins, an orthopedic surgeon specializing in hand and upper extremity surgery, as he dives deep into perilunate injuries. He discusses the complex anatomy of wrist stability, offering insights into the various stages of perilunate dislocations. Through real-life case studies, Collins emphasizes effective diagnosis, innovative treatment strategies, and the nuances of post-operative care. This engaging conversation sets the stage for a greater understanding of a challenging condition that many in the medical field face.
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Perilunate Dislocation Progression Insight
- Perilunate dislocations are progressive and range from ligamentous disruptions to dislocated lunate cases.
- Evaluating carpal arcs and using multiple radiographic views is critical for diagnosis and treatment planning.
Management of Perilunate Dislocations
- Always attempt acute closed reduction and then proceed to the OR when soft tissues allow.
- Admit patients for observation after reduction to monitor for carpal tunnel syndrome or median nerve dysfunction.
Surgical Approach Recommendations
- Use a dorsal utilitarian approach for ligament assessment and repair in perilunate injuries.
- Address both scapholunate and lunotriquetral ligaments, and fix osseous fractures if present.