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Review
. 2025 Aug 8;7(5):100803.
doi: 10.1016/j.jhsg.2025.100803. eCollection 2025 Sep.

A Review of Perilunate Wrist Dislocations

Jenna L Dvorsky  1   2 , Seth Rosenberry  3 , Antonio Da Costa  4 , Anna Green  2 , John Fowler  2
Affiliations
Review

A Review of Perilunate Wrist Dislocations

Jenna L Dvorsky et al. J Hand Surg Glob Online. .

Abstract

Perilunate dislocations are relatively rare carpal injuries that can have long-term consequences. This review consolidates the existing evidence on perilunate dislocations, synthesizing available data on surgical techniques and outcomes to inform clinical decision making and highlight areas in need of further research.

Keywords: Hand; Perilunate dislocation; Review.

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Conflict of interest statement

Given his role as Editor-in-Chief of The Journal of Hand Surgery Global Online, Dr Fowler had no involvement in the peer-review of this article and has no access to information regarding its peer-review. Full responsibility for the editorial process for this article was delegated to Aviram M. Giladi, MD, MS. Dr Fowler is a consultant for Integra LifeSciences. No benefits in any form have been received or will be received by the other authors related directly to this article.

Figures

Figure 1
Figure 1
Illustration of the Mayfield classification. A Stage I, B stage II, C stage III, and D stage IV. The yellow arc in image A represents the Space of Poirier between the lunate and capitate.
Figure 2
Figure 2
Radiograph of the left wrist following acute fracture dislocation with severe widening of the scapholunate space, or “Terry-Thomas sign.”
Figure 3
Figure 3
Preoperative radiographs of a right lunate dislocation following an acute trauma. The yellow arrow indicates the “spilled-teacup sign” of the displaced lunate.
Figure 4
Figure 4
Postoperative radiographs of a reduced wrist following operative fixation and hardware removal of an acute right lunate dislocation.
See this image and copyright information in PMC

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References

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