Perilunate and lunate dislocations - Revision history

NadavNahumi: /* Evaluation */

2020-03-23T16:12:57Z

Evaluation

@@ Línea 14: / Línea 14: @@
 [[File:Perilunate Dislocation.jpg|thumb|Perilunate Dislocation]]
 [[File:Lunate_Dislocation.jpg|thumb|Lunate Dislocation]]
 ===Perilunate Dislocation===
 *Lateral view

2020-03-23T16:01:30Z

Background

← Revisión anterior		Revisión del 16:01 23 mar 2020
Línea 3:		Línea 3:
	**Perilunate Dislocation = Lunate stays in place, capitate is displaced		**Perilunate Dislocation = Lunate stays in place, capitate is displaced
	**Lunate Dislocation = Capitate stays in place, lunate is displaced		**Lunate Dislocation = Capitate stays in place, lunate is displaced
			*Commonly missed (~25%) on initial presentation
	*Must rule-out median nerve injury		*Must rule-out median nerve injury
	*Must rule out carpal bone fractures		*Must rule out carpal bone fractures

2020-03-23T15:59:55Z

Management

← Revisión anterior		Revisión del 15:59 23 mar 2020
Línea 33:		Línea 33:
	==Management==		==Management==
	*Closed reduction and long-arm splint		*Closed reduction and long-arm splint
	**~~Likely requires~~ emergent ortho consultation (very difficult to reduce with high incidence of median nerve compression)		**Requires emergent ortho consultation (very difficult to reduce with high incidence of median nerve compression), and usually emergent operative management

	==See Also==		==See Also==

2017-12-07T18:25:30Z

Text replacement - "==Treatment==" to "==Management=="

← Revisión anterior		Revisión del 18:25 7 dic 2017
Línea 31:		Línea 31:
	{{Carpal fractures}}		{{Carpal fractures}}

	==~~Treatment~~==		==Management==
	*Closed reduction and long-arm splint		*Closed reduction and long-arm splint
	**Likely requires emergent ortho consultation (very difficult to reduce with high incidence of median nerve compression)		**Likely requires emergent ortho consultation (very difficult to reduce with high incidence of median nerve compression)

2017-04-08T03:22:59Z

Treatment

← Revisión anterior		Revisión del 03:22 8 abr 2017
Línea 33:		Línea 33:
	==Treatment==		==Treatment==
	*Closed reduction and long-arm splint		*Closed reduction and long-arm splint
	**Likely requires emergent ortho consultation (very difficult to reduce)		**Likely requires emergent ortho consultation (very difficult to reduce with high incidence of median nerve compression)

	==See Also==		==See Also==

2016-07-25T13:12:27Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Revisión anterior		Revisión del 13:12 25 jul 2016
Línea 10:		Línea 10:
	*Lunate dislocation: volar swelling with palpable mass		*Lunate dislocation: volar swelling with palpable mass

	==~~Diagnosis~~==		==Evaluation==
	[[File:Perilunate Dislocation.jpg\|thumb\|Perilunate Dislocation]]		[[File:Perilunate Dislocation.jpg\|thumb\|Perilunate Dislocation]]
	[[File:Lunate_Dislocation.jpg\|thumb\|Lunate Dislocation]]		[[File:Lunate_Dislocation.jpg\|thumb\|Lunate Dislocation]]

2016-07-11T19:46:43Z

Text replacement - " w/ " to " with "

← Revisión anterior		Revisión del 19:46 11 jul 2016
Línea 16:		Línea 16:
	*Lateral view		*Lateral view
	**Capitate displaced dorsal to lunate		**Capitate displaced dorsal to lunate
	**Lunate retains its normal contact w/ radius		**Lunate retains its normal contact with radius
	*PA view		*PA view
	**Capitolunate joint space is obliterated as the bones overlap one another		**Capitolunate joint space is obliterated as the bones overlap one another

2016-07-08T17:39:49Z

Text replacement - "== " to "=="

← Revisión anterior		Revisión del 17:39 8 jul 2016
Línea 1:		Línea 1:
	== Background==		==Background==
	*Occur via high-energy FOOSH injury (fall from height, MVC)		*Occur via high-energy FOOSH injury (fall from height, MVC)
	**Perilunate Dislocation = Lunate stays in place, capitate is displaced		**Perilunate Dislocation = Lunate stays in place, capitate is displaced
Línea 6:		Línea 6:
	*Must rule out carpal bone fractures		*Must rule out carpal bone fractures

	== Clinical Features==		==Clinical Features==
	*Perilunate dislocation: dorsal swelling with palpable mass		*Perilunate dislocation: dorsal swelling with palpable mass
	*Lunate dislocation: volar swelling with palpable mass		*Lunate dislocation: volar swelling with palpable mass

	== Diagnosis==		==Diagnosis==
	[[File:Perilunate Dislocation.jpg\|thumb\|Perilunate Dislocation]]		[[File:Perilunate Dislocation.jpg\|thumb\|Perilunate Dislocation]]
	[[File:Lunate_Dislocation.jpg\|thumb\|Lunate Dislocation]]		[[File:Lunate_Dislocation.jpg\|thumb\|Lunate Dislocation]]
Línea 31:		Línea 31:
	{{Carpal fractures}}		{{Carpal fractures}}

	== Treatment==		==Treatment==
	*Closed reduction and long-arm splint		*Closed reduction and long-arm splint
	**Likely requires emergent ortho consultation (very difficult to reduce)		**Likely requires emergent ortho consultation (very difficult to reduce)

2016-07-07T18:22:28Z

Text replacement - " ==" to "=="

← Revisión anterior		Revisión del 18:22 7 jul 2016
Línea 1:		Línea 1:
	== Background ==		== Background==
	*Occur via high-energy FOOSH injury (fall from height, MVC)		*Occur via high-energy FOOSH injury (fall from height, MVC)
	**Perilunate Dislocation = Lunate stays in place, capitate is displaced		**Perilunate Dislocation = Lunate stays in place, capitate is displaced
Línea 6:		Línea 6:
	*Must rule out carpal bone fractures		*Must rule out carpal bone fractures

	== Clinical Features ==		== Clinical Features==
	*Perilunate dislocation: dorsal swelling with palpable mass		*Perilunate dislocation: dorsal swelling with palpable mass
	*Lunate dislocation: volar swelling with palpable mass		*Lunate dislocation: volar swelling with palpable mass

	== Diagnosis ==		== Diagnosis==
	[[File:Perilunate Dislocation.jpg\|thumb\|Perilunate Dislocation]]		[[File:Perilunate Dislocation.jpg\|thumb\|Perilunate Dislocation]]
	[[File:Lunate_Dislocation.jpg\|thumb\|Lunate Dislocation]]		[[File:Lunate_Dislocation.jpg\|thumb\|Lunate Dislocation]]
Línea 31:		Línea 31:
	{{Carpal fractures}}		{{Carpal fractures}}

	== Treatment ==		== Treatment==
	*Closed reduction and long-arm splint		*Closed reduction and long-arm splint
	**Likely requires emergent ortho consultation (very difficult to reduce)		**Likely requires emergent ortho consultation (very difficult to reduce)

2016-06-28T04:28:17Z

Text replacement - "== Source ==" to "==References== <references/>"

← Revisión anterior		Revisión del 04:28 28 jun 2016
Línea 38:		Línea 38:
	*[[Carpal dislocations]]		*[[Carpal dislocations]]

	== ~~Source~~ ==		==References==
			<references/>
	*Emergency Orthopedics, The Extremeties		*Emergency Orthopedics, The Extremeties
	*Radiopaedia.org		*Radiopaedia.org