Volar Perilunate Dislocation: A Case Report and Review of the Literature

B Youssef*, S.C Deshmukh*
The Hand Service, The Royal Orthopaedic Hospital, Northfield, Birmingham, UK

Article Metrics

CrossRef Citations:
Total Statistics:

Full-Text HTML Views: 600
Abstract HTML Views: 447
PDF Downloads: 221
Total Views/Downloads: 1268
Unique Statistics:

Full-Text HTML Views: 374
Abstract HTML Views: 275
PDF Downloads: 153
Total Views/Downloads: 802

Creative Commons License
2008 Bentham Science Publishers Ltd.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestrictive use, distribution, and reproduction in any medium, provided the original work is properly cited.

* Address correspondence to these authors at the Department of Hand Surgery, The Royal Orthopaedic Hospital, Bristol Road South Northfield, Birmingham, B31 2AP, UK; Tel: +44121 685 4000, Ext. 55399; Fax: +44121 685 4213;E-mail: or


Perilunate dislocations, lunate dislocations and perilunate fracture dislocations are rare injuries comprising of less than 10% of all wrist injuries. Volar peri-lunate dislocations (VPLDs) account for less than 3% of perilunate dislocations. These severe carpal injuries occur after high-energy trauma to the wrist and falls on the outstretched hand. We present a case of a missed VPLD who developed parasthesia in the distribution of the median nerve 18 months after the initial injury. A plain film radiograph revealed a stage II VPLD. Nerve conduction studies confirmed compression of the median nerve at the carpal tunnel. VPLDs are extremely rare injuries. A quarter of perilunate dislocations are missed on initial presentation. The outcome is poor for missed injuries and this patient is aware that a wrist fusion may be required in the future for to treat symptoms.