{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,23]],"date-time":"2025-09-23T23:10:05Z","timestamp":1758669005096,"version":"3.44.0"},"reference-count":31,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>There is a lack of consensus on the optimal treatment of perilunate injuries (PLIs). Open reduction with internal fixation with scapholunate (SL) ligament repair is recommended; however, procedures such as lunotriquetral (LT) ligament repair, carpal tunnel release (CTR), proximal row carpectomy, denervation, and arthrodesis may also be used.<\/jats:p><jats:p>The purpose of this study was to assess patient-reported outcomes (PROs) after surgical management of PLIs.<\/jats:p><jats:p>A retrospective review of surgically treated PLIs at two institutions in a major metropolitan city from 2014 to 2020 was conducted. Demographics, radiographic data, and details of surgical management were reviewed. PROs were prospectively collected and analyzed.<\/jats:p><jats:p>Eighty-seven patients with surgically managed PLIs were identified. The average time to surgery was 4\u2009\u00b1\u20097days. Twenty-six percent of patients presented with acute median neuropathy. Thirty-seven patients provided PROs for analysis. Patient-Rated Wrist Evaluation scores were 22\u2009\u00b1\u200912.9, 14.4\u2009\u00b1\u200911.3, and 37\u2009\u00b1\u200922 for pain, function, and total scores, respectively. Satisfaction was 7\u2009\u00b1\u20093 Sixteen percent of patients were unable to maintain employment due to their injury. The interval to return to work was 6.3\u2009\u00b1\u20097.7 months.<\/jats:p><jats:p>PLIs cause significant morbidity and affect patients' ability to return to work. While open reduction with SL repair is routinely performed to treat PLIs, additional procedures may be considered. Undergoing concurrent CTR in the absence of neurological symptoms showed no differences in outcomes.<\/jats:p><jats:p>Level III, retrospective cohort study.<\/jats:p>","DOI":"10.1055\/s-0044-1787179","type":"journal-article","created":{"date-parts":[[2024,6,26]],"date-time":"2024-06-26T19:09:47Z","timestamp":1719428987000},"page":"412-418","source":"Crossref","is-referenced-by-count":0,"title":["Medium-Term Patient-Reported Outcomes after Surgical Management of Perilunate Injury: A Multiinstitutional Experience"],"prefix":"10.1055","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0453-4742","authenticated-orcid":false,"given":"Andrew M.","family":"Gabig","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Emory University, Atlanta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samuel H.","family":"Payne","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Emory University, Atlanta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-8552-7302","authenticated-orcid":false,"given":"Adam","family":"Whitsett","sequence":"additional","affiliation":[{"name":"Morehouse School of Medicine, Atlanta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3775-1583","authenticated-orcid":false,"given":"Sara","family":"Kebede","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Emory University, Atlanta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Avani A.","family":"Patel","sequence":"additional","affiliation":[{"name":"Mercer University School of Medicine, Macon, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William","family":"Knaus","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Emory University, Atlanta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8876-052X","authenticated-orcid":false,"given":"Paul","family":"Ghareeb","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Emory University, Atlanta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,6,26]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/S0363-5023(80)80007-4","article-title":"Carpal dislocations: pathomechanics and progressive perilunar instability","volume":"5","author":"J K Mayfield","year":"1980","journal-title":"J Hand Surg Am"},{"issue":"05","key":"ref2","doi-asserted-by":"crossref","first-page":"768","DOI":"10.1016\/0363-5023(93)90041-Z","article-title":"Perilunate dislocations and fracture-dislocations: a multicenter study","volume":"18","author":"G Herzberg","year":"1993","journal-title":"J Hand Surg Am"},{"issue":"149","key":"ref3","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1097\/00003086-198006000-00005","article-title":"The acutely injured wrist and its residuals","author":"R P Johnson","year":"1980","journal-title":"Clin Orthop Relat Res"},{"issue":"01","key":"ref4","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1055\/s-0032-1333064","article-title":"Translunate perilunate injuries\u2014a spectrum of this uncommon injury","volume":"2","author":"G I Bain","year":"2013","journal-title":"J Wrist Surg"},{"issue":"214","key":"ref5","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1097\/00003086-198701000-00020","article-title":"Difficult wrist fractures. Perilunate fracture-dislocations of the wrist","author":"W P Cooney","year":"1987","journal-title":"Clin Orthop Relat Res"},{"issue":"11","key":"ref6","doi-asserted-by":"crossref","first-page":"2191","DOI":"10.1016\/j.jhsa.2015.07.016","article-title":"Results of perilunate dislocations and perilunate fracture dislocations with a minimum 15-Year follow-up","volume":"40","author":"E Krief","year":"2015","journal-title":"J Hand Surg Am"},{"issue":"02","key":"ref7","first-page":"62","article-title":"[Perilunate dislocations and fracture-dislocations of the wrist, a review of 17 cases]","volume":"31","author":"M Laporte","year":"2012","journal-title":"Article Chir Main"},{"issue":"05","key":"ref8","first-page":"633","article-title":"Closed K-wire fixation for the treatment of perilunate dislocation and trans-scaphoid perilunate fracture dislocations without ligamentous repair: short term follow-up","volume":"8","author":"G H Kazemian","year":"2020","journal-title":"Arch Bone Jt Surg"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1080\/17453674.1997.11744746","article-title":"Perilunate dislocations and fracture-dislocations. Closed and early open reduction compared in 28 cases","volume":"275","author":"E Apergis","year":"1997","journal-title":"Acta Orthop Scand"},{"issue":"09","key":"ref10","doi-asserted-by":"crossref","first-page":"554","DOI":"10.5435\/00124635-201109000-00006","article-title":"Perilunate dislocation and perilunate fracture-dislocation","volume":"19","author":"S J Stanbury","year":"2011","journal-title":"J Am Acad Orthop Surg"},{"issue":"05","key":"ref11","first-page":"643","article-title":"Trans-scaphoid perilunate fracture dislocation beyond Mayfield stage IV: a case report on a new classification proposal","volume":"53","author":"A L Severo","year":"2017","journal-title":"Rev Bras Ortop"},{"issue":"10","key":"ref12","doi-asserted-by":"crossref","first-page":"1599","DOI":"10.1016\/j.jhsa.2010.06.021","article-title":"Open reduction for perilunate injuries\u2013clinical outcome and patient satisfaction","volume":"35","author":"T Kremer","year":"2010","journal-title":"J Hand Surg Am"},{"issue":"01","key":"ref13","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1177\/1558944715617222","article-title":"Patient-reported outcomes following surgically managed perilunate dislocation: outcomes after perilunate dislocation","volume":"11","author":"M Griffin","year":"2016","journal-title":"Hand (N Y)"},{"issue":"02","key":"ref14","first-page":"164","article-title":"Perilunate injury timing and treatment options: a systematic review","volume":"11","author":"M JW van der Oest","year":"2021","journal-title":"J Wrist Surg"},{"issue":"02","key":"ref15","first-page":"74","article-title":"Trans-scaphoid perilunate fracture-dislocation and isolated perilunate dislocations; 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