{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T17:32:12Z","timestamp":1786383132781,"version":"build-2736575974"},"reference-count":15,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T00:00:00Z","timestamp":1786060800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand (New York, N,Y.)"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Fracture dislocations of the carpus are rare, particularly in children. The purpose of this study was to evaluate injury characteristics, clinical presentation, and outcomes of pediatric perilunate injuries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This is a retrospective chart review with a prospective follow-up arm of pediatric patients operatively treated for a perilunate injury at a tertiary care academic center over 12 years (2012-2024). Time to treatment, injury characteristics, surgical details, and complications were collected. Patients were prospectively contacted to return for in-person evaluation, patient-reported outcomes, and radiographs. Descriptive statistics were used for analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Fifteen patients qualified with a mean age of 14.2 years, and 87% were men. Mean time to surgery from injury was 27 days, and 67% of patients suffered concomitant injuries from high-energy mechanisms. Mean follow-up time was 12.7 \u00b1 13.7 months, and all injuries involved bony and ligamentous structures. The scaphoid was fractured in 11 of 15 (73%) patients. Patients younger than 10 years presented with a transcapitate pattern. Two patients required an unplanned return to the operating room. Five patients returned for in-person follow-up and had a mean 148\u00b0 arc of motion, 80% strength compared with the contralateral hand, and were satisfied. All radiographs demonstrated maintained carpal alignment and no evidence of posttraumatic arthritis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Pediatric perilunate injuries are rare and associated with significant delay to treatment. These injuries typically present in teenagers with a transscaphoid pattern and are associated with high-energy mechanisms. Despite treatment delays, patients had good-to-excellent outcomes at greater than 1 year.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15589447261468027","type":"journal-article","created":{"date-parts":[[2026,8,8]],"date-time":"2026-08-08T06:00:33Z","timestamp":1786168833000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Pediatric and Adolescent Perilunate Injuries: Clinical Presentation, Injury Characteristics, and Outcomes"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-4314-7763","authenticated-orcid":false,"given":"Adi","family":"Wollstein","sequence":"first","affiliation":[{"name":"University of California, Davis, Sacramento, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela A.","family":"Wang","sequence":"additional","affiliation":[{"name":"University of Utah Health, Salt Lake City, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annabelle","family":"Huntsman","sequence":"additional","affiliation":[{"name":"University of Utah Health, Salt Lake City, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gretchen","family":"Maughan-Egbert","sequence":"additional","affiliation":[{"name":"University of Utah Health, Salt Lake City, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jayden","family":"Brennan","sequence":"additional","affiliation":[{"name":"University of Utah Health, Salt Lake City, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brittany N.","family":"Garcia","sequence":"additional","affiliation":[{"name":"University of Utah Health, Salt Lake City, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,7]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0363-5023(80)80007-4"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.jaa.0000430340.10272.a5"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0b013e3181fe915b"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0041-1735841"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/0363-5023(93)90041-Z"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0000000000004093"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2021.09.012"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ocl.2012.08.009"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2008.09.013"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2009.09.003"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00573451"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0363-5023(88)80049-2"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.4103\/0019-5413.83138"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2017-222180"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s43465-020-00225-0"}],"container-title":["HAND"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15589447261468027","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15589447261468027","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15589447261468027","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T17:17:33Z","timestamp":1786382253000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15589447261468027"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,7]]},"references-count":15,"alternative-id":["10.1177\/15589447261468027"],"URL":"https:\/\/doi.org\/10.1177\/15589447261468027","relation":{},"ISSN":["1558-9447","1558-9455"],"issn-type":[{"value":"1558-9447","type":"print"},{"value":"1558-9455","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,7]]},"article-number":"15589447261468027"}}