Orthonotes
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Perilunate Dislocation

Perilunate dislocations and fracture-dislocations are high-energy carpal injuries in which the lunate loses its normal articulation with the surrounding carpal bones — the capitate, scaphoid, triquetrum, and hamate are displaced dorsally while the lunate remains (at least initially) in the lunate fossa of the distal radius. They result from a fall onto an outstretched hand in hyperextension, ulnar deviation, and intercarpal supination, and are classified by the Mayfield progressive perilunar ins...