Arthroscopic Management of Chronic Perilunate Dislocations

A chronic perilunate dislocation is a disabling wrist injury that involves complete midcarpal separation and loss of contact between the lunate and capitate for a period of 6 weeks or more. Arthroscopic reduction is possible after perilunate adhesiolysis and percutaneous K-wire stabilization of the carpal rows maintains the reduction until soft tissue healing is achieved. This chapter describes the technical steps of the procedure that are necessary to achieve and maintain carpal alignment.