Work

Stage 4 Reverse Perilunate Injury: A Proposed Addition to an Existing Classification and Case Report

Year: 2025

Type: article

Abstract: This report describes a 53-year-old man who sustained a reverse perilunate injury (REPLI) including disruption of all ligaments that have been previously described in addition to the short radiolunate ligament resulting in a dorsal lunate dislocation. This was treated with open reduction and internal pin fixation through a dorsal approach. At final follow-up of four years, the patient had radiographic evidence of ulnocarpal translation. Despite this, he was doing well clinically. We propose that the disruption of the short radiolunate ligament, leading to a dorsal lunate dislocation, should be included in the existing REPLI staging system as a Stage 4 injury.

Source: Journal of Hand Surgery Global Online

DOI: 10.1016/j.jhsg.2025.01.007

Authors: Caitlin M. Ward, Xavier C. Simcock, Mark S. Cohen

Institution: Rush University Medical Center

Language: English

Topic: Orthopedic Surgery and Rehabilitation

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,500