Acta Scientific Orthopaedics (ISSN: 2581-8635)

Case Report Volume 6 Issue 1

Fracture of the Volar Lip of the Lunate in the Face of Perilunate Injury. Report of Three Cases and Review of Literature

Francisca Pacheco Donoso1*, Ana Carreño Delgado1, Francisca Pacheco Donoso2 and Marco Antonio Ardilla Jimenez3

1Hospital Clinic Barcelona, Kaplan Hand Institut, Spain
2Clínica Redsalud Vitacura, Chile
3Clínica Orthohand, Colombia

*Corresponding Author:Francisca Pacheco Donoso, Hospital Clinic Barcelona, Kaplan Hand Institut, Spain.

Received: May 31, 2022; Published: December 05,2022


Lunate fractures associated with perilunate dislocation are very rare. The diagnosis is often difficult as is the treatment itself. Up to 25% go on to be undiagnosed in the emergency room (ER) setting.

We present 3 very different cases of perilunate dislocation with lunate volar lip fracture occurring in the different hospitals around the world (Spain, Colombia and Chile). All 3 were diagnosed in the ER, however the treatments differ.

We aim to show the spectrum of treatment of these high energy lesions either acute or chronic and the outcomes of these.

Keywords: Fracture; Volar Lip; Lunate; Perilunate


  1. Conway WF., et al. “Translunate, palmar perilunate fracture-subluxation of the wrist”. Journal of Hand Surgery American 4 (1989): 635-639.
  2. Bain GI., et al. “Translunate perilunate injuries-a spectrum of this uncommon injury”. Journal of Wrist Surgery 1 (2013): 63-68.
  3. Mayfield JK., et al. “Carpal dislocations: pathomechanics and progressive perilunar instability”. Journal of Hand Surgery American 5 (1980): 226-241.
  4. Herzberg G., et al. “Perilunate dislocations and fracture-dislocations: a multicenter study”. Journal of Hand Surgery American 18 (1993): 768-79.
  5. Herzberg G and Forissier D. “Acute dorsal trans-scaphoid perilunate fracture-dislocations: medium-term results”. The Journal of Hand Surgery British 27 (2002): 498-502.
  6. Hsu Andrew and Hsu Patricia. “Unusual Case of Isolated Lunate Fracture Without Ligamentous Injury”. Orthopedics 34 (2011): e785-789.
  7. Melone CPJ., et al. “Perilunate injuries. Repair by dual dorsal and volar approaches”. Hand Clinics 16 (2000): 439-448.
  8. Krief E., et al. “Results of Perilunate Dislocations and Perilunate Fracture Dislocations with a Minimum 15-Year Follow-Up”.Journal of Hand Surgery American 11 (2015): 2191-2197.
  9. Akane M., et al. “Partial necrosis of the lunate after a translunate palmar perilunate fracture dislocation”. Nagoya Journal of Medical Science 1-2 (2014): 211-216.
  10. , et al. “Acute Median Neuropathy and Carpal Tunnel Release in Perilunate Injuries Can We Predict Who Gets a Median Neuropathy?” Journal of Hand and Microsurgery7.2 (2015): 237-240.


Citation: Francisca Pacheco Donoso., et al. “Fracture of the Volar Lip of the Lunate in the Face of Perilunate Injury. Report of Three Cases and Review of Literature".Acta Scientific Orthopaedics 6.1 (2022): 37-41.


Copyright: © 2022 Francisca Pacheco Donoso., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Acceptance rate33%
Acceptance to publication20-30 days

Indexed In

News and Events

Contact US