Translunate fracture with associated perilunate injury: 3 case reports with introduction of the translunate arc concept

Gregory I Bain, James M McLean, Perry C Turner, Aman Sood, Nicholas Pourgiezis
Journal of Hand Surgery 2008, 33 (10): 1770-6
We report 3 cases of translunate fractures with associated perilunate dislocations (or subluxation). We believe the translunate injury reflects a higher-velocity trauma and produces further destabilization of the carpus when compared with the established greater and lesser arc injuries. A modification to Johnson's perilunate injury classification system is proposed: the addition of a translunate arc injury subgroup, which would include all perilunate injuries with translunate fractures.

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