Perilunate Management

Description

Perilunate injuries can be debilitating injuries that involve the carpus. These can limit patients' functionality both acutely and long-term. Not only do their potential for nerve injury increase risk of lasting weakness and chronic pain, but their complex surrounding involving the carpus also leads to potential for misalignment when healing. The approach for treating perilunate injuries often relies on internal fixation, prompting the need for surgery. However, there is no clear recommendation for whether to pursue open or arthroscopic surgery as both offer benefits and pose risks. The aim of this study is to determine the similarities and differences in outcomes for management of perilunate injuries.

Conditions

Perilunate Injury

Study Overview

Study Details

Study overview

Perilunate injuries can be debilitating injuries that involve the carpus. These can limit patients' functionality both acutely and long-term. Not only do their potential for nerve injury increase risk of lasting weakness and chronic pain, but their complex surrounding involving the carpus also leads to potential for misalignment when healing. The approach for treating perilunate injuries often relies on internal fixation, prompting the need for surgery. However, there is no clear recommendation for whether to pursue open or arthroscopic surgery as both offer benefits and pose risks. The aim of this study is to determine the similarities and differences in outcomes for management of perilunate injuries.

Outcomes of Perilunate Injury Management: Open vs Arthroscopic Approach

Perilunate Management

Condition
Perilunate Injury
Intervention / Treatment

-

Contacts and Locations

Atlanta

Grady Memorial Hospital, Atlanta, Georgia, United States, 30303

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * All adult patients (18 years old and older).
  • * Patients requiring surgical intervention for a perilunate injury will be consented and then randomly allocated to either open or arthroscopic surgery.
  • * Prisoners will not be included in this study.
  • * Patients younger than 18 years old and pregnant patients will be excluded from this review.
  • * Patients who require specific surgical approach for their treatment, cannot be randomly allocated to one of the study arms, so will be excluded from this study.
  • * The study will not include data from minors, cognitively impaired individuals, or individuals who are vulnerable to coercion or under influence.

Ages Eligible for Study

18 Years to

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

Emory University,

Nicole Zelenski, MD, PRINCIPAL_INVESTIGATOR, Assistant Professor

Eric R Wagner, MD, PRINCIPAL_INVESTIGATOR, Assistant Professor

Study Record Dates

2024-12