Ganga Medical Centre & Hospitals Pvt Ltd

Coimbatore, India.


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Wrist Dislocations

What is a dislocation?

Complete loss of contact between the bones of a joint, due to injury or disease, is called dislocation. If some partial contact is maintained, it’s called a subluxation.

Are dislocations common in the wrist?

Many types of dislocations are possible in the wrist and, taken together, they happen quite often. The most common is called a perilunate dislocation.

What is a perilunate dislocation?

The lunate is a bone in the first row of bones within the wrist. A dislocation of the bones surrounding the lunate is called a perilunate dislocation. The injury progresses through 4 broad phases.

What are the symptoms of such an injury?

Severe swelling and pain in the injured wrist is the prominent initial symptom. In older injuries a profound lack of movement becomes apparent. Due to the severe nature of the injury, associated fractures and nerve compression is possible.

How is it to be treated?

The bones are placed in proper position by manipulation under anaesthesia urgently and a plaster slab applied. The swelling is allowed to go down over the next couple of days by keeping the hand elevated in the ward. Surgery is then performed to repair the various injured ligaments and the bones are also fixed in position by screws and wires.

How long does healing take?

Stay in the hospital is for about 5 days. The wires are kept in place for 6-8 weeks and wrist movements are begun. Patients are back to usual activities by 3 months.

My injury was missed initially. Now I have persistent pain with decreased movement in the wrist. Can it be made better now?

Wrist injuries may be overlooked initially in patients who have other severe injuries. Many such patients have been helped by treatment at Ganga Hospital. Depending on the current status of the bones and cartilage, a treatment plan has to be formulated to give the best possible painless function. These complicated issues are best managed at centres with lots of experience in such injuries, like Ganga Hospital.

X - Rays Showing Dislocated Lunate and Fractured Scaphoid

Post - Operative X - Ray with Reduced Lunate and United Scaphoid

Post - Operative good Restoration of Movements

4 Month old Severe Disruption of the Joint

X - ray after Proximal Row Carpectomy

Postoperative Movements After Proximal Row Carpectomy.