AMSSM Sports Medicine Practice Exam 2026 – Complete Study Resource

In the case of an opened perilunate dislocation, open reduction and ligament repair are indeed the most common treatment options. This type of injury involves the dislocation of the carpal bones in the wrist, often resulting in significant instability and potential compromise of the surrounding ligaments.

The primary goal of treatment is to restore the normal anatomy of the wrist and ensure that the joint surfaces are aligned properly. Open reduction allows the surgeon to directly visualize and correct the dislocation, and any damaged ligaments can be repaired during the procedure to restore stability to the wrist.

Additionally, addressing an opened perilunate dislocation surgically is important to prevent long-term complications such as chronic pain, arthritis, and loss of function, which can arise if the injury is treated conservatively or not addressed adequately. Other treatments like rest and ice therapy, corticosteroid injections, or complete immobilization do not address the underlying dislocation and can lead to poorer functional outcomes if employed alone.