Fig. 3a–f.

Closure of the space of Poirier in a perilunate dislocation. (a) Radial and (b) ulnar view after reduction of a perilunate dislocation. A major tear in the palmar capsuloligamentous system can be seen. K-wires already maintain the proximal row reduced. (c) Intraoperative view while suturing the palmar capsuloligamentous complex in this patient. The assistant has one of the suture ends exiting from the dorsal capsule while the surgeon is suturing palmarly. (d) Corresponding intraarticular view. The hitch has already been placed while both thread ends are now out of the joint through the MCR portal. (e), (f) The palmar capsuloligamentous rent is now closed by means of three stitches.Abbreviations: Sc, scaphoid; Tq, triquetrum; RSC, radioscaphocapitate ligament; LRL, long radiolunate ligament; TQ: Triquetrumcapitate ligament. (© Dr. Piñal 2012.)