RT Book, Section A1 Breed, Meghan A1 Fitch, Robert Warne A2 Knoop, Kevin J. A2 Stack, Lawrence B. A2 Storrow, Alan B. A2 Thurman, R. Jason SR Print(0) ID 1181041931 T1 Carpal and Carpometacarpal Dislocations T2 The Atlas of Emergency Medicine, 5e YR 2021 FD 2021 PB McGraw-Hill PP New York, NY SN 9781260134940 LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1181041931 RD 2024/10/09 AB Carpal and carpometacarpal dislocations are serious wrist injuries usually occurring from hyperextension. Patients complain of decreased range of motion, pain, swelling, and ecchymosis. Lunate dislocation can occur in a palmer or dorsal position with the lunate displaced relative to the other carpals (“spilled teacup sign”). The normal lunoradial relationship is disrupted, and the median nerve is commonly involved. If the lunoradial articulation is intact and the other carpal bones are dislocated relative to the lunate, it is termed a perilunate dislocation.