Perilunate injuries affect the wrist and need surgery. The wrist is a group of small bones called the carpus. These injuries can cause weakness and pain because they might hurt nerves. Surgery can be done in two ways: open surgery (a bigger cut) or arthroscopic surgery (tiny cuts with a camera). This study will compare the two types of surgeries to see which is better.

We will invite 12 patients with perilunate injuries to join this study. They will be randomly assigned to either open or arthroscopic surgery. Patients will answer surveys about their wrist function and will be checked for up to 1 year after surgery. Surveys like the DASH score help us understand how well the wrist is healing.

• 12 patients from Grady Memorial Hospital will participate.
• They will be followed for 1 year.
• The study does not include collecting or storing any body samples.

Eligibility: Adults 18 and older can join. Prisoners, pregnant women, and those under 18 cannot join. Also, if a specific surgery type is needed, they can't join.