Concomitant flying lunate and scaphoid

Devastating perilunate injuries are rare, compromising of less than 10% of wrist injuries. We report a 19-year-old worker man who presented with left wrist pain and swelling after falling from a height. Not only the lunate was seen in middle third of forearm, but also proximal part of the scaphoid was in distal forearm. Open reduction and internal fixation was done via volar approach. He came back after two years with limited motion, pain, and weakness because of static scapholunate dissociation and osteonecrosis of lunate and proximal scaphoid. Despite optimal management, the prognosis of this injury is relatively poor especially if the initial trauma was severe.