The wrist represents a complex anatomic region in the human extremity and a highly functional and intricate structural joint. Most perilunate injuries result from a staged disruption of the ligamentous structures. Forces may be directed through the carpal bones themselves resulting in a fracture. Early anatomic reduction of any carpal malalignment is of the utmost importance. Unfortunately, eve...

The stability of the wrist during motion and interrelated motions depends on the capsuloligamentous integrity and the contact surface contours of the carpal bones [1]. Perilunate fracture dislocations (PLFD) are high-energy injuries, produced by wrist hyperextension. It can be palmar or dorsal. Palmar dislocation is extremely rare and result from a fall on the dorsum of the flexed wrist. This i...

We report the case of a 21-year-old man who injured his right hand in a fall from his motorbike, causing a trans-scaphoid perilunate fracture-dislocation associated with vertical fracture of the pyramid (A and B). On day 2, patient underwent a bloody reduction (C) of disorganized carpal bones with osteosynthesis of scaphoid and pyramid (D). Peri-lunate fracture-dislocation is a rare injury cons...

UNLABELLED Trans-scaphoid perilunate fracture-dislocation is the most common variety of fracture-dislocations of the wrist. Because of the carpal scaphoid fracture association, post-reduction stability is poor, often requiring surgery. Of the several surgical techniques used over time, percutaneous screw fixation for scaphoid fracture is currently preferred. MATERIAL AND METHODS Six cases of ...

volar lunate dislocation is the fourth and last stage of perilunate dislocation. it is an uncommon injury of the wrist and its bilateral occurrence is so rare that only one case has been reported in the literature. we are presenting the second case of this kind of wrist injury, its treatment and outcome. keywords : lunate bone, perilunate, volar plate, bilateral, dislocation.

Rowan CH, Downing ND. BMJ Case Rep 2017. doi:10.1136/bcr-2017-221041 Description Perilunate dislocations are uncommon high-energy injuries which are missed in approximately 25% of cases on initial presentation. We present the X-rays of a 25-year-old man who fell from a height of approximately 2 metres onto an extended wrist. Plain radiographs (figure 1) show classical signs of a trans-scaphoid ...