SUMMARY: A rare case of trans-radial styloid, trans-scaphoid. trans-triquetral perilunate dislocation is described. The injury was treated by reduction and internal fixation using a Herbert screw and Kirschner wire. A good functional result was achieved. A review of the literature illustrates that early surgery is recommended. Alternative su rgical approaches are discussed. Case Report A twenty...

The pathomechanics, ligamentous damage, and degree of carpal instability in perilunate and lunate dislocations were analyzed by experimentally loading 32 cadaver wrists to failure. Thirteen perilunate and two lunate dislocations were produced. The mechanism of injury was extension, ulnar deviation, and intercarpal supination. These dislocations occurred in a sequential fashion due to progressiv...

Trans-scaphoid perilunate fracture dislocations, which account for more than half of total cases injuries, are common in young patients and occur as a result high-energy improper management can impair wrist alignment function. Understanding the related anatomy pathomechanics may help surgeons evaluate diagnose patients. Early operation to reduce fix injuries should be considered achieve optimal...

Trans-scaphoid, trans-radial styloid, trans-triquetral perilunate fracture dislocations are rare. We describe a 19-year-old male who suffered this injury after crashing his bicycle. He underwent open reduction internal fixation and percutaneous pinning. Scaphoid union was achieved at 8 weeks. Near complete range of painless motion was achieved by 4 months.