Carpal instability is a rare injury of the wrist, but it can cause adverse disability and morbidity of the patient. Lunate dislocation is the fourth and last stage of perilunate dislocation. Bilateral perilunate dislocation is an even more uncommon injury, and only several cases have been reported in literature. We are presenting a case of bilateral perilunate dislocation of wrists in 27-year-o...

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...

BACKGROUND Transscaphoid perilunate fracture dislocation is a rare injury and can be easily missed at the initial treatment. Once ignored, late reduction is not possible and needs extensive dissection. An alternative treatment such as proximal row carpectomy may be required for neglected injuries, but surgical outcome is not as good as that of an early reduction. We aim to present an alternativ...

A 24-year-old male presented to the ED after a fall of approximately 25 feet from a rooftop. As he landed, he attempted to break his fall with an outstretched hand. His injuries were limited to right-sided acetabular and pubic rami fractures, and the wrist fracture-dislocation shown here (Figs. 1, 2, 3, 4). Perilunate dislocations are often accompanied by scaphoid fractures due to the stresses ...

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.