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 ...

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...

Nondisplaced fractures of the scaphoid heal with cast immobilization in most cases, but operative treatment is being offered with greater frequency to active patients as an approach to reduce the period of cast immobilization. Computed tomography is more useful for evaluating displacement than standard radiography. Displaced fractures are at greater risk for nonunion and malunion-both of which ...

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...

Abstract Background Perilunate dislocations (PLD) and perilunate fracture (PLFD) are rare but severe injuries to the wrist, usually resulting from a high-energy trauma occurring in sports injuries, motor vehicle accidents, falls or machine related accidents. Treatment of choice is early reduction with carpal transfixation, fixation refixation injured ligaments. Aims As reports on mid- long-term...

Carpal dislocation and fracture dislocation are uncommon and difficult to treat. Early diagnosis and treatment of such injuries are necessary to prevent progressive carpal instability and traumatic arthritis. Perilunate fracture dislocation is a combination of ligamentous and osseous injuries that involve the 'greater arc' of the perilunate. Despite being severe, these injuries often go unrecog...