Greater arc injury: trans-scaphoid fracture (de Quervain) with lunate dislocation

Case contributed by Dr Christof Igler

Presentation

Motocross accident in the Sahara Desert. Acute wrist swelling and pain. Median nerve symptoms.

Patient Data

Age: 30 years
Gender: Female

Greater arc injury:

Displaced transverse fracture through the waist of the scaphoid.

Small osseous fragments represent intercarpal ligament avulsions.

Palmar luxation of the lunate with displacement of the adjacent flexor tendons and the median nerve.

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