Trans-scaphoid perilunate fracture-dislocation

Case contributed by RMH Core Conditions


Fall from bicycle.

Patient Data

Age: 30
Gender: Male

There is a trans-scaphoid perilunate fracture dislocation. Aside from the lunate the other carpal bones are displaced radially and dorsally.

Multiple fracture fragments are noted.The scaphoid is fractured at the waist.


There is a trans-scaphoid perilunate fracture/dislocation of the left wrist.

The scaphoid is fractures through its waist and the distal pole and the rest of the carpal bones are displaced dorsally and radially relative to the lunate. The lunate has a slight volar tilt.

The radial styloid is fractured and there are bony fragments lateral to it.

The tip of the ulnar styloid is also fractured.

Case Discussion

Trans-scaphoid perilunate fracture dislocations are serious and severe injuries, most commonly occurring in the context of high-energy trauma. They may overlooked initially (both clinically and radiologically) because these patients often have more serious abdominal, thoracic and neurological injuries. 

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Case information

rID: 33619
Published: 20th Jan 2015
Last edited: 27th Aug 2020
Inclusion in quiz mode: Included