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Trans-scaphoid perilunate fracture dislocation: ‘notjust a scaphoid fracture’
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  1. Clare H Rowan,
  2. Nicholas D Downing
  1. Department of Trauma and Orthopaedic Surgery, Nottingham University Hospitals NHS Trust, Nottingham, UK
  1. Correspondence to Miss Clare H Rowan, clare_rowan{at}hotmail.com, clare_rowan{at}hotmail.com

https://doi.org/10.1136/bcr-2017-221041

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    Description

    Perilunate dislocations are uncommon high-energy injuries which are missed in approximately 25% of cases on initial presentation.1 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 perilunate fracture dislocation. Pre-reduction, he had median nerve symptoms which settled with reduction and elevation. Reduction was performed in the emergency department with analgesia/sedation.

    Figure 1

    Posteroanterior and lateral pre-reduction radiographs of the wrist.

    The sequence of events in this injury is well described: (1) the …

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