Abstract
Background: Perilunate fracture-dislocations are classically high velocity injuries disproportionately affecting the young. They are associated with high morbidity due to related carpal instability and risk of avascular necrosis of the lunate. Given the relative rarity of the injury, there is no gold standard for management and a number of methods have been explored in the literature. Screw fixation of the lunate is uncommon, with only 4 previous reported cases in this fracture pattern found in the literature. We present our experience with the technique to offer guidance in this rare presentation.
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