Abstract

Fractures of the carpus account for approximately 6% of all fractures. Scaphoid fractures account for 60—70% of these carpal injuries, lunate fractures account for 3%, and fracture dislocations of the carpus represent 10%. Palmar perilunate fracture dislocations are extremely rare accounting for less than 3% of carpal fracture dislocations and are usually associated with trans-scaphoid fracture. Trans-lunate trans-scaphoid palmar perilunate dislocation has only rarely been reported before. We present a case of this rare injury successfully treated by closed reduction and percutaneous screw fixation.

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