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The Journal of Bone and Joint Surgery 78:1907-10 (1996)
© 1996 The Journal of Bone and Joint Surgery, Inc.

Trans-Scaphoid, Transtriquetral, Volar Lunate Fracture-Dislocation of the Wrist. A Case Report*

MILAN STEVANOVIC, M.D., PH.D.{dagger}, STEPHEN B. SCHNALL, M.D.{dagger} and BLAIR C. FILLER, M.D.{dagger}, LOS ANGELES, CALIFORNIA

Investigation performed at the Department of Orthopaedics, Los Angeles County and University of Southern California School of Medicine, Los Angeles


   Introduction
 
Fracture-dislocations of the carpus represent a spectrum of complex injuries1-3,5-12,14. Accurate description of a specific injury may be difficult because of the number of skeletal and ligamentous structures involved. Some authors have suggested that these injuries represent so-called perilunate injuries, as the mechanism of injury has been noted to follow a pattern about the lunate5,9,10. Moneim described greater arc injuries as those including trans-scaphoid, transcapitate, trans-hamate, and transtriquetral perilunate fracture-dislocations. When the lunate itself is dislocated, the injury is more extensive and classification is more difficult.

We report the case of a patient who had an unusual fracture-dislocation of the wrist. The lunate was displaced volarly in conjunction with displaced fractures of the adjacent scaphoid and triquetrum.


   Case Report
 
A twenty-six-year-old, female, right-hand-dominant law student fell from a height of approximately twenty-four feet (7.3 meters). She could not recall the position of the upper extremity at the time of the . . . [Full Text of this Article]


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