Fractures and dislocations of carpal bones are neglected injuries. Perilunate injuries account for 12% of wrist injuries and dorsal trans-scaphoid Perilunate dislocation account for less than 5%. We hereby report a case of volar trans-scaphoid peri-lunate dislocation in a young SCUBA diver sustained due to fall of cylinder on dorsal aspect of his left hand. Introduction Fractures and dislocations of carpal bones are neglected injuries. Perilunate injuries account for 12% of wrist injuries and dorsal trans-scaphoid Perilunate dislocation account for less than 5%. Case Report We hereby report a case of volar trans-scaphoid Perilunate dislocation with an associated fracture of lunate in a SCUBA diver. The patient sustained this injury when the oxygen cylinder he used to carry, fell accidentally onto his wrist hyper-palmar-flexing and ulnar deviating it beyond the limit.The patient reported to causality of our institution without a significant delay. He had no significant associated injury and was hemo-dynamically stable. On examination his left wrist was grossly swollen and tender. The wrist was grossly unstable and radial pulse was absent. The patient did not have any associated sensory or motor disturbance. Radiographs of wrist were obtained which showed that there was a fracture of scaphoid at its waist and the distal fragment of scaphoid had jetted out of carpus and had come to lie on the dorsal aspect of wrist. Whole of the carpus had dislocated volar to the distal radius but the lunate was still in its place but was rotated towards volar aspect. The lunate was also fractured and volar lip of the bone had come to lie against the capitate.
展开▼
