EJECTION OF THE PROXIMAL SCAPHOID IN A TRANS-SCAPHOID PERILUNATE FRACTURE-DISLOCATION - A CASE-REPORT

Trans-scaphoid perilunate fracture dislocations are difficult injuries to treat. Described herein is the unusual case of a trans-scaphoid pe rilunate fracture dislocation in which the proximal scaphoid fragment was ejected into the volar aspect of the distal forearm. The significa nt displacement of the proximal fragment represented complete devascul arization of this piece. This unique fracture raised difficult managem ent issues in the treatment of this injury. A primary proximal row car pectomy was performed, with a successful clinical result.