A painful wrist after a fall on outstretched hand

Abstract

Trans-scaphoid perilunate fracture-dislocations (TSPLFD) are relatively uncommon but potentially serious wrist injuries. Due to subtle clinical and radiographic findings, approximately 25% cases are missed at initial admission in emergency departments.[1] In case delayed diagnosis, complex surgical procedures are needed for reconstruction and considerable long term morbidity including radio-carpal arthritis, carpal instability, or median nerve damage may occur.[2] Therefore, it is important to recognize these rare injuries at initial admission to prevent possible loss of wrist function.