title: Triple jeopardy: transscaphoid, transcapitate, transtriquetral, perilunate fracture dislocation.
abstract: Carpal injuries are frequently underdiagnosed and underreported injuries of the hand. Scapholunate perilunate dissociation is the most common perilunate instability pattern seen in clinical practice. Transscaphoid, transtriquetral, transcapitate dislocation with a volar intercalated segment instability pattern is a very rare pattern of carpal injury. We describe a case with this unique pattern of injury, explaining its mechanism and treatment. Good outcome can be achieved in these injuries following open reduction and internal fixation with ligamentous repair.
authors.affiliation: Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Bhavuk
authors.initials: B
authors.lastname: Garg
authors.forename: Tarun
authors.initials: T
authors.lastname: Goyal
authors.forename: Prakash P
authors.initials: PP
authors.lastname: Kotwal
mesh_terms: D000293:Adolescent; D051224:Capitate Bone / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery; D002348:Carpal Bones / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D005260:Female; D006801:Humans; D016268:Internal Fixators; D004204:Joint Dislocations / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery; D007593:Joint Instability / Q000000981:diagnostic imaging / Q000601:surgery; D012667:Lunate Bone / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery; D011859:Radiography; D021361:Scaphoid Bone / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery; D051221:Triquetrum Bone / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery; D014954:Wrist Injuries / Q000000981:diagnostic imaging* / Q000601:surgery*