We report a dorsal trans-scaphoid perilunate fracture-dislocation associated with dorsal dislocation of the thumb carpometacarpal joint in a 25-year-old man. This is a rare injury and we discuss a possible mechanism for the injury. Level of Evidence: Level V (Therapeutic).
Keywords: Perilunate dislocation; Scaphoid fracture; Thumb; Thumb carpometacarpal joint dislocation; Wrist.