Introduction Perilunate dislocation (PLD) and perilunate fracture dislocations are complex types of wrist instabilities, resulting from high energy injuries such as motor vehicle accidents, falls from height, and extreme athletic activities that constitute about 10% of all carpal injuries (1), while scaphoid fractures, associated with dislocation of capitate from the lunate, referred to as transscaphoid perilunate dislocations (TSPDs) are observed in 61% to 65% of these types of injuries (2). Perilunate