{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T02:46:50Z","timestamp":1776048410862,"version":"3.50.1"},"reference-count":28,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T00:00:00Z","timestamp":1775865600000},"content-version":"vor","delay-in-days":10,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Perilunate fracture-dislocations (PLFDs) are rare but severe wrist injuries. Median nerve involvement is common, whereas ulnar nerve injury is exceptionally rare. Delayed diagnosis remains frequent and negatively impacts outcomes. A healthy 30-year-old man sustained a fall onto his outstretched left hand, presenting with wrist deformity and ulnar sensory deficit. Radiographs showed disrupted Gilula\u2019s lines and a scaphoid waist fracture consistent with PLFD. Closed reduction failed, and open reduction with internal fixation via combined volar and dorsal approaches was performed, including carpal tunnel release, scaphoid fixation, ligament repair, and Kirschner wire stabilization. Postoperatively, ulnar sensation improved and carpal alignment was maintained, but scaphoid nonunion developed. The final Mayo Wrist Score was 75. PLFDs with ulnar nerve injury pose diagnostic and therapeutic challenges. Early comprehensive surgical management is essential, though complications may still occur, necessitating long-term follow-up.<\/jats:p>","DOI":"10.1093\/jscr\/rjag232","type":"journal-article","created":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T12:25:01Z","timestamp":1773663901000},"source":"Crossref","is-referenced-by-count":0,"title":["Perilunate fracture-dislocation with scaphoid nonunion and ulnar nerve deficit in a young adult: a case report and review of the literature"],"prefix":"10.1093","volume":"2026","author":[{"given":"Ibrahim","family":"Ababtain","sequence":"first","affiliation":[{"name":"Orthopedic Department, Prince Sultan Military Medical City , Riyadh ,","place":["Saudi Arabia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-4861-733X","authenticated-orcid":false,"given":"Abdulaziz S","family":"AlNahari","sequence":"additional","affiliation":[{"name":"College of Medicine, King Saud University , Riyadh ,","place":["Saudi Arabia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdulrahman J","family":"Korkoman","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, University of Bisha , Bisha 67714 ,","place":["Saudi Arabia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rashed Mohammed Bin","family":"Khidhr","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, King Saud Medical City , Riyadh 00966 ,","place":["Saudi Arabia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Talal M","family":"Alanazy","sequence":"additional","affiliation":[{"name":"College of Medicine, King Saud University , Riyadh ,","place":["Saudi Arabia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Randa Abdullah","family":"Altuwaijri","sequence":"additional","affiliation":[{"name":"College of Medicine, Qassim University , Buraydah, Qassim ,","place":["Saudi Arabia"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,4,11]]},"reference":[{"key":"2026041222153485900_ref1","doi-asserted-by":"publisher","first-page":"101224","DOI":"10.1016\/j.tcr.2025.101224","article-title":"Bilateral trans-scaphoid perilunate fracture-dislocation: a case report","volume":"59","author":"Timilsina","year":"2025","journal-title":"Trauma Case Rep"},{"key":"2026041222153485900_ref2","doi-asserted-by":"publisher","first-page":"202","DOI":"10.25259\/jmsr_380_2024","article-title":"Neglected perilunate injuries: management strategies and long-term consequences: a narrative review","volume":"9","author":"Jerome","year":"2024","journal-title":"J Musculoskelet Surg Res"},{"key":"2026041222153485900_ref3","doi-asserted-by":"publisher","first-page":"100797","DOI":"10.1016\/j.jhsg.2025.100797","article-title":"A review of perilunate dislocations and concomitant acute carpal tunnel syndrome: when should the carpal tunnel be released?","volume":"7","author":"Dvorsky","year":"2025","journal-title":"J Hand Surg Glob"},{"key":"2026041222153485900_ref4","doi-asserted-by":"publisher","first-page":"103332","DOI":"10.1016\/j.otsr.2022.103332","article-title":"Perilunate dislocation and fracture dislocation of the wrist: outcomes and long-term prognostic factors","volume":"108","author":"Gar\u00e7on","year":"2022","journal-title":"Orthop Traumatol Surg Res"},{"key":"2026041222153485900_ref5","doi-asserted-by":"publisher","first-page":"768","DOI":"10.1016\/0363-5023(93)90041-Z","article-title":"Perilunate dislocations and fracture-dislocations: a multicenter study","volume":"18","author":"Herzberg","year":"1993","journal-title":"J Hand Surg Am"},{"key":"2026041222153485900_ref6","doi-asserted-by":"publisher","first-page":"687","DOI":"10.1016\/S0363-5023(83)80247-0","article-title":"Fractures and dislocations of the wrist and hand, then and now","volume":"8","author":"Dobyns","year":"1983","journal-title":"J Hand Surg Am"},{"key":"2026041222153485900_ref7","doi-asserted-by":"publisher","first-page":"206","DOI":"10.1016\/S0266-7681(05)80051-8","article-title":"Lunate dislocation with ulnar nerve paresis","volume":"20","author":"Yamada","year":"1995","journal-title":"J Hand Surg Br"},{"key":"2026041222153485900_ref30","doi-asserted-by":"publisher","first-page":"35","DOI":"10.13107\/jocr.2023.v13.i06.3686","article-title":"Transscaphoid transcapitate perilunate fracture-dislocation with inferior arc injury and acute ulnar nerve compression: a case report","volume":"13","author":"Avendano","year":"2023","journal-title":"J Orthop Case Rep"},{"key":"2026041222153485900_ref13","doi-asserted-by":"publisher","first-page":"333","DOI":"10.1007\/s00238-009-0360-5","article-title":"Ulnar nerve paresis secondary to lunate dislocation","volume":"32","author":"Shariff","year":"2009","journal-title":"Eur J Plast Surg"},{"key":"2026041222153485900_ref24","doi-asserted-by":"publisher","first-page":"1315","DOI":"10.1007\/s00264-009-0926-7","article-title":"Chronic perilunate dislocations treated with open reduction and internal fixation: results of medium-term follow-up","volume":"34","author":"Kailu","year":"2010","journal-title":"Int Orthop"},{"key":"2026041222153485900_ref26","doi-asserted-by":"publisher","first-page":"111","DOI":"10.1177\/1753193415583951","article-title":"Trans-scaphoid-perilunate dislocation with an ulnar nerve injury","volume":"41","author":"Imao","year":"2016","journal-title":"J Hand Surg Eur"},{"key":"2026041222153485900_ref32","first-page":"E64","article-title":"Transradial radial perilunate: a case report","volume":"40","author":"Sagini","year":"2011","journal-title":"Am J Orthop (Belle Mead NJ)"},{"key":"2026041222153485900_ref27","first-page":"E138","article-title":"Ulnar nerve palsy following closed radiocarpal fracture-dislocation","volume":"37","author":"Wilson","year":"2008","journal-title":"Am J Orthop (Belle Mead NJ)"},{"key":"2026041222153485900_ref28","doi-asserted-by":"publisher","first-page":"456","DOI":"10.1016\/S0363-5023(81)80103-7","article-title":"Irreducible radiocarpal fracture-dislocation and radioulnar dissociation with entrapment of the ulnar nerve, artery, and flexor profundus II\u2013V: case report","volume":"6","author":"Fernandez","year":"1981","journal-title":"J Hand Surg Am"},{"key":"2026041222153485900_ref31","doi-asserted-by":"publisher","first-page":"456","DOI":"10.1016\/0266-7681(88)90179-9","article-title":"Peri-triquetral-lunate dislocation associated with ulnar nerve palsy","volume":"13","author":"Bollen","year":"1988","journal-title":"J Hand Surg Br"},{"key":"2026041222153485900_ref8","doi-asserted-by":"publisher","first-page":"114","DOI":"10.5435\/00124635-199803000-00006","article-title":"Perilunate injuries: diagnosis and treatment","volume":"6","author":"Kozin","year":"1998","journal-title":"J Am Acad Orthop Surg"},{"key":"2026041222153485900_ref9","doi-asserted-by":"publisher","first-page":"226","DOI":"10.1016\/S0363-5023(80)80007-4","article-title":"Carpal dislocations: pathomechanics and progressive perilunar instability","volume":"5","author":"Mayfield","year":"1980","journal-title":"J Hand Surg Am"},{"key":"2026041222153485900_ref10","doi-asserted-by":"publisher","first-page":"287","DOI":"10.1007\/s11552-011-9330-z","article-title":"Complex and rare fracture patterns in perilunate dislocations","volume":"6","author":"Apostolides","year":"2011","journal-title":"Hand (N Y)"},{"key":"2026041222153485900_ref11","doi-asserted-by":"publisher","first-page":"120","DOI":"10.1007\/BF00352082","article-title":"Radiology of trauma to the wrist: dislocations, fracture-dislocations, and instability patterns","volume":"13","author":"Yeager","year":"1985","journal-title":"Skeletal Radiol"},{"key":"2026041222153485900_ref12","first-page":"10","article-title":"The inferior arc injury: an addition to the family of complex carpal fracture-dislocation patterns","volume":"32","author":"Graham","year":"2003","journal-title":"Am J Orthop (Belle Mead NJ)"},{"key":"2026041222153485900_ref14","doi-asserted-by":"publisher","first-page":"554","DOI":"10.5435\/00124635-201109000-00006","article-title":"Perilunate dislocation and perilunate fracture-dislocation","volume":"19","author":"Stanbury","year":"2011","journal-title":"J Am Acad Orthop Surg"},{"key":"2026041222153485900_ref15","doi-asserted-by":"publisher","first-page":"1069","DOI":"10.1053\/jhsu.2000.17868","article-title":"Dorsal perilunate dislocations and fracture-dislocations: questionnaire, clinical, and radiographic evaluation","volume":"25","author":"Hildebrand","year":"2000","journal-title":"J Hand Surg Am"},{"key":"2026041222153485900_ref16","doi-asserted-by":"publisher","first-page":"412","DOI":"10.1016\/j.jhsa.2004.01.009","article-title":"Treatment of isolated perilunate and lunate dislocations with combined dorsal and volar approach and intraosseous cerclage wire","volume":"29","author":"Trumble","year":"2004","journal-title":"J Hand Surg Am"},{"key":"2026041222153485900_ref17","doi-asserted-by":"publisher","first-page":"199","DOI":"10.1097\/00003086-198204000-00034","article-title":"Treatment of acute lunate and perilunate dislocations","volume":"164","author":"Adkison","year":"1982","journal-title":"Clin Orthop Relat Res"},{"key":"2026041222153485900_ref18","doi-asserted-by":"publisher","first-page":"1145","DOI":"10.1016\/j.jhsa.2005.07.007","article-title":"Transscaphoid perilunate fracture-dislocations: results of screw fixation of the scaphoid and lunotriquetral repair with a dorsal approach","volume":"30","author":"Knoll","year":"2005","journal-title":"J Hand Surg Am"},{"key":"2026041222153485900_ref22","doi-asserted-by":"publisher","first-page":"57","DOI":"10.1016\/j.ijsu.2015.10.037","article-title":"Surgical treatment of dorsal perilunate fracture-dislocations and prognostic factors","volume":"24","author":"Kara","year":"2015","journal-title":"Int J Surg"},{"key":"2026041222153485900_ref23","doi-asserted-by":"publisher","first-page":"1215","DOI":"10.1007\/s00264-016-3101-y","article-title":"Prognostic factors in surgically treated perilunate fracture-dislocations: mid-term results","volume":"40","author":"Kara","year":"2016","journal-title":"Int Orthop"},{"key":"2026041222153485900_ref25","doi-asserted-by":"publisher","first-page":"1770","DOI":"10.1016\/j.jhsa.2008.06.017","article-title":"Translunate fracture with associated perilunate injury: three case reports with introduction of the translunate arc concept","volume":"33","author":"Bain","year":"2008","journal-title":"J Hand Surg Am"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/4\/rjag232\/68030828\/rjag232.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/4\/rjag232\/68030828\/rjag232.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T02:15:44Z","timestamp":1776046544000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag232\/8651373"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,1]]},"references-count":28,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag232","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,4]]},"published":{"date-parts":[[2026,4,1]]},"article-number":"rjag232"}}