Distal pole scaphoid fracture with Greissler’s Grade III SL dissociation

•53 year old Female,Right Hand Dominant Doctor with H/O Fall 4 days back
•Pain and Tenderness right wrist
loacalised to radia side of wrist



Cine radography and scopy showed a conplete SL dissociation, distal pole fracture and a trapezoid fracture.

This was an unusual radial side combination injury .
We ignored the trapezoid injury and k wired the distal pole ro hamate and proximal pole to lunate to treat the scapholunate injury with some shaving of the adjoining surface SL joint to cause fibrous ankylosis . 6 weeks later the fracture united and was mobilised.