Combined reverse perilunate and axial-ulnar dislocation of the wrist: a case report.

A 31 year-old professional motorcycle racer had an accident, resulting in an axial-ulnar dislocation of his right dominant wrist with derangement of the trapeziocapitate joint and dorsal dislocation of the capitate together with the triquetrum, the hamate and the corresponding metacarpals. Open reduction and wire fixation obtained excellent functional results at 1 year. This pattern of carpal derangement has not been previously described in the literature.