Palmar lunate dislocation with a dorsal scaphoid fracture variant.

A 20-year-old man had a dorsally displaced fracture of the proximal pole of the scaphoid and an ipsilateral palmar lunate dislocation--a rare combination of injuries that has not been previously reported. The most likely pathomechanics of this injury is a sheer fracture of the proximal pole of the scaphoid by the dorsal lip of the distal radius as the injury shifts from a dorsal perilunate to a palmar lunate pattern.