Occur via high-energy FOOSH injury (fall from height, MVC)<unk> <unk> =<unk>  stays in place, capitate is displaced<unk> <unk> = Capitate stays in place,<unk>  is displaced
Commonly missed (~25%) on initial presentation
Must rule-out median nerve injury
Must rule out carpal bone fractures<unk> <unk> =<unk>  stays in place, capitate is displaced<unk> <unk> = Capitate stays in place,<unk>  is displaced
Perilunate and lunate dislocations
Lunotriquetral ligament instability
Non-thumb metacarpal fractures
Scapholunate dissociation
Navicular fracture
Lunate fracture
Scaphoid fracture
Calcaneus fracture