Malalignment of the scaphoid after lunate dislocation.

The author emphasizes the sequelar displacement of the scaphoid which may follow reduction of perilunar dislocations. Horizontal tilting of the scaphoid with its proximal pole maintained in contact with the posterior rim of the radius, may be due scapholunate dissociation, and immobilization of the wrist in flexion after reduction. Surgical reduction should be accomplished through a dorsal route and may call for division of the posterior rim of the radius.