Fig. (1) (Case Presentation, preoperative radiographic course over 7 years in comparison to the uninjured right wrist as reference: blue longitudinal and green transverse lines): (a) PA radiograph of the left wrist showing primary fractures of the radial and ulnar styloid without SLL disruption and without PUCT; (b) PA radiograph of the left wrist 7 years after primary injury showing PUCT type I involving the entire carpus (red longitudinal and transverse lines) in comparison to the uninjured right wrist, less than 50% of the left lunate bone articulates in its fossa of distal radius whereas more than 50% of the right lunate bone articulates with the opposing bone, there is no positive ring sign in left scaphoid bone detecting scapholunate instability, note that the 2 screws for ORIF of radial and ulnar styloid were formerly removed.