Vol. 7, Issue 1, Part B (2025)

Lunate dislocations are uncommon but serious wrist injuries often missed on initial presentation, particularly in isolated cases or when imaging is inconspicuous. Delayed diagnosis can result in chronic instability, nerve compression, and long-term dysfunction. We report a case of an isolated volar lunate dislocation with an associated triquetral chip fracture in a 22-year-old male, diagnosed 18 days post-injury. Surgical management involved volar approach with scapholunate and scapholunotriquetral ligament repair and median nerve decompression. Despite the delay, the patient achieved excellent functional recovery at one year postoperatively, with structured rehabilitation and close follow-up. This case highlights the critical importance of early suspicion, appropriate imaging, and anatomic reconstruction, even in delayed settings.