Figure Legend: Lunate dislocations may be missed in the emergency room through failure to recognize the typical states are"spilled teacup" sign on the lateral wrist x-ray (1a), hand and abnormalities which are not dramatic on the PA film (1b). It is unusual for the lunate to be displaced enough to be obvious to the untrained eye and in these examples of complete volar (2) and dorsal (3) lunate dislocations.
 

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