A 24-year-old gentleman suffered from an alleged history of falling from a bike on an outstretched hand following which he developed complaints of pain and swelling in the right wrist and presented to us 1 day after his injury having received splintage elsewhere. On examination, the patient had swelling and tenderness on this wrist joint with relative sensory loss over the lateral half of the palm with no vascular deficit. An accurate range of motion could not be documented due to severe pain. Standard digital radiographs with a postero-anterior view revealed disruption of the Giliua’s 2nd arch with overlapping lunate and capitate along with radial and ulnar styloid fractures ( and ). A lateral radiograph () showed lunate displaced and angulated volarly with a typical “spilled teacup” appearance along with the scapholunate angle being greater than 85°. The patient was administered IV analgesics and fluids following which an attempt of closed reduction was given using Tavernier’s method which was unsuccessful (). The patient was then taken up under anesthesia and underwent open reduction using combined volar and dorsal approach and lunate was fixed using scapholunate, triquetro-lunate, and capito-lunate Kirschner wires followed by fixation of radial styloid using 4 mm Cannulated cancellous screw, scapholunate ligament repair was also done (). Patient’s wrist was immobilized with above elbow slab for 2 weeks followed by application of below elbow cast after suture removal for 6 weeks (). The patient underwent K wire removal at 8 weeks () and started gentle physiotherapy and wrist range of motion exercises. The patient was followed up for 6 months and now has a functional range of motion of the wrist (flexion 80° and dorsiflexion 85°) with full supination and mildly restricted pronation (60°) as seen in -. The patient has no sensory deficit with adequate wrist grip strength is able to continue with his profession as a car mechanic and has a Mayo wrist score of 80% (-).