VISI (Volar Intercalated Segment Instability)

Volar flexion of lunate relative to long axis of radius and capitate, in neutral position
Disruption of radial carpal ligaments on ulnar side
Associated with triquetrolunate dissociation or triquetral-hamate instability

Radiographs:
Scapholunate angle < 30 degree
Widening of capitate- triquetrum space in radial deviation

Management:
Capitolunate fusion;
Re-enforement of Poirier space