Although perilunate fracture-dislocation usually extremely alters the inter-carpal relationships, it is frequently misinterpreted during initial evaluations. In the current study, two 30-year-old males with a very rare transradial styloid perilunate fracture-dislocation were studied; they were treated by closed reduction and percutaneous K-wire fixation. They regained the range of motion (ROM) of their wrist and furthermore, the mid-term outcome turned out to be satisfactory.