Purpose: To present a rare case of scaphoid fracture with ejection of the proximal scaphoid fracture to the volar forearm. Methods: A review of the current literature shows only one similar case reported in 1994. This case's findings correlate with the one previously reported where a high energy hyperextension injury led to a perilunate dislocation and displacement of the proximal fragment of the scaphoid 2 inches into the volar forearm. Conclusions: Scaphoid fractures with displacement of the proximal segment beyond the volar wrist crease with associated perilunate dislocation is a complex injury treated by distal row carpectomy in these two cases