Open volar radiocarpal dislocation with extensive dorsal ligament and extensor tendon damage: A case report and review of literature

Jardin, E.; Pechin, Caroline; Rey, P.-B.; Gasse, N.; Obert, L.

doi:10.1016/j.hansur.2016.02.003

Cited by 9 publications

(1 citation statement)

References 30 publications

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“…Indirect sings for this injury, such as subluxation in the radiocarpal joint, minor fractures of the distal rim of the radius (dorsal or palmar), and bony avulsions of radiocarpal ligaments lead to the diagnosis. Due to its instability, radiocarpal dislocations need surgical treatment in terms of open reduction, internal fixation, and ligament repair [7][8][9].…”

Section: Discussionmentioning

confidence: 99%

Radiocarpal collapse after a radiocarpal fracture dislocation despite surgical treatment

Wenzel¹

2022

J Clin Images Med Case Rep

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We present a case of a radiocarpal fracture dislocation. The injury of the distal radioulnar joint was initially underestimated and only fixed with screws and a K-wire without addressing the radiocarpal instability. In the further course, the patient developed a painful radiocarpal dislocation and an impaired Range Of Motion (ROM) of the affected wrist. During rescue surgery the carpus was reduced and centralized into the radial fossa. One year later, the patient was mainly pain free and the ROM improved. Nevertheless, the radiographs showed signs of posttraumatic osteoarthritis already. These complex injuries are rare, often mistaken for distal radius fractures, and highly unstable. Indirect signs for instability need to be recognized, such as carpal bony tears and subluxations. The goal of treatment is to stabilize the reduced joint by a sufficient osteosynthesis of bony structures and a ligament reconstruction if warranted. Nevertheless, the outcome is poor with a high rate of posttraumatic osteoarthritis.

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Section: Discussionmentioning

confidence: 99%