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[Radiocarpal fracture dislocation].

K Hagen1, M Reese

  • 1Klinik für Traumatologie und Orthopädie, Klinik Gut, St. Moritz, Schweiz.

Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
|December 5, 2000
PubMed
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This study reviews four cases of rare radiocarpal fracture dislocations. Immediate reduction and surgical fixation led to good functional outcomes, despite some post-traumatic osteoarthritic changes.

Area of Science:

  • Orthopedics
  • Trauma Surgery
  • Radiology

Background:

  • Radiocarpal fracture dislocation is a rare and complex injury.
  • Often results from high-energy trauma.
  • Characterized by dorsal radiocarpal dislocation, radial styloid fracture, and distal radius avulsion.

Purpose of the Study:

  • To present a retrospective review of four patients with radiocarpal fracture dislocation.
  • To describe the injury characteristics and treatment outcomes.

Main Methods:

  • Retrospective review of four patients.
  • Immediate closed reduction under local anesthesia.
  • Surgical treatment within seven days via a dorsal approach.
  • Fixation of radial styloid, radius impaction, and scapholunate ligament repair.

Related Experiment Videos

  • Immobilization with a forearm cast for four weeks.

    • Main Results:

    • All four patients underwent successful surgical treatment.
    • Mean follow-up of 25 months.
    • All patients demonstrated very good functional outcomes.
    • Radiographic analysis showed some post-operative osteoarthritic changes.

    Conclusions:

    • Prompt management including closed reduction and surgical fixation is effective for radiocarpal fracture dislocation.
    • While functional outcomes can be excellent, long-term radiographic changes like osteoarthritis may occur.