Radiocarpal Fracture Dislocation: Minimally Invasive Treatment Assisted by Arthoscopic - Case Report

Area of Science:

• Orthopedic Surgery
• Traumatology
• Wrist Biomechanics

Background:

• Radiocarpal fracture dislocation is complex with no surgical consensus.
• Limited long-term data exists for surgical interventions.
• Reconstruction of radiocarpal (RC) ligaments is debated.

Purpose of the Study:

• To evaluate clinical and functional outcomes after acute radio scapho capitate (RSC) and radio lunate (RLL) ligament reconstruction.
• To assess wrist stability and joint congruency post-surgery.
• To determine the efficacy of using brachiorradialis tendon for RC ligament reconstruction.

Main Methods:

• A 21-year-old male patient with radiocarpal fracture dislocation underwent percutaneous screw fixation and arthroscopic RSC/RLL ligament reconstruction using brachiorradialis tendon.
• Clinical and radiographic assessments were performed one year post-surgery.

Main Results:

• The patient achieved full range of motion and 96% grip strength compared to the unaffected side.
• Radiographs confirmed fracture healing and radiocarpal joint congruency.
• The procedure resulted in good wrist stability and improved quality of life.

Conclusions:

• Reconstruction of radiocarpal ligaments using brachiorradialis tendon can lead to a stable and functional wrist.
• Early intervention and ligament reconstruction are recommended for managing radiocarpal fracture dislocations.
• This technique offers a viable option for improving treatment outcomes.