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

To measure the life quality, clinical-functional outcomes of a patient who had undergone acute reconstruction of radio scapho capitate (RSC), radio lunate (RLL) ligaments, using brachiorradialis tendon in treatment of radiocarpal fracture dislocation. 21-years-old, man with radiocarpal fracture dislocation in his left wrist, after motorcycle accident. Percutaneous screw fixation of the distal radius and acute reconstruction of the RSC and RLL was performed, assisted by arthroscopy. One year later, the patient experienced good evaluation. ROM was full, grip strength was 96% compared with the unaffected side were obtained. Wrist radiographic aspects showed fracture healed and radiocarpal joint congruency. Good stability and joint congruency of the radiocarpal joint were obtained and improving the life quality of that patient. Radiocarpal fracture dislocation management is difficult and complicated. There is no consensus. As there is still a lack of long-term results, the indications for surgery, and options, type of the intervention have been a matter of controversy in the literature. Would radiocarpal (RC) joint be stable when reconstruction of the radiocarpal ligaments, using brachiorradialis tendon was obtained? Is it possible to reduce and to maintain stable radiocarpal joint with this technique? The clinical relevance of this work is our suggestion of reconstruction of the RC ligament to improve this treatment. We believe that this will maintain a stable and functional wrist. We agree that the best time to perform corrections is as soon as possible and we prefer to reconstruct the RC ligament with suture or temporary or permanent radioscapholunate arthrodesis.