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Related Experiment Videos

Open radiocarpal fracture-dislocations.

S R Nyquist, P J Stern

    The Journal of Hand Surgery
    |September 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    Open radiocarpal fracture-dislocations often involve associated injuries and nerve damage. Treatment requires careful management, and outcomes for wrist fracture-dislocations can be guarded, with potential for long-term deficits.

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    Area of Science:

    • Orthopedic Surgery
    • Trauma Care
    • Neurosurgery

    Background:

    • Open radiocarpal fracture-dislocations are severe wrist injuries.
    • These injuries frequently present with associated fractures or dislocations in the ipsilateral extremity.
    • Nerve involvement, particularly median and ulnar nerve contusion, is a significant complication.

    Purpose of the Study:

    • To evaluate the treatment outcomes and long-term prognosis of open radiocarpal fracture-dislocations.
    • To highlight the incidence of associated injuries and neurological complications.
    • To inform surgical and non-surgical management strategies.

    Main Methods:

    • Retrospective analysis of ten open radiocarpal fracture-dislocations in nine patients.
    • Treatment involved wound debridement, open reduction, and casting with internal/external fixation.

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  • Assessment of associated injuries and neurological status, including nerve decompression when indicated.

    • Main Results:

    • Eight patients had associated ipsilateral extremity fractures or dislocations.
    • Seven of ten cases required immediate median and/or ulnar nerve decompression due to severe contusion.
    • Follow-up at 15 months revealed mild asymptomatic sensory neurologic deficits, reduced wrist range of motion, and activity-related wrist pain in all six assessed patients.

    Conclusions:

    • Open radiocarpal fracture-dislocations are complex injuries with a high rate of associated trauma and neurological compromise.
    • Despite surgical intervention, patients may experience persistent functional deficits and pain.
    • The prognosis for these injuries should be considered guarded, emphasizing the need for comprehensive management and patient counseling.