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2019, Number 1

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Ortho-tips 2019; 15 (1)

Radiocarpal fracture-luxation

Aguilar AJL
Full text How to cite this article

Language: Spanish
References: 10
Page: 27-37
PDF size: 248.63 Kb.


Key words:

Radiocarpal fracture-dislocation, radiocarpal dislocation, radiocarpal instability.

ABSTRACT

Radiocarpal fracture-dislocation is a high-energy wrist injury which produces joint incongruence between the radius and the carpus. It´s frequently in young patients and is usually secondary to falls from height, automobile or industrial accidents. The diagnosis is made through simple radiographic studies, but they require a high level of suspicion and anatomical knowledge of the region. The treatment is based on achieving a congruent reduction of the radiocarpal joint, as well as an early and adequate management of ligament and bone lesions. Post-injury prognosis for mobility is adequate, but depends on restore joint stability, otherwise the patient will present early osteoarthritis.


REFERENCES

  1. Ilyas AM, Mudgal CS. Radiocarpal fracture-dislocations. J Am Acad Orthop Surg. 2008; 16 (11): 647-655.

  2. Yang PR, Patel AD, Esmail AN. Dorsal radiocarpal joint fracture-dislocation. JBJS Case Connect. 2018; 8 (3): e50.

  3. Pienaar G. Restoration of teardrop angle (TDA) in distal radius fractures treated with volar locking plates. SA Orthopaedic Journal. 2013; 12 (3): 32-34.

  4. Howard RF, Slawski DP, Gilula LA. Isolated palmar radiocarpal dislocation and ulnar translocation: a case report and review of the literature. Journal Hand Surg Am. 1997; 22 (1): 78-82.

  5. Moneim MS, Bolger JT, Omer GE. Radiocarpal dislocation-classification and rationale for management. Clin Orthop Relat Res. 1985; 192: 199-209.

  6. Dumontier C, Meyer zu Reckendorf G, Sautet A, Lenoble E, Saffar P, Allieu Y. Radiocarpal dislocations: classification and proposal for treatment. A review of twenty-seven cases. J Bone Joint Surg Am. 2001; 83 (2): 212-218.

  7. Potter M, Haller J, Tyser A. Ligamentous radiocarpal fracture-dislocation treated with wrist-spanning plate and volar ligament repair. J Wrist Surg. 2014; 03 (04): 265-268.

  8. Rikli DA, Regazzoni P. Fractures of the distal end of the radius treated by internal fixation and early function. A preliminary report of 20 cases. J Bone Joint Surg [Br]. 1996; 78 (4): 588-592.

  9. Maschke SD, Means KR Jr, Parks BG, Graham TJ. A radiocarpal ligament reconstruction using brachioradialis for secondary ulnar translation of the carpus following radiocarpal dislocation: a cadaver study. J Hand Surg Am. 2010; 35 (2): 256-261.

  10. Woon CY-L, Baxamusa T. A stepwise approach to management of open radiocarpal fracture-dislocations: a case report. J Hand Surg Asian Pac. 2017; 22 (03): 366-370.




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Ortho-tips. 2019;15