Radiocarpal fracture--dislocation.

Abstract:

:Radiocarpal fracture-dislocation was associated with fracture of the distal articular surface of the radius in five patients (six extremities). Closed manipulation resulted in satisfactory reduction of both the dorsal dislocation of the carpus on the distal radius and displaced articular fracture fragment(s) in two of four extremities. In four extremities, open reduction was necessary as the only means of satisfactorily managing this severe wrist injury. Direct visualization through a dorsolateral incision alone allows for maximal restoration of the often extensive bony injury of the dorsal articular surface of the radius. A volar incision is required for anatomic reduction of the carpus, and median reconstitution of the radiocarpal ligament nerve decompression. Functional results were generally satisfactory; however, radiographic degenerative changes appearing early portend traumatic arthritis as a sequela of this complex injury.

journal_name

Clin Orthop Relat Res

authors

Schoenecker PL,Gilula LA,Shively RA,Manske PR

subject

Has Abstract

pub_date

1985-07-01 00:00:00

pages

237-44

issue

197

eissn

0009-921X

issn

1528-1132

pub_type

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