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Radiocarpal fracture-dislocations
Journal article   Peer reviewed

Radiocarpal fracture-dislocations

Asif M Ilyas and Chaitanya S Mudgal
Journal of the American Academy of Orthopaedic Surgeons, v 16(11), pp 647-655
01 Nov 2008
DOI: https://doi.org/10.5435/00124635-200811000-00005
PMID: 18978287
Featured in Collection :   UN Sustainable Development Goals @ Drexel

Abstract

Carpal Bones - diagnostic imaging Carpal Bones - injuries Fracture Fixation, Internal Humans Joint Dislocations - classification Joint Dislocations - diagnostic imaging Joint Dislocations - surgery Joint Instability - etiology Ligaments, Articular - anatomy & histology Ligaments, Articular - physiopathology Radiography Radius Fractures - classification Radius Fractures - diagnostic imaging Radius Fractures - physiopathology Radius Fractures - surgery Wrist Injuries - diagnostic imaging Wrist Injuries - physiopathology Wrist Injuries - surgery
Radiocarpal fracture-dislocations most often are caused by high-energy trauma. These difficult, uncommon injuries involve significant soft-tissue and osseous trauma, requiring meticulous reduction and fixation. The mechanism of injury is generally a severe shear or rotational insult. Anatomically, the dislocation results in disruption of the radiocarpal ligaments and, usually, both the radial and the ulnar styloid. Understanding the anatomy of the radiocarpal joint is central to understanding the osseous and soft-tissue constraints that are disrupted with a radiocarpal dislocation. Diagnosis can be reliably made on physical examination and radiographic evaluation. Radiocarpal fracture-dislocation injuries must be differentiated from Barton fractures. Associated injuries such as open fractures, neurovascular involvement, and distal radioulnar dislocations also must be taken into account. Closed reduction can be obtained relatively easily, but open reduction and internal fixation is typically necessary to ensure accurate anatomic restoration of injured bone and ligaments.

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40 citations in Web of Science
57 citations in Scopus

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Collaboration types
Domestic collaboration
Web of Science research areas
Orthopedics
Surgery
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