gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Radiocarpal fracture dislocations: a new classification proposal

Meeting Abstract

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  • presenting/speaker Emygdio Jose Leomil De Paula - IOT HCFMUSP, Sao Paulo, Brazil
  • Rames Mattar Junior - IOT HCFMUSP, Sao Paulo, Brazil

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-1909

doi: 10.3205/19ifssh1440, urn:nbn:de:0183-19ifssh14403

Veröffentlicht: 6. Februar 2020

© 2020 De Paula et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

Gliederung

Text

Objectives/Interrogation: A new classification proposal based on observation of 40 radiocarpal fracture dislocations.

Methods: The authors analyzed prospectively, the radiocarpal fracture dislocations patterns in 40 patients, utilizing Rx incidences in Post-anterior and Lateral views, and surgical findings, treated between 1995 and 2018 using the Dumontier Classification.

Results and Conclusions: There were 36 men and 4 women. The mean age was 24 years (range 18-45). They observed that in 30% (12) of the patients analyzed, had no correlation with the Dumontier classification. Nine patients, considered type II in Dumontiers Classification, presented fracture of the anterior lip that was interposed, or the Radio-lunate ligaments were torn. Three patients had a carpal bone fracture and no intrinsic ligament lesion was observed.

The Radiocarpal Fracture dislocation is a complex lesion and a more complete classification should be adopted (Table 1 [Tab. 1]).