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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Isolated dorsal radiocarpal dislocation with volar opening treated with external fixator and percutaneous pinning

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  • presenting/speaker Petra Jurina - University Hospital Centre Sestre milosrdnice, Department for Traumatology, Zagreb, Croatia

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. DocIFSSH19-1725

doi: 10.3205/19ifssh0126, urn:nbn:de:0183-19ifssh01266

Published: February 6, 2020

© 2020 Jurina.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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Objectives/Interrogation: Dislocations of radiocarpal joint represent rare, high-energy injuries that make up to 0,2% of all dislocations. Usually, dislocations are associated with serious soft tissue lesions, open fractures with volar or dorsal destruction and possible vascular or neurologic deficit.

Methods: Authors report a case of isolated dorsal radiocarpal dislocation (Dumontier type I, Moneim type I) with volar opening (Gustillo II) and partial lesion of muscle tissue of flexor digitorum muscles of the 4th and 5th finger, of the right, dominant arm, in an adult, after fall from a height. The treatment consisted of open reduction and temporary arthrodesis with bridging external fixator and two parallel K wires placed percutaneouly in a radiocarpal direction. After 8 and half weeks external fixator and K wires were removed and active rehabilitation was started. The rehabilitation lasted for 3 months.

Results and Conclusions: Early results after 6 months showed the range of motion (dorsal flexion 30°, palmar flexion 45°, radial abduction 15°, ulnar abduction 20°). Also, at the same time VAS score measured 1,4/10 and Quick DASH Score 56,81/100.

Radiocarpal dislocations are demanding injuries since residual radiocarpal instability, pain, stiffness and early posttraumatic wrist degeneration are common outcomes.