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CC BY 4.0 · Rev Bras Ortop (Sao Paulo) 2024; 59(S 02): e168-e172
DOI: 10.1055/s-0044-1790593
Relato de Caso

Radiocarpal Fracture Dislocation: Minimally Invasive Treatment Assisted by Arthoscopic – Case Report

Article in several languages: português | English
Marcio Aurelio Aita 
1   Departamento de Cirurgia, Ortopedia e Trauma, Divisão de Mão e Microcirurgia, Faculdade de Medicina do ABC, São Bernardo do Campo, SP, Brasil
,
Ricardo Kaempf de Oliveira
2   Departamento de Ortopedia e Trauma, Santa Casa de Porto Alegre, Porto Alegre, RS, Brasil
,
Bruno Gianordoli Biondi
3   Departamento de Ortopedia e Trauma, Divisão de Mão e Microcirurgia, Faculdade de Medicina do ABC, Santo André, SP, Brasil
,
Gustavo Luis Rodriguez Gómez
4   Departamento de Cirurgia de Mão, Clínica de la Mano de Buenos Aires, Buenos Aires, Argentina
,
Marcos Jun Tamura
5   Departamento de Ortopedia e Trauma, Hospital Assunção, Rede D'or, São Bernardo do Campo, SP, Brasil
,
Gustavo Mantovani Ruggiero
6   Departamento de Cirurgia Plástica, Universita Degli Studi Di Milano, Milão, Itália
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Abstract

To measure the life quality, clinical-functional outcomes of a patient who had undergone acute reconstruction of radio scapho capitate (RSC), radio lunate (RLL) ligaments, using brachiorradialis tendon in treatment of radiocarpal fracture dislocation. 21-years-old, man with radiocarpal fracture dislocation in his left wrist, after motorcycle accident. Percutaneous screw fixation of the distal radius and acute reconstruction of the RSC and RLL was performed, assisted by arthroscopy. One year later, the patient experienced good evaluation. ROM was full, grip strength was 96% compared with the unaffected side were obtained. Wrist radiographic aspects showed fracture healed and radiocarpal joint congruency. Good stability and joint congruency of the radiocarpal joint were obtained and improving the life quality of that patient. Radiocarpal fracture dislocation management is difficult and complicated. There is no consensus. As there is still a lack of long-term results, the indications for surgery, and options, type of the intervention have been a matter of controversy in the literature. Would radiocarpal (RC) joint be stable when reconstruction of the radiocarpal ligaments, using brachiorradialis tendon was obtained? Is it possible to reduce and to maintain stable radiocarpal joint with this technique? The clinical relevance of this work is our suggestion of reconstruction of the RC ligament to improve this treatment. We believe that this will maintain a stable and functional wrist. We agree that the best time to perform corrections is as soon as possible and we prefer to reconstruct the RC ligament with suture or temporary or permanent radioscapholunate arthrodesis.

Keywords

carpal bone - joint dislocations - radius fractures - wrist injuries

Authors 'Contributions

1. Marcio Aurelio Aita, author of the article, main surgeon in this case.

2. Ricardo Kaempf de Oliveira, author of the article, researcher who raised the articles and acted in correcting the text, including the proficiency of the english language.

3. Bruno Gianordoli Biondi, author of the article, auxiliary surgeon of this case.

4. Luis Gustavo Rodriguez Gómez, author of the article, researcher who worked on correcting the text and made all the drawings of the surgical technique.

5. Marcos Jun Tamura, author of the article, auxiliary surgeon of this case.

6. Gustavo Mantovani Ruggiero, author of the article, researcher who worked on the description of the idea and the surgical technique applied here.


Financial Support

The authors declare that this study received no funding from public, commercial, or not-for-profit sector agencies.




Publication History

Received: 29 November 2020

Accepted: 23 April 2021

Article published online:
27 December 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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