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
