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J Wrist Surg 2014; 03(04): 265-268
DOI: 10.1055/s-0034-1394134
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Ligamentous Radiocarpal Fracture-Dislocation Treated with Wrist-Spanning Plate and Volar Ligament Repair

Michael Q. Potter
1   Department of Orthopaedics, University of Utah, Salt Lake City, Utah
,
Justin M. Haller
1   Department of Orthopaedics, University of Utah, Salt Lake City, Utah
,
Andrew R. Tyser
1   Department of Orthopaedics, University of Utah, Salt Lake City, Utah
› Author Affiliations
Further Information

Publication History

Publication Date:
24 October 2014 (online)

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Abstract

Background Radiocarpal fracture-dislocations are challenging injuries that are often associated with postoperative pain, stiffness, instability, or early arthrosis.

Case Description We report a 1-year follow-up of a ligamentous radiocarpal dislocation (Dumontier group I) treated with a dorsal wrist-spanning plate and volar capsular repair with good results.

Literature Review Historically, Dumontier group I injuries treated with a variety of techniques (closed reduction and casting, percutaneous pinning, and open fixation) have been associated with stiffness and loss of reduction.

Clinical Relevance Distraction plating is a safe and effective technique for treating select distal radius fractures, and we suggest it has the potential to produce good outcomes when used to treat radiocarpal fracture-dislocations.

Keywords

radiocarpal dislocation - wrist dislocation - distraction plating - internal fixation - surgical technique
 

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