[Luxation-fractures of the radiocarpal joint. Clinical study of 6 cases and general review].
The authors present a series of six cases of radio-carpal fracture-dislocation, which occurred between 1978 and 1989. The results were analysed with a follow-up of between 3 months and 11 years. This rare lesion (0.2% of all joint dislocations) is often caused by a severe injury, although the mechanism remains obscure. Radiological lesions consist of a combination of anterior or posterior carpal dislocation, fractures of the radial styloid and ulnar styloid processes, fracture of the anterior or posterior lip of the radius. This association of radiological lesion was also found in review of literature so that radio-carpal fracture-dislocation can be considered to be a real and a distinct entity. The authors recommend a surgical treatment, after immediate joint reduction, including stabilization with cancellous screw, sometimes Kirschner wires. However, anatomic reduction must be obtained, to ensure a good functional result.
Le Nen
D
D
Service de Chirurgie Orthopédique, Traumatologique et Réparatrice, Hôpital A. Morvan, Brest.
Riot
O
O
Caro
P
P
Le Fevre
C
C
Courtois
B
B
D000328:Adult; D002348:Carpal Bones; D005069:Evaluation Studies as Topic; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000592:standards; D006801:Humans; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D008297:Male; D008349:Manipulation, Orthopedic / Q000592:standards; D011859:Radiography; D011885:Radius Fractures / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D014458:Ulna Fractures / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*
Luxation-fractures de la radio-carpienne. Etude clinique de six cas et revue générale.