title: Dorsal radiocarpal dislocation in a patient with Goldenhar syndrome: case report.
abstract: BACKGROUND
  Fracture-dislocations of the carpus are rare, generally occurring after high-energy trauma. Goldenhar syndrome is among a group of genetic abnormalities associated with radial limb defects. We present a case of a dorsal radiocarpal dislocation in a patient with Goldenhar syndrome after a low-energy fall. To our knowledge, there has been no previous report of radiocarpal dislocation in the setting of Goldenhar syndrome.
  
  
  METHODS
  This patient with Goldenhar syndrome had a dorsal radiocarpal dislocation in the setting of an absent scaphoid and dysplastic distal radius. A computed tomography scan, recognized as a useful modality to evaluate the wrist and scaphoid, was used to rule out any other osseous trauma or avulsion fractures.
  
  
  RESULTS
  Closed reduction and 6 weeks of immobilization resulted in a successful treatment.
  
  
  CONCLUSIONS
  The incidence of radiocarpal dislocations in patients with Goldenhar syndrome and the appropriate long-term treatment for patients with Goldenhar syndrome with radiocarpal dislocations require further investigation.
authors.affiliation: Division of Hand and Upper Extremity Surgery, Department of Orthopaedic Surgery, The Johns Hopkins University, 601 N. Caroline Street, Baltimore, MD 21287 USA.
authors.forename: Johnathan A
authors.initials: JA
authors.lastname: Bernard
authors.affiliation: Division of Hand and Upper Extremity Surgery, Department of Orthopaedic Surgery, The Johns Hopkins University, 601 N. Caroline Street, Baltimore, MD 21287 USA.
authors.forename: Andres
authors.initials: A
authors.lastname: O'Daly
authors.affiliation: Division of Hand and Upper Extremity Surgery, Department of Orthopaedic Surgery, The Johns Hopkins University, 601 N. Caroline Street, Baltimore, MD 21287 USA ; c/o Elaine P. Henze, BJ, ELS, Medical Editor and Director, Editorial Services, Department of Orthopaedic Surgery, The Johns Hopkins University/Johns Hopkins Bayview Medical Center, 4940 Eastern Ave., #A665, Baltimore, MD 21224-2780 USA.
authors.forename: Dawn M
authors.initials: DM
authors.lastname: Laporte
keywords: Dorsal radiocarpal dislocation; Dysplastic distal radius; Goldenhar; Scaphoid aplasia