title: Ligamentous radiocarpal fracture-dislocation treated with wrist-spanning plate and volar ligament repair.
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.
authors.affiliation: Department of Orthopaedics, University of Utah, Salt Lake City, Utah.
authors.forename: Michael Q
authors.initials: MQ
authors.lastname: Potter
authors.affiliation: Department of Orthopaedics, University of Utah, Salt Lake City, Utah.
authors.forename: Justin M
authors.initials: JM
authors.lastname: Haller
authors.affiliation: Department of Orthopaedics, University of Utah, Salt Lake City, Utah.
authors.forename: Andrew R
authors.initials: AR
authors.lastname: Tyser
keywords: distraction plating; internal fixation; radiocarpal dislocation; surgical technique; wrist dislocation