title: Irreducible dorsal distal radius fracture-dislocation with accompanying dorsal displacement of flexor tendons and median nerve: A rare type of injury.
abstract: BACKGROUND
  High energy distal radius fractures may cause significant soft tissue injuries. Dorsal displacement of median nerve and flexor tendons to dorsal compartment between distal radioulnar joint was an unreported type of soft tissue injury.
  
  
  METHODS
  35-Year male admitted following fall from height diagnosed as closed distal radius fracture with dorsal displacement. The patient had no flexion and extension of all fingers with loss of sensation. Radial artery pulse was not palpable. Radiography and CT imaging revealed distal radius fracture with dorsal displacement with dorsal carpal dislocation. After failure of closed reduction, operative treatment was performed. At surgery, flexor tendons and median nerve was found to be placed at dorsal compartment. Reduction of the soft tissues was facilitated by distraction of distal radioulnar joint.
  
  
  CONCLUSIONS
  Dorsal displacement of volar structures as the result of fracture dislocation was found to be an unreported type of injury. Difficulty during reduction of dorsally displaced structures is an important feature of the case.
  
  
  CONCLUSIONS
  For severely displaced and deformed distal radial fractures and fracture dislocations, threshold for operative treatment should be kept low.
authors.affiliation: Bülent Ecevit University, Faculty of Medicine, Department of Orthopedics & Traumatology, Esenköy-Kozlu, Zonguldak, Turkey.
authors.forename: Murat
authors.initials: M
authors.lastname: Songür
authors.affiliation: Bülent Ecevit University, Faculty of Medicine, Department of Orthopedics & Traumatology, Esenköy-Kozlu, Zonguldak, Turkey. Electronic address: dr_erc_sah@yahoo.com.t.
authors.forename: Ercan
authors.initials: E
authors.lastname: Şahin
authors.affiliation: Hitit University, Faculty of Medicine, Department of Orthopedics & Traumatology, Çorum, Turkey.
authors.forename: Sinan
authors.initials: S
authors.lastname: Zehir
authors.affiliation: Ankara University, Faculty of Medicine, Department of Orthopedics & Traumatology, Ankara, Turkey.
authors.forename: Mahmut
authors.initials: M
authors.lastname: Kalem
keywords: Dislocation; Distal radius; Flexor tendons; Fracture; Median nerve