Radiocarpal Fracture-Dislocation: Retrospective Evaluation of a Case Series
DOI:
https://doi.org/10.15417/issn.1852-7434.2021.86.5.1373Keywords:
Radiocarpal luxation, Dumontier, carpus, radiocarpal ligaments, radial styloid, fracture-dislocationAbstract
Introduction: Radiocarpal fracture-dislocations consist of the total loss of contact between the articular surfaces of the first row of the carpus and the radius. They are caused by high-energy trauma. The purpose of the work is to retrospectively evaluate a series of cases to compare the incidence of these lesions, their therapeutic management and functional outcomes with the literature published by reference centers in this pathology.
Materials and Methods: Between February 2018 and June 2020 we retrospectively evaluated patients with radiocarpal fracture-dislocations, which were classified into groups I and II according to Dumontier.
Inclusion criteria: males and females over 18 years of age with closed or open radiocarpal fracture-dislocations with a minimum follow-up of 3 months. A clinical/imaging follow-up was carried out using radiographs, the DASH questionnaire (Disabilities of the Arm, Shoulder and Hand), Modified Mayo Wrist Score, visual analog scale (VAS) and Patient Satisfaction Questionnaire Short Form (PSQ-18).
Results: Eight patients with nine lesions with an average follow-up of 8 months were evaluated. Lesions were
grouped into type 1 (4) and type II (5). All were surgically treated. According to the final values, outcomes were excellent in two cases, good/acceptable in six, and poor in one.
Conclusion: We believe that the best method for definitive treatment is surgical. The correct classification and study of the pathology will play a fundamental role in making therapeutic decisions.
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