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Radiocarpal Fracture-Dislocation

  • Chapter
Fractures of the Distal Radius

Abstract

This group of uncommon but complex distal radius fractures is characterized principally by the presence of a complete dislocation of the radiocarpal joint. The dislocation may be in either a dorsal or a palmar direction, with the distal radius fracture(s) involving the marginal cortical rims, the radial styloid, or both. It is commonplace also to find a fracture of the ulnar styloid (Fig. 8.1).

The fracture may be transverse or oblique, and at a distance of six lines, an inch, or an inch and a half from the articulating extremity of the bone: but the nearer the fracture is to the joint, the more closely does the consecutive displacement resemble an active dislocation. B. Dupuytren, M.D. 1847

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References

  1. Baker DM: Modern day chauffeur’s fracture. A fracture-dislocation of the radiocarpal joint. Orthop Rev 5: 47–51, 1976.

    Google Scholar 

  2. Bell MJ: Perilunar dislocation of the carpus and an associated Colles’ fracture. Hand 15: 262–266, 1983.

    PubMed  CAS  Google Scholar 

  3. Bellinghousen HW, Gilula LA, Leroy VY, Weeks PM: Post-traumatic palmar carpal subluxation. A report of two cases. J Bone Joint Surg [Am] 65A: 998–1006, 1983.

    Google Scholar 

  4. Bilos ZJ, Pankovich AM, Yelda S: Fracture-dislocation of the radiocarpal joint. J Bone Joint Surg [Am] 59A: 198–203, 1977.

    Google Scholar 

  5. Böhler L: Verrenungen der Handgelenke. Acta Chir Scand 67: 154–177, 1930.

    Google Scholar 

  6. Bounds TB: Bilateral radiocarpal dislocation. A case report. Orthopaedics 5: 42–45, 1982.

    Google Scholar 

  7. Destot E: Injuries of the Wrist. A Radiological Study. New York: PB Hoeber, 1926.

    Google Scholar 

  8. Dodd CAF: Triple dislocation in the upper limb. J Trauma 27: 1307, 1987.

    Article  PubMed  CAS  Google Scholar 

  9. Dunn AW: Fractures and dislocations of the carpus. Surg Clin North Am 52: 1513–1518, 1972.

    PubMed  CAS  Google Scholar 

  10. Fahey JH: Fractures and dislocations about the wrist. Surg Clin North Am 37: 19–40, 1957.

    PubMed  CAS  Google Scholar 

  11. Fehring TK, Milek MA: Isolated volar dislocation of the radiocarpal joint. A case report. J Bone Joint Surg [Am] 66A: 464–466, 1984.

    Google Scholar 

  12. Fernandez DL: Irreducible radiocarpal fracture-dislocation and radioulnar dissociation with entrapment of the ulnar nerve, artery, and flexor profundus II-V. J Hand Surg 6: 456–461, 1981.

    CAS  Google Scholar 

  13. Fernandez DL, Ghillani R: External fixation of complex carpal dislocations. A preliminary report. J Hand Surg 12A: 335–347, 1987.

    Google Scholar 

  14. Fernandez DL, Jakob RP, Büchler U: External fixation of the wrist. Current indications and techniques. Ann Chir Gyn 72: 298–302, 1983.

    CAS  Google Scholar 

  15. Freund LG, Ovesen J: Isolated dorsal dislocation of the radiocarpal joint. J Bone Joint Surg [Am] 59A: 277, 1977.

    Google Scholar 

  16. Gilula LA: Carpal injuries: Analytic approach and case exercises. Am J Roentgenol 133: 503–517, 1979.

    CAS  Google Scholar 

  17. Gilula LA, Weeks PM: Post-traumatic ligamentous instabilities of the wrist. Radiology 129: 641–651, 1978.

    PubMed  CAS  Google Scholar 

  18. Green DP, O’Brien, ET: Classification and management of carpal dislocations. Clin Orthop Rel Res 149: 55–72, 1980.

    Google Scholar 

  19. Green DP, O’Brien ET: Open reduction of carpal dislocation. Indications and operative techniques. J Hand Surg 3: 250–265, 1978.

    CAS  Google Scholar 

  20. Herzberg C, Comtet JJ, Linscheid RL: Perilunate dislocations and fracture-dislocations: A multi-center study, J Hand Surg 18A: 768–779, 1993.

    Google Scholar 

  21. Johnson RP: The acutely injured wrist and its residuals. Clin Orthop Rel Res 149: 33–44, 1980.

    Google Scholar 

  22. Lenen D, Riot O, Caro P, Lefèvre D, Courtois B: Luxation-fractures de la radio-carpienne: Etude clinique de six cas et revue générale. Ann Chir Main 10: 5–12, 1991.

    CAS  Google Scholar 

  23. Linscheid RL, Dobyns JH, Beabout JW, Bryan RS: Traumatic instability of the wrist. Diagnosis, classification, and pathomechanics. J Bone Joint Surg [Am] 54A: 1612–1632, 1972.

    Google Scholar 

  24. Matthews MG: Radiocarpal dislocation with associated avulsion of the radial styloid and fracture of the shaft of the ulnar. Injury 18: 70–71, 1987.

    Article  PubMed  CAS  Google Scholar 

  25. Mayfield JK: Mechanism of carpal injuries. Clin Orthop Rel Res 149: 45–54, 1980.

    Google Scholar 

  26. Mayfield JK, Johnson RP, Kilcoyne RF: Carpal dislocations: Pathomechanics and progressive perilunar instability. J Hand Surg 5: 226–241, 1980.

    CAS  Google Scholar 

  27. Mayfield JK, Johnson RP, Kilcoyne RF: The ligaments of the human wrist and their functional significance. Anat Rec 186: 417–428, 1976.

    Article  PubMed  CAS  Google Scholar 

  28. Monheim MS, Bolger JT, Omer GE: Radiocarpal dislocation—classification and rationale for management. Clin Orthop Rel Res 192: 199–209, 1985.

    Google Scholar 

  29. Monheim MS, Hofammann KE, Omer GE: Transscaphoid perilunate fracture-dislocation. Results of open reduction and pin fixation. Clin Orthop Rel Res 190: 227–235, 1984.

    Google Scholar 

  30. Moore DP, McMahon BA: Anterior radiocarpal dislocation: An isolated injury. J Hand Surg 13B: 215–217, 1988.

    Google Scholar 

  31. Mullan GB, Lloyd GJ: Complete carpal disruption of the hand. Hand 12: 39–43, 1980.

    Article  PubMed  CAS  Google Scholar 

  32. Nyquist SR, Stern PJ: Open radiocarpal fracture-dislocations. J Hand Surg 9A: 707–710, 1984.

    Google Scholar 

  33. Penny WH, Greene TG: Volar radiocarpal dislocation with ulnar translocation. J Orthop Trauma 2: 322–326, 1988.

    Article  PubMed  Google Scholar 

  34. Rayhack J, Linscheid RL, Dobyns JH, Smith JH: Post-traumatic ulnar translation of the carpus. J Hand Surg 12A: 180–189, 1987.

    Google Scholar 

  35. Reynolds ISR: Dorsal carpal dislocation. Injury 12: 48–49, 1980.

    Article  PubMed  CAS  Google Scholar 

  36. Rosado AP: A possible relationship of radiocarpal dislocation and dislocation of the lunate bone. J Bone Joint Surg [Br] 48B: 504–506, 1966.

    Google Scholar 

  37. Rosenthal DI, Schwartz M, Phillips WC, Jupiter JB: Fracture of the radius with instability of the wrist. Am J Roentgenol 141: 113–116, 1983.

    CAS  Google Scholar 

  38. Schoenecker P, Gilula LA, Shively RA: Radiocarpal fracture-dislocation. Clin Orthop Rel Res 197: 237–244, 1985.

    Google Scholar 

  39. Shaw JA, Bruno A, Paul EM: Ulnar styloid fixation in the treatment of post-traumatic instability of the radioulnar joint. A biomechanical study with clinical correlation. J Hand Surg 15A: 712–720, 1990.

    Google Scholar 

  40. Taleisnik J: The ligaments of the wrist. J Hand Surg 1: 110–118, 1976.

    CAS  Google Scholar 

  41. Taleisnik J: The Wrist. Philadelphia: Churchill Livingstone, 1985.

    Google Scholar 

  42. Taleisnik J: Post-traumatic carpal instability. Clin Orthop Rel Res 149: 73–82, 1980.

    Google Scholar 

  43. Thomsen ST, Søren FJ: Palmar dislocation of the radiocarpal joint. J Hand Surg 14A: 627–630, 1989.

    Google Scholar 

  44. Varodompin N, Pichit L, Pirapong P: Isolated dorsal radiocarpal dislocation: Case report and literature review. J Hand Surg 10A: 708–710, 1985.

    Google Scholar 

  45. Wagner CJ: Fracture-dislocations of the wrist. Clin Orthop Rel Res 15: 181–196, 1959.

    Google Scholar 

  46. Wagner CJ: Perilunar dislocations. J Bone Joint Surg [Am] 38A: 1198–1207, 1956.

    Google Scholar 

  47. Weiss C, Laskin RS, Spinner M: Irreducible radiocarpal dislocation. A case report. J Bone Joint Surg [Am] 52A: 562–564, 1970.

    Google Scholar 

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Fernandez, D.L., Jupiter, J.B. (1996). Radiocarpal Fracture-Dislocation. In: Fractures of the Distal Radius. Springer, New York, NY. https://doi.org/10.1007/978-1-4684-0478-4_8

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  • DOI: https://doi.org/10.1007/978-1-4684-0478-4_8

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4684-0480-7

  • Online ISBN: 978-1-4684-0478-4

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