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Hand Microsurg. 2012; 1(3): 107-110


Volar dislocation of the radiocarpal joint with volar radiocarpal ligament rupture: a case report

Gökhan Meriç, Aykut Demir, Koray Başdelioğlu, Ali Engin Ulusal, Asım Kalkan.

Abstract
Radiocarpal joint dislocation, with or without fracture of the radius, is an uncommon injury. Volar radiocarpal dislocation is often associated with injury to the dorsal capsular and ligamentous structures. It does not have clear information about the injury and functional outcomes of treatment. It has been reported successful results treatment of the radiocarpal dislocation with closed reduction cast immobilisation, Kirshner wire fixation and open reduction. We report a case of 19 years old man admitted to our emergency department who had radiocarpal dislocation, distal volar chip fracture and volar radiocarpal ligament rupture due to a motorbike accident. We treated open reduction of radiocarpal joint, internal fixation of fracture with Kirshner wire and velar radiocarpal ligament repair with anchor suture. 6 months after operation we observed the union of the fracture and that the joint was stable during controls and radiological examinations. We did not find any pain or discomfort during daily activity and found that the full range of motion.

Key words: Radiocarpal dislocation, wrist dislocation, radiocarpal ligament injury



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