Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Trauma - Hand/Wrist
Abstract number: 23400
VOLAR RADIOCARPAL DISLOCATION: A CASE REPORT AND REVIEW OF
LITERATURE
Kiran SINGISETTI, Konstantinos MICHALOPOULOS, Alan MIDDLETON
University Hospital of North Tees, Stockton on Tees (UNITED KINGDOM)
Radiocarpal dislocations are relatively rare injuries caused by high-velocity trauma
and commonly seen in younger age groups. We present a case of volar dislocation of
the radiocarpal joint due to a complete tear of the dorsal radiocarpal ligament without
any associated bony lesion. Initial radiographs of the wrist showed satisfactory
radiocarpal alignment with no evidence of bony disruption or scapholunate
dissociation. At follow-up one week later, examination revealed obvious joint
instability with both the pain and tenderness persisting. An early surgical exploration
and stabilisation of the wrist restored functional movements of wrist. We review the
literature and discuss the importance of high index of suspicion in diagnosis, need for
repeat imaging in severe wrist injuries and early operative intervention to deal with
any such injury.
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