Volar Radiocarpal Dislocation: Case Report and Review of Literature

Abstract

We describe here an unusual case of volar dislocation of the radiocarpal joint due to a complete tear of the dorsal radiocarpal ligament. Plain radiographs taken at initial presentation did not reveal any obvious abnormality. There was no associated bony lesion or intrinsic wrist ligament injury. Radiocarpal dislocations should be considered in the diagnosis of high-energy wrist injuries, even when initial radiographs look normal. The importance of a high index of suspicion in high velocity wrist injuries and need for further evaluation and imaging is highlighted.

Avulsive radiocarpal subluxation treated successfully with reduction and percutaneous fixation: a case report

“…We report the case of a volar radiocarpal subluxation which we assume is particularly rare. Our treatment strategy was successful and less aggressive than that described in related reports 2,3 …”

“…'s series were lost to follow‐up. Nonetheless, likely owing to this single largest series of related cases, subsequent authors have described treatment of volar subluxations with suture anchor repair of the volar radiocarpal ligament origin 3 or with intrasubstance volar ligament suture 2 …”

“…All four cases of volar radiocarpal dislocation in Dumontier et al's series were lost to follow-up. Nonetheless, likely owing to this single largest series of related cases, subsequent authors have described treatment of volar subluxations with suture anchor repair of the volar radiocarpal ligament origin 3 or with intrasubstance volar ligament suture. 2 We used an MRI to determine that our patient had attenuated dorsal radiocarpal ligaments and avulsed but otherwise intact volar radiocarpal ligaments.…”

“…Both describe the injury as a dislocation. 2,3 The injury we treated and the injuries described in both case reports are more accurately described as subluxations, as contact between opposing joint surfaces was maintained. Some ligamentous injuries in the upper extremity seem to require direct repair.…”

Luxation dorsale de l’articulation radiocarpienne chez une femme de 85ans

“…L'incidence de cette luxation est de 0,2 % de l'ensemble des luxations [1]. Le plus souvent, il s'agit d'une luxation dorsale [2,3] ou plus rarement palmaire [4,5] chez des sujets jeunes, lors d'un traumatisme direct important du poignet. Nous présentons ici le cas original d'une luxation radiocarpienne à déplacement dorsal survenant chez une personne âgée de 85 ans.…”