Woon Colin Yi-Loong, Baxamusa Taizoon
* University of Illinois at Chicago, Chicago, Illinois, USA.
† Department of Orthopaedic Surgery, Advocate Lutheran General Hospital, Park Ridge, IL, USA.
J Hand Surg Asian Pac Vol. 2017 Sep;22(3):366-370. doi: 10.1142/S021881041772025X.
Radiocarpal dislocations are uncommon and occur after significant trauma. We describe a unique case of open radiocarpal fracture-dislocation presenting with progressive neurovascular compromise. Staged management was necessary. As a first stage, emergent provisional bedside reduction in the emergency room with manual pressure through the open wounds was performed. The second stage then involved formal open reduction and internal fixation as soon as operating room staff and resources became available.
桡腕关节脱位并不常见，多发生于严重创伤后。我们描述了一例罕见的开放性桡腕关节骨折脱位病例，该病例伴有进行性神经血管损伤，因此需要分阶段进行治疗。第一阶段，在急诊室通过开放伤口手动加压进行紧急床边临时复位。第二阶段，待手术室人员和资源准备就绪后，立即进行正式的切开复位内固定术。
