Tomori Yuji, Kodera Norie, Nanno Mitsuhiko, Majima Tokifumi
Department of Orthopedic Surgery, Nippon Medical School Hospital.
J Nippon Med Sch. 2024;91(2):241-248. doi: 10.1272/jnms.JNMS.2024_91-201.
Radiocarpal dislocation is an uncommon injury that is usually caused by high-energy trauma. Herein, we present two cases of dorsal radiocarpal dislocation with radial styloid fractures that were treated by arthroscopy-assisted reduction and internal fixation. Wrist arthroscopy provides accurate information on intra-articular fractures and carpal and/or intracarpal ligamentous tears of the radiocarpal joint. Furthermore, the procedure enables simultaneous anatomical reduction of intra-articular fractures and radiocarpal and/or intercarpal ligament repair. Arthroscopy-assisted reduction and internal fixation yield satisfactory outcomes for patients presenting with dorsal radiocarpal dislocation and radial styloid fractures.
桡腕关节脱位是一种罕见的损伤,通常由高能创伤引起。在此,我们报告两例伴有桡骨茎突骨折的背侧桡腕关节脱位病例,采用关节镜辅助复位和内固定治疗。腕关节镜可提供有关关节内骨折以及桡腕关节的腕骨和/或腕内韧带撕裂的准确信息。此外,该手术能够同时对关节内骨折进行解剖复位以及修复桡腕和/或腕间韧带。对于伴有背侧桡腕关节脱位和桡骨茎突骨折的患者,关节镜辅助复位和内固定可产生满意的疗效。