Anass Abaydi, Mohamed Kadi, Mohamed Tabti, Jihad Radi, Amine Marzouki, Fawzi Boutayeb
Department A of Traumatology and Orthopedic Surgery, Hassan 2 University Hospital Center, Sidi Mohamed Ben Abdellah University, Fez, Morocco.
J Orthop Case Rep. 2024 Oct;14(10):130-134. doi: 10.13107/jocr.2024.v14.i10.4836.
Joint injuries in the upper limb are uncommon and have received limited attention in the literature. This case report presents the first described case in the literature of a "floating wrist" and aims to highlight the diagnostic, anatomical, and therapeutic aspects of this injury.
A 27-year-old male was involved in a severe car accident, resulting in a closed deformity of the right wrist. The patient suffered fractures of the forearm bones and dislocation fracture of all five wrist rays. Surgical intervention was performed to repair the fractures and stabilize the wrist. Despite post-operative complications, the patient demonstrated positive functional outcomes after a 12-month follow-up.
The term "floating wrist" refers to a rare condition characterized by fractures and/or dislocations of all five wrist rays, accompanied by fractures of the forearm bones. Diagnosis can be complicated due to polytrauma and wrist edema. Early surgical management and rehabilitation are essential for achieving favorable outcomes. Further research is necessary to improve our understanding of this uncommon injury.
This case report highlights a unique instance of a "floating wrist" and emphasizes the significance of early diagnosis, appropriate surgical intervention, and prompt rehabilitation in a comprehensive management of these complex injuries. Enhanced comprehension of this rare condition is crucial for improving patient outcomes in similar traumatic scenarios.
上肢关节损伤并不常见,在文献中受到的关注有限。本病例报告介绍了文献中首例描述的“漂浮腕”病例,旨在强调这种损伤的诊断、解剖和治疗方面。
一名27岁男性遭遇严重车祸,导致右手腕闭合性畸形。患者前臂骨骨折,所有五根腕骨射线均发生脱位骨折。进行了手术干预以修复骨折并稳定手腕。尽管术后出现并发症,但患者在12个月的随访后显示出良好的功能结果。
“漂浮腕”一词指的是一种罕见情况,其特征是所有五根腕骨射线骨折和/或脱位,并伴有前臂骨骨折。由于多发伤和手腕水肿,诊断可能会很复杂。早期手术治疗和康复对于取得良好结果至关重要。有必要进行进一步研究以增进我们对这种不常见损伤的了解。
本病例报告突出了“漂浮腕”的一个独特实例,并强调了早期诊断、适当的手术干预以及在这些复杂损伤的综合管理中及时康复的重要性。加强对这种罕见情况的理解对于改善类似创伤情况下的患者预后至关重要。