Irreducible dorsal distal radius fracture-dislocation with accompanying dorsal displacement of flexor tendons and median nerve: A rare type of injury

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Presentation transcript:

Irreducible dorsal distal radius fracture-dislocation with accompanying dorsal displacement of flexor tendons and median nerve: A rare type of injury Murat Songür, Ercan Şahin, Sinan Zehir, Mahmut Kalem International Journal of Surgery Case Reports Volume 5, Issue 12, Pages 1005-1009 (January 2014) DOI: 10.1016/j.ijscr.2014.10.076 Copyright © 2014 The Authors Terms and Conditions

Fig. 1 X-rays showing fracture-dislocation of distal radius, lateral (a) and AP (b) view. International Journal of Surgery Case Reports 2014 5, 1005-1009DOI: (10.1016/j.ijscr.2014.10.076) Copyright © 2014 The Authors Terms and Conditions

Fig. 2 Axial (a and b) and sagittal (c and d) CT images showing dorsally and proximally displaced radiocarpal fracture dislocation. International Journal of Surgery Case Reports 2014 5, 1005-1009DOI: (10.1016/j.ijscr.2014.10.076) Copyright © 2014 The Authors Terms and Conditions

Fig. 3 Volar approach: radial artery (a), tendons of FCR (b) and PL (c), distal radius (d), distal ulna (e), and avulsed pronator quadratus (f). International Journal of Surgery Case Reports 2014 5, 1005-1009DOI: (10.1016/j.ijscr.2014.10.076) Copyright © 2014 The Authors Terms and Conditions

Fig. 4 After release of transverse carpal ligament (TCL), median nerve (M) was found to be located behind radius (R) and ulna (U) with tendons of FDS, FDP and FPL. International Journal of Surgery Case Reports 2014 5, 1005-1009DOI: (10.1016/j.ijscr.2014.10.076) Copyright © 2014 The Authors Terms and Conditions

Fig. 5 Two K-wires were inserted to radius and ulna to distract radioulnar joint, to facilitate reduction of soft tissues. International Journal of Surgery Case Reports 2014 5, 1005-1009DOI: (10.1016/j.ijscr.2014.10.076) Copyright © 2014 The Authors Terms and Conditions

Fig. 6 Median nerve (arrow) after relocation of dorsally displaced structures. International Journal of Surgery Case Reports 2014 5, 1005-1009DOI: (10.1016/j.ijscr.2014.10.076) Copyright © 2014 The Authors Terms and Conditions

Fig. 7 Post-operative AP (a) and lateral and (b) X-rays. International Journal of Surgery Case Reports 2014 5, 1005-1009DOI: (10.1016/j.ijscr.2014.10.076) Copyright © 2014 The Authors Terms and Conditions

Fig. 8 First year follow up, with minimal dorsal and ulnar translation. International Journal of Surgery Case Reports 2014 5, 1005-1009DOI: (10.1016/j.ijscr.2014.10.076) Copyright © 2014 The Authors Terms and Conditions