TREATMENT OF DORSAL RADIOCARPAL FRACTURE-DISLOCATION: CLINICAL AND RADIOLOGICAL LONGTERM OUTCOMES

Abstract

Main: To describe our experience treating dorsal radiocarpal fracture-dislocations, regarding longterm clinical and radiological outcomes. Matherial and method: Retrospective chart review of 15 patients treated in our institution from 2007 to 2021. Inclusion criteria were patients over 16 years, treated at a third level hospital of Madrid and an average follow up of 56 months. Epidemiological data were collected from digital records. VAS, QuickDASH and Patient Rated Wrist Evaluation scales were employed for clinical results assessment. All radiological studies were reviewed for radiological results assessment. A descriptive statiscal analisys of all variables was developed. Results: Among 15 patients with a mean follow-up of 56 months; 12 males (80%) and 3 females (20%) with a mean age of 39.5 years. The left wrist was injured in most cases (66.7%). All patients were treated surgically; 4 of them (27%) were assisted by wrist arthroscopy. Mean VAS at final follow up was 2.6 with activity. Mean PRWE was 32 and mean QuickDASH was 28, which means satisfactory results. 80% patients developed wrist stiffness with most affected flexo-extension followed by prono-supination. 67% patients developed radiological signs of wrist osteoarthritis at the end of follow-up. Conclusions: In spite of a large number of clinical and radiological complications during follow-up, longterm functional results are good in this kind of wrist injuries.

Keywords: Luxación radiocarpiana; Radiocarpal dislocations; artroscopia de muñeca; complicaciones; complications; reparación ligamentos radiocarpianos volares; surgical technique; técnica quirúrgica; volar radiocarpal ligament repair; wrist arthroscopy.