High-energy injuries of the wrist

Orthopaedics & Traumatology, Surgery & Research : OTSR
L ObertD Lepage

Abstract

High-energy injuries to the wrist gather complex fractures of the distal radius, radiocarpal dislocations, perilunate dislocations, and other intracarpal dislocations. Depending on the energy of the injury and the position of the wrist at the time of impact, the patient, often a young male with a high functional demand, presents one of these injuries associating fracture(s) and ligament injury. The trauma is often bilateral, with proximal lesions (elbow) very often associated with contusion or compression of the median nerve. Diagnosis is confirmed by wrist X-rays, which are sufficient to determine treatment for radiocarpal and perilunate dislocations. In cases of distal radius fractures or other intracarpal dislocations, a preoperative CT is necessary. Reduction of the dislocation and relief of neurovascular compression are performed immediately. The final treatment of each lesion (bone fixation, ligament repair) can be undertaken simultaneously or delayed, depending on the patient and the lesions. Cartilage lesions, resulting from the high-energy injury, can be estimated using arthroscopy but cannot be repaired and determine the prognosis. The surgeon's objective is to restore joint congruence, which does not prevent stiffnes...Continue Reading

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May 27, 2011·Orthopaedics & Traumatology, Surgery & Research : OTSR·L ObertP Garbuio
Mar 23, 2013·Orthopaedics & Traumatology, Surgery & Research : OTSR·L ObertP Garbuio
Jan 28, 2014·Orthopaedics & Traumatology, Surgery & Research : OTSR·C Chantelot

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Citations

May 1, 2019·The Journal of Hand Surgery Asian-Pacific Volume·Ahmadreza Afshar, Ali Tabrizi
May 31, 2021·Orthopaedics & Traumatology, Surgery & Research : OTSR·Gaspard LebotMarc Saab

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