TY - JOUR
T1 - Dorsal radiocarpal dislocation in a patient with Goldenhar syndrome
T2 - Case report
AU - Bernard, Johnathan A.
AU - O'Daly, Andres
AU - LaPorte, Dawn M.
PY - 2013/9
Y1 - 2013/9
N2 - Background: Fracture-dislocations of the carpus are rare, generally occurring after high-energy trauma. Goldenhar syndrome is among a group of genetic abnormalities associated with radial limb defects. We present a case of a dorsal radiocarpal dislocation in a patient with Goldenhar syndrome after a low-energy fall. To our knowledge, there has been no previous report of radiocarpal dislocation in the setting of Goldenhar syndrome. Methods: This patient with Goldenhar syndrome had a dorsal radiocarpal dislocation in the setting of an absent scaphoid and dysplastic distal radius. A computed tomography scan, recognized as a useful modality to evaluate the wrist and scaphoid, was used to rule out any other osseous trauma or avulsion fractures. Results: Closed reduction and 6 weeks of immobilization resulted in a successful treatment. Conclusions: The incidence of radiocarpal dislocations in patients with Goldenhar syndrome and the appropriate long-term treatment for patients with Goldenhar syndrome with radiocarpal dislocations require further investigation.
AB - Background: Fracture-dislocations of the carpus are rare, generally occurring after high-energy trauma. Goldenhar syndrome is among a group of genetic abnormalities associated with radial limb defects. We present a case of a dorsal radiocarpal dislocation in a patient with Goldenhar syndrome after a low-energy fall. To our knowledge, there has been no previous report of radiocarpal dislocation in the setting of Goldenhar syndrome. Methods: This patient with Goldenhar syndrome had a dorsal radiocarpal dislocation in the setting of an absent scaphoid and dysplastic distal radius. A computed tomography scan, recognized as a useful modality to evaluate the wrist and scaphoid, was used to rule out any other osseous trauma or avulsion fractures. Results: Closed reduction and 6 weeks of immobilization resulted in a successful treatment. Conclusions: The incidence of radiocarpal dislocations in patients with Goldenhar syndrome and the appropriate long-term treatment for patients with Goldenhar syndrome with radiocarpal dislocations require further investigation.
KW - Dorsal radiocarpal dislocation
KW - Dysplastic distal radius
KW - Goldenhar
KW - Scaphoid aplasia
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U2 - 10.1007/s11552-013-9495-8
DO - 10.1007/s11552-013-9495-8
M3 - Article
C2 - 24426941
AN - SCOPUS:84881612598
VL - 8
SP - 320
EP - 323
JO - Hand
JF - Hand
SN - 1558-9447
IS - 3
ER -