It was therefore reduced and secured with a pin. Intraoperative AP and lateral X-rays showed good restoration of the anatomy. The wounds and fractures healed uneventfully. The radiocarpal joint remained stable. The internal fixation has been removed from the DRUJ and the patient is currently in therapy.
Radiocarpal dislocation is an unusual injury pattern with isolated reports in the literature.
For example, Fennell et al. presented a case in The Journal of Hand Surgery, 17A, pg. In our case an Essex-Lopresti injury was present in conjunction with the radiocarpal dislocation. After ligamentous repair the radiocarpal joint became stable in this case. The DRUJ however remained unstable even after TFC repair and fixation of the ulnar styloid. Further discussion about this pattern of injury and the treatment are welcome.