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Igeta Y, Naito K, Sugiyama Y, et al. Distal radius fracture after proximal row carpectomy. Int J Surg Case Rep. 2015;7:165-7doi: 10.1016/j.ijscr.2015.01.026.
Igeta, Y., Naito, K., Sugiyama, Y., Obata, H., Aritomi, K., Kaneko, K., & Obayashi, O. (2015). Distal radius fracture after proximal row carpectomy. International journal of surgery case reports, 7165-7. https://doi.org/10.1016/j.ijscr.2015.01.026
Igeta, Yuka, et al. "Distal radius fracture after proximal row carpectomy." International journal of surgery case reports vol. 7 (2015): 165-7. doi: https://doi.org/10.1016/j.ijscr.2015.01.026
Igeta Y, Naito K, Sugiyama Y, Obata H, Aritomi K, Kaneko K, Obayashi O. Distal radius fracture after proximal row carpectomy. Int J Surg Case Rep. 2015;7:165-7. doi: 10.1016/j.ijscr.2015.01.026. Epub 2015 Jan 15. PMID: 25623755; PMCID: PMC4336416.
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Int J Surg Case Rep. 2015;7:165-7. doi: 10.1016/j.ijscr.2015.01.026. Epub 2015 Jan 15.

Distal radius fracture after proximal row carpectomy.

International journal of surgery case reports

Yuka Igeta, Kiyohito Naito, Yoichi Sugiyama, Hiroyuki Obata, Kentaro Aritomi, Kazuo Kaneko, Osamu Obayashi

Affiliations

  1. Department of Orthopaedic Surgery, Juntendo University Shizuoka Hospital, 1129 Nagaoka, Izunokuni, Shizuoka 410-2295, Japan.
  2. Department of Orthopaedic Surgery, Juntendo University Shizuoka Hospital, 1129 Nagaoka, Izunokuni, Shizuoka 410-2295, Japan; Department of Orthopaedic Surgery, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo, Tokyo113-8421, Japan. Electronic address: [email protected].
  3. Department of Orthopaedic Surgery, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo, Tokyo113-8421, Japan.

PMID: 25623755 PMCID: PMC4336416 DOI: 10.1016/j.ijscr.2015.01.026

Abstract

INTRODUCTION: We encountered a patient with distal radius fracture (DRF) after proximal row carpectomy (PRC). The mechanism of the DRF after PRC is discussed in this report.

PRESENTATION OF CASE: The patient was a 73-year-old female who had undergone PRC due to Kienböck disease before. The wrist range of motion was: 45° on dorsiflexion and 20° on flexion. DRF has occurred at 3 years after PRC. The fracture type was extra-articular fracture. Osteosynthesis was performed using a volar locking plate. No postoperative complication developed, the Mayo score was excellent at 6 months after surgery, and the daily living activity level recovered to that before injury.

DISCUSSION: Since the wrist range of motion decreased and the lunate fitted into the joint surface after PRC, making the forearm join with the hand like a single structure, pressure may have been loaded on the weak distal end of the radius from the dorsal side, causing volar displacement and fracture.

CONCLUSION: The pressure distribution and range of motion of the radiocarpal joint after PRC are different from those of a normal joint, and the mechanism of fracture also changes due to PRC.

Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

Keywords: Distal radius fracture; Kienböck disease; Proximal row carpectomy

References

  1. Hand Clin. 2013 Feb;29(1):69-78 - PubMed
  2. Arch Orthop Trauma Surg. 2013 May;133(5):595-602 - PubMed
  3. Can J Surg. 2013 Dec;56(6):378-84 - PubMed
  4. J Hand Surg Am. 2013 Aug;38(8):1498-504 - PubMed
  5. J Orthop Trauma. 2003 Apr;17 (4):271-8 - PubMed
  6. J Hand Surg Am. 2007 Jan;32(1):37-46 - PubMed
  7. Chir Main. 2010 Feb;29(1):10-5 - PubMed
  8. J Hand Surg Am. 1990 May;15(3):426-30 - PubMed
  9. J Hand Surg Am. 2014 Dec;39(12):2424-33 - PubMed
  10. J Hand Surg Am. 2006 Sep;31(7):1142-8 - PubMed
  11. J Hand Surg Am. 1982 Jul;7(4):343-7 - PubMed
  12. J Wrist Surg. 2012 Nov;1(2):141-8 - PubMed

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