Radial Styloid Fracture (Subscribe)  

Carpal dislocation and fracture dislocation are uncommon and difficult to treat. Early diagnosis and treatment of such injuries are necessary to prevent progressive carpal instability and traumatic arthritis. Perilunate fracture dislocation is a combination of ligamentous and osseous injuries that involve the ‘greater arc’ of the perilunate. Despite being severe, these injuries often go unrecognised in the...

The IFSSH Board of Directors wished to examine the potential for a universal classification of fractures and dislocations of the hand and wrist. If this could be accomplished, classifications could be standardized as a constant. The method of treatment would then be the variable. Scientific method would then be applied...

PURPOSE: To establish a consensus regarding immobilisation of the wrist following reduction of Barton's and paediatric distal radial fractures. METHODS: Questionnaires were distributed to orthopaedic surgeons at the European Federation of National Associations of Orthopaedics and Traumatology meeting in Lisbon in 2005. Questions included the surgeon's country of practice, hospital,...

Chauffeur's Fracture: Radial Styloid Fractures
Discussion:
radial styloid fractures most commonly occur from tension forces sustained during ulnar deviation and supination of the wrist;
strong radiocarpal ligament, particularly radioscaphocapitate ligament, avulse radial styloid from metaphysis of the radius;
ligamentous attachments maintains alignment radial styloid to carpus, but styloid may be markedly displaced from...

Transradial styloid perilunate fracture-dislocation represents greater arc (Gilula's arcs) injury.
Greater arc injuries may be divided into following stages based on their severity:
Stage I: transradial styloid perilunate fracture-dislocation;
Stage II: transscaphoid perilunate fracture-dislocation;
Stage III: transscaphoid, transcapitate perilunate fracture-dislocation;
Stage IV: transscaphoid (or radial styloid), transcapitate, transtriquetral perilunate fracture-dislocation; and
Stage V: complete palmar lunate...

Volar lunate fractures are rare injuries, usually seen as a result of high-energy trauma and often in association of other carpal injuries. We present 2 unusual cases of coronal volar lunate fractures. The first case involved a proximal pole scaphoid fracture in association with a volar lunate fracture. During surgical...