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KMID : 0621520090140010036
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Journal of the Korean Society for Surgery of the Hand
2009 Volume.14 No. 1 p.36 ~ p.41
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Bilateral Wrist Fracture-Dislocation by Fall from Height - A Case Report -
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Kim Yong-Min
Kim Dong-Soo
Choi Eui-Sung
Shon Hyun-Chul
Park Kyoung-Jin
Cho Byung-Ki
Lee Hyun-Chul
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Abstract
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Wrist fracture-dislocation including perilunar injury is an uncommon high energy trauma, especially cases occurred simultaneously on bilateral wrist have been quite rarely reported in the orthopaedics literature. We encountered a case of open transtriquetral dorsal perilunar dislocation on right wrist and transstyloid dorsal dislocation on left wrist by fall from height. We performed open reduction and percutaneous K-wire fixation with interosseous ligament repair for both wrist. On the left wrist, flexion-extension arc, radio-ulnar deviation arc, grip strength were recovered satisfactorily at 1 year after the injury. On the radiographs, there were no intercarpal instabilities and scapholunate angles were within normal range. But clinical results on right wrist were dissatisfied by septic arthritis sequelae, and patient complained discomfort at motion. We report this unusual pattern of injury with review of the relevant literature.
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KEYWORD
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Wrist fracture-dislocation, Transtriquetral, Transstyloid, Bilateral, Fall from height
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