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Irreducible dorsal distal radius fracture-dislocation with accompanying dorsal displacement of flexor tendons and median nerve: A rare type of injury 

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Presentation on theme: "Irreducible dorsal distal radius fracture-dislocation with accompanying dorsal displacement of flexor tendons and median nerve: A rare type of injury "— Presentation transcript:

1 Irreducible dorsal distal radius fracture-dislocation with accompanying dorsal displacement of flexor tendons and median nerve: A rare type of injury  Murat Songür, Ercan Şahin, Sinan Zehir, Mahmut Kalem  International Journal of Surgery Case Reports  Volume 5, Issue 12, Pages (January 2014) DOI: /j.ijscr Copyright © 2014 The Authors Terms and Conditions

2 Fig. 1 X-rays showing fracture-dislocation of distal radius, lateral (a) and AP (b) view. International Journal of Surgery Case Reports 2014 5, DOI: ( /j.ijscr ) Copyright © 2014 The Authors Terms and Conditions

3 Fig. 2 Axial (a and b) and sagittal (c and d) CT images showing dorsally and proximally displaced radiocarpal fracture dislocation. International Journal of Surgery Case Reports 2014 5, DOI: ( /j.ijscr ) Copyright © 2014 The Authors Terms and Conditions

4 Fig. 3 Volar approach: radial artery (a), tendons of FCR (b) and PL (c), distal radius (d), distal ulna (e), and avulsed pronator quadratus (f). International Journal of Surgery Case Reports 2014 5, DOI: ( /j.ijscr ) Copyright © 2014 The Authors Terms and Conditions

5 Fig. 4 After release of transverse carpal ligament (TCL), median nerve (M) was found to be located behind radius (R) and ulna (U) with tendons of FDS, FDP and FPL. International Journal of Surgery Case Reports 2014 5, DOI: ( /j.ijscr ) Copyright © 2014 The Authors Terms and Conditions

6 Fig. 5 Two K-wires were inserted to radius and ulna to distract radioulnar joint, to facilitate reduction of soft tissues. International Journal of Surgery Case Reports 2014 5, DOI: ( /j.ijscr ) Copyright © 2014 The Authors Terms and Conditions

7 Fig. 6 Median nerve (arrow) after relocation of dorsally displaced structures. International Journal of Surgery Case Reports 2014 5, DOI: ( /j.ijscr ) Copyright © 2014 The Authors Terms and Conditions

8 Fig. 7 Post-operative AP (a) and lateral and (b) X-rays.
International Journal of Surgery Case Reports 2014 5, DOI: ( /j.ijscr ) Copyright © 2014 The Authors Terms and Conditions

9 Fig. 8 First year follow up, with minimal dorsal and ulnar translation. International Journal of Surgery Case Reports 2014 5, DOI: ( /j.ijscr ) Copyright © 2014 The Authors Terms and Conditions

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