Radial styloid fracture with expelled scaphoid and lunate

Case contributed by Dr Matthew Lukies

Presentation

Motor bike accident while travelling at high speed. Severe limb and spinal injuries.

Patient Data

Age: 25 years
Gender: Male
  • Fractured radial styloid involving the radiocarpal articular surface
  • The scaphoid and lunate have been expelled from the proximal carpal row, and are now located in the soft tissues volar to the distal radius
  • Fractured radial styloid involving the radiocarpal articular surface
  • The distal radial styloid fracture fragment is radially displaced and rotated by approximately 90 degrees
  • The scaphoid and lunate have been expelled from the proximal carpal row, and are now located in the soft tissues volar to the distal radius

Intraoperative image

  • The radial styloid fracture has been fixed with a plate, screws and wires
  • The previously severely dislocated scaphoid and lunate have been returned to their anatomical position in the proximal carpal row

Case Discussion

This case demonstrates a severe fracture dislocation injury of the radial styloid and proximal carpal bones.

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Case Information

rID: 53471
Case created: 19th May 2017
Last edited: 21st May 2017
System: Trauma
Inclusion in quiz mode: Included

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