Volar Tilt of the Lunate After Open Reduction Internal Fixation of a Distal Radius Fracture

The pathophysiology of carpal adaptations after fracture of the distal radius is incompletely understood. We report 5 patients who had normal carpal alignment on injury radiographs that developed marked volar angulation of the lunate during recovery from volar plate fixation of a fracture of the dis...

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Bibliographic Details
Published inThe Journal of hand surgery (American ed.) Vol. 46; no. 6; pp. 520.e1 - 520.e6
Main Authors Bakker, Daniel, Kortlever, Joost T.P., Ring, David, Patterson, Douglas, Napoli, David, Harness, Neil G., Reichel, Lee M.
Format Journal Article
LanguageEnglish
Published Elsevier Inc 01.06.2021
Subjects
Carpal malalignment
lunate
radius
radius
lunate
Carpal malalignment
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Summary:The pathophysiology of carpal adaptations after fracture of the distal radius is incompletely understood. We report 5 patients who had normal carpal alignment on injury radiographs that developed marked volar angulation of the lunate during recovery from volar plate fixation of a fracture of the distal radius. There were no signs of alteration of the carpal ligaments. Two patients had similar volar tilt on the contralateral side. The cause and optimal treatment of carpal malalignment after restoration distal radial alignment are unclear.
ISSN:0363-5023
1531-6564
DOI:10.1016/j.jhsa.2020.06.016