Dorsal Radiocarpal Dislocation in a Patient with Goldenhar Syndrome: Case Report. (September 2013)

• Record Type: Journal Article
• Authors: Bernard, Johnathan A.; O'Daly, Andres; LaPorte, Dawn M.
• Is Part Of: Hand. Volume 8:Number 3(2013)
• Page Start: 320
• Page End: 323
• Publication Date: 2013-09
• Subjects: Dorsal radiocarpal dislocation -- Dysplastic distal radius -- Goldenhar -- Scaphoid aplasia; Hand -- Surgery -- Periodicals; Hand -- Surgery; Periodicals; 617.57005
• DOI: 10.1007/s11552-013-9495-8
• Languages: English
• ISSNs: 1558-9447

Abstract

Background: Fracture–dislocations of the carpus are rare, generally occurring after high-energy trauma. Goldenhar syndrome is among a group of genetic abnormalities associated with radial limb defects. We present a case of a dorsal radiocarpal dislocation in a patient with Goldenhar syndrome after a low-energy fall. To our knowledge, there has been no previous report of radiocarpal dislocation in the setting of Goldenhar syndrome. Methods: This patient with Goldenhar syndrome had a dorsal radiocarpal dislocation in the setting of an absent scaphoid and dysplastic distal radius. A computed tomography scan, recognized as a useful modality to evaluate the wrist and scaphoid, was used to rule out any other osseous trauma or avulsion fractures. Results: Closed reduction and 6 weeks of immobilization resulted in a successful treatment. Conclusions: The incidence of radiocarpal dislocations in patients with Goldenhar syndrome and the appropriate long-term treatment for patients with Goldenhar syndrome with radiocarpal dislocations require further investigation.