Dorsal radiocarpal dislocation in a patient with Goldenhar syndrome: case report
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.Get Access
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.
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.
Closed reduction and 6 weeks of immobilization resulted in a successful treatment.
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.
- Avon SW, Shively JL. Orthopaedic manifestations of Goldenhar syndrome. J Pediatr Orthop. 1988;8:683–6. CrossRef
- Bush CH, Gillespy III T, Dell PC. High-resolution CT of the wrist: initial experience with scaphoid disorders and surgical fusions. AJR Am J Roentgenol. 1987;149:757–60. CrossRef
- Dumontier C, Meyer zu Reckendorf G, Sautet A, et al. Radiocarpal dislocations: classification and proposal for treatment. A review of twenty-seven cases. J Bone Joint Surg Am. 2001;83:212–8.
- Dunn AW. Fractures and dislocations of the carpus. Surg Clin North Am. 1972;52:1513–38.
- Freund LG, Ovesen J. Isolated dorsal dislocation of the radiocarpal joint. A case report. J Bone Joint Surg Am. 1977;59:277.
- Ilyas AM, Mudgal CS. Radiocarpal fracture–dislocations. J Am Acad Orthop Surg. 2008;16:647–55.
- Moneim MS, Bolger JT, Omer GE. Radiocarpal dislocation—classification and rationale for management. Clin Orthop Relat Res. 1985;192:199–209.
- Taleisnik J. Current concepts review. Carpal instability. J Bone Joint Surg Am. 1988;70:1262–8.
- Touliatou V, Fryssira H, Mavrou A, et al. Clinical manifestations in 17 Greek patients with Goldenhar syndrome. Genet Couns. 2006;17:359–70.
- Vendramini S, Richieri-Costa A, Guion-Almeida ML. Oculoauriculovertebral spectrum with radial defects: a new syndrome or an extension of the oculoauriculovertebral spectrum? Report of fourteen Brazilian cases and review of the literature. Eur J Hum Genet. 2007;15:411–21. CrossRef
- Dorsal radiocarpal dislocation in a patient with Goldenhar syndrome: case report
Volume 8, Issue 3 , pp 320-323
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- Dorsal radiocarpal dislocation
- Dysplastic distal radius
- Scaphoid aplasia
- Industry Sectors
- Author Affiliations
- 1. Division of Hand and Upper Extremity Surgery, Department of Orthopaedic Surgery, The Johns Hopkins University, 601 N. Caroline Street, Baltimore, MD, 21287, USA
- 2. c/o Elaine P. Henze, BJ, ELS, Medical Editor and Director, Editorial Services, Department of Orthopaedic Surgery, The Johns Hopkins University/Johns Hopkins Bayview Medical Center, 4940 Eastern Ave., #A665, Baltimore, MD, 21224-2780, USA