HAND

, Volume 8, Issue 3, pp 320–323

Dorsal radiocarpal dislocation in a patient with Goldenhar syndrome: case report

Authors

  • Johnathan A. Bernard
    • Division of Hand and Upper Extremity Surgery, Department of Orthopaedic SurgeryThe Johns Hopkins University
  • Andres O’Daly
    • Division of Hand and Upper Extremity Surgery, Department of Orthopaedic SurgeryThe Johns Hopkins University
    • Division of Hand and Upper Extremity Surgery, Department of Orthopaedic SurgeryThe Johns Hopkins University
    • c/o Elaine P. Henze, BJ, ELS, Medical Editor and Director, Editorial Services, Department of Orthopaedic SurgeryThe Johns Hopkins University/Johns Hopkins Bayview Medical Center
Case Reports

DOI: 10.1007/s11552-013-9495-8

Cite this article as:
Bernard, J.A., O’Daly, A. & LaPorte, D.M. HAND (2013) 8: 320. doi:10.1007/s11552-013-9495-8

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.

Keywords

Dorsal radiocarpal dislocationDysplastic distal radiusGoldenharScaphoid aplasia

Copyright information

© American Association for Hand Surgery 2013