Abstract
Fractures of the radial styloid should always be suspected to be part of a progressive perilunate fracture-dislocation injury. Knowledge of the pathomechanism is therefore important in order to detect possible concomitant carpal injuries. A scapholunate ligament disruption and/or a scaphoid fracture are the most commonly associated injuries to the radial styloid fracture. However, correct diagnosis and choice of treatment remain a challenge as various combinations of intrinsic or radiocarpal ligament injuries are known to occur which may lead to late carpal instability. Knowledge of the anatomy and injury patterns is essential to avoid complications and provide optimal treatment. This chapter discusses surgical treatment of radial styloid fractures, concomitant scapholunate ligament tears, and screw fixation of concomitant scaphoid fractures.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Berger RA. The ligaments of the wrist. A current overview of anatomy with considerations of their potential functions. Hand Clin. 1997;13:63–82.
Chia B, Catalano 3rd LW, Glickel SZ, Barron OA, Meier K. Percutaneous pinning of distal radius fractures: an anatomic study demonstrating the proximity of K-wires to structures at risk. J Hand Surg Am. 2009;34:1014–20.
Gilula LA, Weeks PM. Post-traumatic ligamentous instabilities of the wrist. Radiology. 1978;129:641–51.
Herzberg G, Comtet JJ, Linscheid RL, Amadio PC, Cooney WP, Stalder J. Perilunate dislocations and fracture-dislocations: a multicenter study. J Hand Surg Am. 1993;18:768–79.
Johnson RP. The acutely injured wrist and its residuals. Clin Orthop Relat Res. 1980;(149):33–44.
Jorgsholm P, Thomsen NO, Bjorkman A, Besjakov J, Abrahamsson SO. The incidence of intrinsic and extrinsic ligament injuries in scaphoid waist fractures. J Hand Surg Am. 2010;35:368–74.
Jorgsholm P, Thomsen NO, Besjakov J, Abrahamsson SO, Bjorkman A. The benefit of magnetic resonance imaging for patients with posttraumatic radial wrist tenderness. J Hand Surg Am. 2013;38:29–33.
Koh S, Andersen CR, Buford Jr WL, Patterson RM, Viegas SF. Anatomy of the distal brachioradialis and its potential relationship to distal radius fracture. J Hand Surg Am. 2006;31:2–8.
Komura S, Yokoi T, Nonomura H, Tanahashi H, Satake T, Watanabe N. Incidence and characteristics of carpal fractures occurring concurrently with distal radius fractures. J Hand Surg Am. 2012;37:469–76.
Mayfield JK, Johnson RP, Kilcoyne RK. Carpal dislocations: pathomechanics and progressive perilunar instability. J Hand Surg Am. 1980;5:226–41.
Müller ME, Nazarian S, Koch P, Schatzker J. AO classification of fractures. Berlin: Springer; 1987. p. 106–15.
Reichel LM, Bell BR, Michnick SM, Reitman CA. Radial styloid fractures. J Hand Surg Am. 2012;37:1726–41.
Rikli DA, Honigmann P, Babst R, Cristalli A, Morlock MM, Mittlmeier T. Intra-articular pressure measurement in the radioulnocarpal joint using a novel sensor: in vitro and in vivo results. J Hand Surg Am. 2007;32:67–75.
Steinberg BD, Plancher KD, Idler RS. Percutaneous Kirschner wire fixation through the snuff box: an anatomic study. J Hand Surg Am. 1995;20:57–62.
Stephens P. So-called chauffeur’s fracture. Cal State J Med. 1923;21:115–7.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Thomsen, N. (2014). Radial Styloid Fractures and Associated Carpal Injuries. In: Hove, L., Lindau, T., Hølmer, P. (eds) Distal Radius Fractures. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54604-4_27
Download citation
DOI: https://doi.org/10.1007/978-3-642-54604-4_27
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-54603-7
Online ISBN: 978-3-642-54604-4
eBook Packages: MedicineMedicine (R0)