{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:59:07Z","timestamp":1777381147270,"version":"3.51.4"},"reference-count":8,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,4,7]],"date-time":"2023-04-07T00:00:00Z","timestamp":1680825600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Unlike articular shear fractures of the distal radius, radiocarpal fracture\u2010dislocations defined as complete dislocation of the lunate from its articular facet of the radius are relatively uncommon. The management principles of these fractures have not been defined and there is no consensus on approach to management of these injuries. The aim of this study is to review our series of radiocarpal fracture\u2010dislocations and propose a radiographic classification to guide surgical management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study is reported based on STROBE guidelines. A total of 12 patients underwent open reduction and internal fixation. All the fracture\u2010dislocations were dorsal and satisfactory objective outcomes achieved were comparable to literature. Injury morphology\u2010specific management approach was used based on the size of dorsal lip fragment and the volar teardrop fragment attached to the short radiolunate ligament assessed by preoperative CT scans.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All patients with known outcome (<jats:italic>n<\/jats:italic>\u2009=\u200910) went on to resume their prior occupation and hobbies that included high\u2010demand activities and manual labour at mean follow\u2010up of 27\u2009weeks. Average wrist flexion was 43\u00b0 and wrist extension was 41\u00b0 while radial and ulnar deviation were 14\u00b0 and 18\u00b0 respectively. Average forearm pronation was 76\u00b0 and supination was 64\u00b0 at final follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>We describe four injury patterns of radiocarpal fracture\u2010dislocations based on preoperative CT scans that guide fixation. We believe that early recognition of radiocarpal fracture\u2010dislocations and appropriate management can yield satisfactory outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.18452","type":"journal-article","created":{"date-parts":[[2023,4,7]],"date-time":"2023-04-07T08:24:26Z","timestamp":1680855866000},"page":"1220-1226","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Redefining radiocarpal <scp>fracture\u2010dislocations<\/scp> with injury specific management and a clinical classification system: a retrospective review"],"prefix":"10.1111","volume":"93","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8504-6184","authenticated-orcid":false,"given":"Rahul","family":"Bamal","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Gold Coast University Hospital  Southport Queensland Australia"},{"name":"School of Medicine and Dentistry Griffith University  Gold Cost Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Randy","family":"Bindra","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Gold Coast University Hospital  Southport Queensland Australia"},{"name":"School of Medicine and Dentistry Griffith University  Gold Cost Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,4,7]]},"reference":[{"key":"e_1_2_9_2_1","volume-title":"Des luxations radio\u2010carpiennes traumatiques [thesis]","author":"Abadie J","year":"1901"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-7681(99)90047-5"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200102000-00008"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198501000-00028"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4684-0478-4_8"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200811000-00005"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197759020-00011"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(84)80018-0"}],"container-title":["ANZ Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.18452","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,19]],"date-time":"2023-08-19T08:15:45Z","timestamp":1692432945000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ans.18452"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,7]]},"references-count":8,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2023,5]]}},"alternative-id":["10.1111\/ans.18452"],"URL":"https:\/\/doi.org\/10.1111\/ans.18452","archive":["Portico"],"relation":{},"ISSN":["1445-1433","1445-2197"],"issn-type":[{"value":"1445-1433","type":"print"},{"value":"1445-2197","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,4,7]]},"assertion":[{"value":"2022-09-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-03-27","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-04-07","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}