{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,6]],"date-time":"2025-07-06T08:10:06Z","timestamp":1751789406326,"version":"3.41.0"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["jocr"],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:p>Introduction: Advancements in radiology have enhanced the understanding of carpal instability and its biomechanics.\n\nCase Report: This case report discusses a 37-year-old male patient who suffered a distal radius fracture and subsequent volar intercalated segment instability (VISI). Despite being less common than other forms of carpal instability, VISI presents clinical significance. Initial evaluations post-fracture did not identify the instability. After identifying VISI, an open reduction and internal fixation procedure with Luno-Triquetral Fusion and bone grafting was performed. Post-operative immobilization aided successful fusion and enhanced wrist stability. Follow-up showed symptom improvement, increased range of motion, and improved hand function.\n\nConclusion: This study underscores the importance of diagnosing and addressing lesser-known carpal instability patterns, emphasizing careful clinical assessments, advanced radiology, appropriate surgical and physical therapy interventions, and vigilant follow-up.\n\nKeywords: Carpal instability, volar intercalated segment instability, distal radius fracture, open reduction and internal fixation, luno-triquetral fusion, immobilization, clinical outcome, radiology, wrist function.<\/jats:p>","DOI":"10.13107\/jocr.2025.v15.i07.5756","type":"journal-article","created":{"date-parts":[[2025,7,6]],"date-time":"2025-07-06T07:51:52Z","timestamp":1751788312000},"page":"28-32","source":"Crossref","is-referenced-by-count":0,"title":["Missed Volar Intercalated Segment Instability with Distal Radius Fracture: Challenges in Diagnosis, Surgical Management, and Clinical Outcome \u2013 Case Report"],"prefix":"10.13107","volume":"15","author":[{"name":"Orthopedic consultant, The Artificial Limbs and Polio Center, Gaza, Palestine,","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdelrahman Mustafa-Kamel","family":"Alfarra","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saeda","family":"Albarawi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Physiotherapy, Al-Quds University, Gaza Branch, Jerusalem, Palestine.","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5271","published-online":{"date-parts":[[2025]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2025,7,6]],"date-time":"2025-07-06T07:51:52Z","timestamp":1751788312000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2025\/07\/01\/missed-volar-intercalated-segment-instability-with-distal-radius-fracture-challenges-in-diagnosis-surgical-management-and-clinical-outcome-case-report\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":0,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2025]]},"published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2025.v15.i07.5756","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025]]}}}