Background: Neglected
radiocarpal dislocations are rare and may have functional repercussions on the
injured limb. Objective: The aim of this study was to evaluate the
functional results of our management of neglected radiocarpal dislocation.
Patient and method:
This was a retrospective and descriptive study of five cases of neglected
radiocarpal dislocation between January 2011 and December 2020. Patients were
collected from various hospitals in Abidjan, Ivory Coast (some private centers
and the orthopaedic surgery and trauma department of Cocody University
Hospital). The minimum consultation time was 11 weeks. The initial treatment
was traditional in 3 cases and failure of hospital treatment in 2 cases.
Lesions were classified according to the Dumontier classification. Treatment
was surgical in all cases. Functional results were assessed using the Quick
DASH score and the modified Green and O'Brien score.
Results: Patients were assessed
for function at a minimum follow-up of 24 months. The total Quick DASH score was
obtained using the formula: [(Sum)x1.1]x5/2. The mean Quick DASH score was
88.55 (extremes: 74.25 and 99). The mean modified Green and O'brien score was
96 (extremes: 80 and 100).
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