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THE RESOLUTION

Diagnosis: The x-ray reveals a dorsal radiocarpal dislocation. Due to high- energy trauma, dorsal radiocarpal dislocations cause significant osseous and soft-tissue injury. Unlike Barton’s fracture, these injuries are more often unstable and, even more importantly, associated with other significant injuries. Neurovascular compromise is common. Open reduction and stabilization are usually necessary.
Acknowledgement: Case presented by Teleradiology Specialists (http://www.teleradiologyspecialists.com)

Clinical Challenge: December, 2014