• Arch Orthop Trauma Surg · Apr 2017

    Case Reports

    Spontaneous radioscapholunate fusion after septic arthritis of the wrist: a case report.

    • S Quadlbauer, Ch Pezzei, J Jurkowitsch, T Keuchel, T Hausner, and M Leixnering.
    • Department of Traumatology, AUVA Trauma Hospital Lorenz Böhler - European Hand Trauma Center, Donaueschingenstrasse 13, 1200, Vienna, Austria. stefan.quadlbauer@auva.at.
    • Arch Orthop Trauma Surg. 2017 Apr 1; 137 (4): 579-584.

    AbstractBacterial septic arthritis rarely occurs in the upper extremities. Yet, early diagnosis and treatment is important, as a delay in diagnosis results in pain, impaired hand function, and degenerative joint disease. Radioscapholunate (RSL) arthrodesis is a well-established procedure for treating inflammatory arthritis and osteoarthritis (primary or posttraumatic), primarily to achieve pain relief. The wrist deformity correction offers an alternative option to total wrist arthrodesis. Indications for a RSL arthrodesis are osteoarthritis of the radiolunate and radioscaphoid joint with a concomitant intact midcarpal joint. We present a case study of spontaneous RSL fusion post wrist infection caused by a dog bite.

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