‣What are the ligaments that are disrupted?Most of the palmar extrinsic ligaments - RSC, LRL, SRL, UC, UT, UL‣What classification for radiocarpal dislocation?Moneim Classification - based on presence of intercarpal dissociationType 1 = without associated intercarpal dissociationType 2 = with associated intercarpal dissociationDumontier Classification - based on presence of radial styloid fractureType 1 = Purely ligamentous or only involves small cortical avulsionType 2 = Associated with large radial styloid fracture‣Acute management of radiocarpal dislocation?Acute reduction under Bier’s block, same principles as perilunate dislocationSlab, monitor for carpal tunnel syndrome‣Is there option for non surgical management?Historically satisfactory outcomes for purely ligamentous injuries‣Definitive management?Operative - principles are to reduce and to maintain reduction and repair torn ligamentsThree column fixationRadial column - Radial styloid to scaphoid pinningIntermediate column Lunate facet - SRL and RSC ligament repairsKIV pinning (radiolunate)Ulnar column DRUJ pinning
