PMC9848338_01
Appearance and plain x-ray on arrival at the emergency department. (A,B) Appearance of the left wrist; (C,D) plain x-ray of the left wrist; (E,F) appearance of the right wrist; (G,H) plain x-ray of the right wrist.
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The patient presented at the emergency department and was diagnosed with cerebral contusions, multiple rib fractures, pulmonary contusions, and bilateral distal radial and ulnar open fractures (AO:2R3C3.3, AO:2U3A3, Gustilo-Anderson classification: type 2) (Figure 1).
Plain x-ray and three-dimensional computed tomography (3-D CT) of the left wrist after external fixation as a first-line treatment. (A,B) Plain x-ray of the left wrist; (C-G) 3-D CT of the left wrist.
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Computed tomography (CT) revealed bilateral severe comminution of the radial metaphysis (Figures 2 and 3).
Plain x-ray and three-dimensional computed tomography of the right wrist after external fixation as a first-line treatment. (A,B) Plain x-ray of the right wrist; (C-G) 3-D CT of the right wrist.
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Computed tomography (CT) revealed bilateral severe comminution of the radial metaphysis (Figures 2 and 3).
Plain x-ray of both wrists after distraction plating. (A,B) Plain x-ray of the left wrist; (C,D) plain x-ray of the right wrist.
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Finally, the bone defect was filled with autologous cancellous bone (Figure 4).
PMC9848338_02
Plain x-ray, appearance, and range of motion of both wrists 1 year postoperatively. (A,B) Plain x-ray of the left wrist; (C,D) plain x-ray of the right wrist; (E) active palmar flexion; (F) active dorsiflexion; (G) forearm pronation; (H) forearm supination.
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The DASH and HAND20 scores were 5 and 4 points, respectively (Figure 5).