Visi deformity after wrist fracture: Case report

  • Teodor Pevec Department of surgery, Jože Potrč General Hospital of Ptuj, Ptuj, Slovenia
  • Mihael Majerič Department of surgery, Jože Potrč General Hospital of Ptuj, Ptuj, Slovenia
Keywords: radius fracture, ligaments, care, complications


Background: Distal radius fractures (fractura radii loco typico) are an everyday task for a surgeon that deals with injuries. Oftentimes complicated associated injuries of the ligamentous apparatus occur, which are hard to recognise and demand appropriate care. If such injuries remain unrecognised, they lead to more serious functional disorders, which is why the purpose of this report is to point out a rare and serious complication of distal radius fracture.
Case presentation: We report the case of a 20-year-old man who suffered a fracture of the radius and developed a serious associated ligamentous disorder that was discovered relatively late.
Conclusion: Ligamentous injuries associated with distal radius fractures represent a serious diagnostic challenge and, due to their consequences, also a serious clinical challenge. They are often hard to recognise and get discovered late. If the treatment shows no improvement, diagnostic images should be carefully analysed, and the physician should be well acquainted with relevant pathological conditions.


Download data is not yet available.


Walenkamp M.M.J., Gosling J.C.Beumer, A., Havarleg R., Leenhouts PA.,Verleisdonk, E.J.M.M.(2014) Surgery versus conservative treatment in patient with A type distal radius fractures, a randomized controlled trial. BMC Musculoskeletal Disorders, 15,90.

Ikpeze TC, Smith HC, Lee DJ, Elfar JC. Distal Radius Fracture Outcomes and Rehabilitation. Geriatric Orthopaedic Surgery & Rehabilitation. 2016;7(4):202-205.

Tang JB, Shi D, Gu YQ, Zhang QG. Can cast immobilization successfully treat scapholunate dissociation associated with distal radius fractures? J Hand Surg Am. 1996 Jul;21(4):583-590.

Lee DJ, Elfar JC. Carpal ligament injuries, pathomechanics, and classification. Hand clinics. 2015;31(3):389-398.

Linscheid RL, Dobyns JH. Treatment of scapholunate dissociation. Hand Clin. 1992; 8:645-52.

Taleisnik J, Malerich M, Prietto M. Palmar carpal instability secondary to dislocation of scaphoid and lunate: report of case and review of the literature. J Hand Surg 1982; 7B:606-612.

Reagan DS, Linscheld RL, Dobyns JH. Lunotriquetral sprains. J Hand Surg 1984;9A:502-514.

Panagopoulos A, Allom R, Compson J. Acute static volar intercalated segmental instability (VISI) of the wrist: A case report. J Med Diagn Meth 2013;2(3):1-3.

Shin AY, Weinstein LP, Berger RA, Bishop AT. Treatment of isolated injuries of lunotriquetral ligament. A comparison of arthrodesis, ligament reconstruction and ligament repair. J Bone Joint Surg 2001; 83B: 1023 – 1028.

Muminagic S, Kapidzic T. Wrist instability after injury. Mat Soc med 2012; 24(2):121-124.

How to Cite
Pevec T, Majerič M. Visi deformity after wrist fracture: Case report. ZdravVestn [Internet]. 18Apr.2019 [cited 17Sep.2019];88(3-4):156-60. Available from:
Case report, short scientific article