Sigmoid notch reconstruction using osteoarticular graft in a severely comminuted distal radius fracture: a case report

J Hand Surg Am. 2002 Jul;27(4):729-34. doi: 10.1053/jhsu.2002.34316.


A case of a young patient with a severely comminuted intra-articular distal radius fracture dislocation and severe injury of the distal radioulnar joint is presented. Early reconstruction of the sigmoid notch and radioulnar ligaments was performed using the remaining scaphoid facet of the distal radius articular surface, an autogenous tendon graft for ligament reconstruction, and radioscapholunate arthrodesis. The patient was able to return to his manual work without limitations. We present additional information on the comparative anatomy of the sigmoid notch and scaphoid facet that may guide surgeons in treating this severe injury.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Carpal Bones / surgery*
  • Fractures, Comminuted / diagnostic imaging
  • Fractures, Comminuted / surgery*
  • Humans
  • Joint Instability / etiology
  • Joint Instability / surgery
  • Ligaments, Articular / surgery*
  • Male
  • Plastic Surgery Procedures
  • Radiography
  • Radius Fractures / diagnostic imaging
  • Radius Fractures / surgery*