Radiocarpal fracture-dislocation is an uncommon but complex injury that is
often the result of high energy trauma. The combination of ligamentous and
osseous injuries demands meticulous attention to restoration of anatomy, es
pecially of the radial styloid. Open reduction and internal fixation is oft
en necessary to restore the relationship of the end of the radius to the ca
rpus and distal ulna. We present a retrospective review of 12 patients trea
ted over a 10-year period and review the literature.