VAUGHAN JACKSON SYNDROME DUE TO DISTAL RADIOULNAR JOINT OSTEOARTHRITIS: A CASE REPORT

2021 ◽  
pp. 2150014
Author(s):  
Alaa A. Dawood ◽  
Hayder M. Mahmood
Keyword(s):  
Rheumatoid Arthritis ◽  
Case Report ◽  
Tendon Transfer ◽  
Distal Radioulnar Joint ◽  
Wrist Pain ◽  
Common Complication ◽  
Radioulnar Joint ◽  
Extensor Tendons ◽  
Ulnar Head

Spontaneous extensor tendons rupture (Vaughan Jackson syndrome) is a common complication of rheumatoid arthritis, but it is also reported sporadically with non-rheumatoid osteoarthritis of the distal radioulnar joint (DRUJ). We described a case of 45 years old female who lost her ability to extend the little, ring and middle fingers sequentially after months of wrist pain and limitation of movement due to osteoarthritis of DRUJ. The condition was treated surgically by tendon transfer and ulnar head excision. The patient did well after surgery.

scholarly journals A Case Report of Volar Dislocation of Ulnar Head: A Very Rare Wrist Injury Easy to Overlook and Easy to Diagnose

2021 ◽  
Vol 11 (7) ◽  
Author(s):  
Ozcan Kaya ◽  
Okan Ozkunt ◽  
Irem Kurt
Keyword(s):  
Case Report ◽  
Magnetic Resonance ◽  
Physical Examination ◽  
Outpatient Service ◽  
Distal Radioulnar Joint ◽  
Magnetic Resonance Images ◽  
Wrist Pain ◽  
Wrist Injury ◽  
Forearm Rotation ◽  
Radioulnar Joint

Introduction: Ulnar volar dislocation (UVD) is a very rare entity. Due to rarity of condition, usually, it’s misdiagnosed at emergency departments and management of this clinical entity is not well studied. Here, we report a case of UVD impressing diagnostic challenge, indication of treatment, and follow-up. Case Report: A 29-year-old man presented to orthopedic outpatient service with complaining of the right wrist pain. He had an assault history 3 days before. In the emergency department, he had been diagnosed as wrist sprain. Splint and pain killers were prescribed. Due to increase of pain, he admitted to orthopedics. He was diagnosed UVD. Under general anesthesia, joint was reduced with forced pronation maneuver. After 3 weeks immobilization period, magnetic resonance images revealed partial injury of triangular fibrocartilage complex then splint removed and rehabilitation initiated. Over than 24 months, he is doing well without movement limitation and wrist strength impairment. Conclusion: For prevention misdiagnosis of UVD, physical examination is very important. Forearm rotation limitation with pain in the wrist should be indicative for distal radioulnar joint injury. Physical examination should be supported with proper evaluation of suitable radiographs. After reduction of joint, magnetic resonance images give clues about ligamentous injury. Our case supports the importance of rigorous physical examination and evaluation of radiographs for wrist injury. In the presence of partial injury of ligaments, the condition can be treated with shorter periods of immobilization and early rehabilitation. Keywords: Wrist pain, ulnar volar dislocation, distal radioulnar joint, forearm rotation.

MODIFIED MATCHED ULNAR RESECTION FOR ARTHROSIS OF DISTAL RADIOULNAR JOINT IN RHEUMATOID ARTHRITIS

Hand Surgery ◽  
2006 ◽  
Vol 11 (01n02) ◽  
pp. 15-19 ◽  
Author(s):  
K. N. Srikanth ◽  
S. A. Shahane ◽  
J. H. Stilwell
Keyword(s):  
Rheumatoid Arthritis ◽  
Retrospective Study ◽  
Pain Relief ◽  
Distal Radius ◽  
Distal Radioulnar Joint ◽  
Rheumatoid Patient ◽  
Radioulnar Joint ◽  
Ulnar Head

The pain of distal radioulnar arthrosis in rheumatoid patients is often due to disease largely confined to the radioulnar rather than the ulnocarpal articulation. This is a retrospective study of 14 patients (14 wrists) who underwent selective shaving of the radial articulation of the ulnar head leaving the ulnocarpal articulation intact. The ulnar head is reduced to the circumference of its shaft and a dorsal retinacular flap is interposed between it and the distal radius. Average age of the patients and follow-up were 63.5 years and 31 months, respectively. All patients had rheumatoid arthritis. Pain improved in 14 out of 15 wrists. Overall results were 67% good to excellent and 33% fair based on the modified Mayo's wrist score. This novel procedure for DRUJ arthrosis produces predictable pain relief in low demand rheumatoid patient.

scholarly journals SAUVE - KAPANDJI PROCEDURE FOR MALUNITED DISTAL RADIUS FRACTURE: A CASE REPORT

2015 ◽  
Vol 05 (02) ◽  
pp. 061-062
Author(s):  
Sanath Kumar Shetty ◽  
Joseph John ◽  
Lawrence John Mathias ◽  
H Ravindranath Rai
Keyword(s):  
Case Report ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Distal Radioulnar Joint ◽  
Wrist Pain ◽  
Radius Fracture ◽  
Wrist Motion ◽  
Radioulnar Joint ◽  
Triangular Fibrocartilage ◽  
The Right

AbstractDistal radioulnar joint disorders are a frequent cause of wrist pain and instability. The etiology include displaced fractures or malunions of the distal radius and tears of the triangular fibrocartilage complex with DRUJ instability.A 47 year old gentleman presented to us with complaints of pain and deformity of the right wrist of one and half years duration. Radiographs revealed a malunited distal radius fracture.He underwent Sauve Kapandji procedure. Follow ups were done at periodic intervals and wrist physiotherapy was instituted. He had acceptable wrist motion at six weeks.

IRREDUCIBLE CHRONIC PALMAR DISLOCATION OF THE DISTAL RADIOULNAR JOINT – A CASE REPORT

Hand Surgery ◽  
2005 ◽  
Vol 10 (02n03) ◽  
pp. 319-322 ◽  
Author(s):  
Y. Kikuchi ◽  
T. Nakamura ◽  
Y. Horiuchi
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Distal Radioulnar Joint ◽  
Dynamic Force ◽  
Ulnar Styloid ◽  
Pronator Quadratus ◽  
Radioulnar Joint ◽  
Ulnar Head ◽  
The Stability ◽  
Pronator Quadratus Muscle

We report a rare case of irreducible chronic palmar dislocation of the distal radioulnar joint (DRUJ). This case showed that the dislocated ulnar head was impacted to the palmar cortex of the radius probably due to the dynamic force of the pronator quadratus muscle. Re-attachment of the ulnar styloid and partial resection of the ulnar head were necessary to make the reduction of the DRUJ possible. The continuity of the radioulnar ligament to the ulnar head was restored and the stability of DRUJ was maintained after reduction.

ARTHROSCOPIC VISUALISATION OF THE DISTAL RADIOULNAR JOINT

Hand Surgery ◽  
2008 ◽  
Vol 13 (03) ◽  
pp. 133-138 ◽  
Author(s):  
Michiro Yamamoto ◽  
Shukuki Koh ◽  
Masahiro Tatebe ◽  
Takaaki Shinohara ◽  
Kaori Shionoya ◽  
...  
Keyword(s):  
Distal Radioulnar Joint ◽  
Wrist Pain ◽  
Wrist Arthroscopy ◽  
Pathological Findings ◽  
Success Rates ◽  
Radioulnar Joint ◽  
Proximal Surface ◽  
Ulnar Head ◽  
Triangular Fibrocartilage ◽  
Chronic Wrist Pain

The diagnosis of chronic wrist pain is challenging and wrist arthroscopy has been recognised as the "gold standard". The present study investigated the efficacy of adding distal radioulnar joint (DRUJ) arthroscopy to routine wrist arthroscopy. The records of 67 patients who underwent DRUJ arthroscopy were reviewed, and the success rates for visualisation of intra-articular structures were determined. Pathological findings were correlated with ulnar-side wrist pain. In seven patients, pre-operative diagnoses were altered after DRUJ arthroscopy. The ulnar head and proximal surface of the triangular fibrocartilage complex (TFCC) were visualised in 100% and 99% of patients, respectively, while the foveal insertion of TFCC and sigmoid notch were visualised in 57% and 69%, respectively. Pathological findings of the proximal surface of TFCC tended to relate to ulnar wrist pain (p = 0.06). DRUJ arthroscopy should be included in routine wrist arthroscopy to enhance the accuracy of diagnosis.

REMODELING OF DISTAL ULNA AFTER EXCISION ARTHROPLASTY FOR ACUTE COMMINUTED DISTAL ULNAR FRACTURE: A CASE REPORT

Hand Surgery ◽  
2011 ◽  
Vol 16 (03) ◽  
pp. 327-333
Author(s):  
Chun-Ying Cheng
Keyword(s):  
Case Report ◽  
Distal Radioulnar Joint ◽  
Bone Adaptation ◽  
Distal Ulna ◽  
Radioulnar Joint ◽  
Ulna Fracture ◽  
Ulnar Head ◽  
Ulnar Fracture ◽  
The Stability ◽  
Excision Arthroplasty

Bone adaptation after excision arthroplasty of distal radioulnar joint in an acute traumatic distal ulna fracture has never been reported. A case of irreparable and comminuted distal ulnar head fracture was managed by excising the ulna head and repairing the fovea (deep ligament) attachments of distal radioulnar ligaments, and then an unexpected remodeling of the distal ulna with the shape of pole and seat was noted. The anatomy of deep fibers of distal radioulnar ligament is important not only in biomechanics about the stability of distal radioulnar joint but it is also possible in the morphology about the shape of the distal radioulnar joint.

Modified Sauve-Kapandji Procedure for Disorders of the Distal Radioulnar Joint in Patients with Rheumatoid Arthritis

2006 ◽  
Vol os-88 (1_suppl_1) ◽  
pp. 24-28 ◽  
Author(s):  
S. Fujita ◽  
K. Masada ◽  
E. Takeuchi ◽  
M. Yasuda ◽  
Y. Komatsubara ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Distal Radioulnar Joint ◽  
Radioulnar Joint
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