scholarly journals A Misdiagnosis of Traumatic Hypersupination of the Distal Radioulnar Joint: A Case Report

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Vipin Asopa ◽  
Robert J. Douglas ◽  
Andrew D. Saies ◽  
James S. Church
Keyword(s):  
Case Report ◽  
Anatomical Variation ◽  
Distal Radioulnar Joint ◽  
Review Of The Literature ◽  
Ulnar Styloid ◽  
Distal Ulna ◽  
Radiological Investigation ◽  
Rare Injury ◽  
Radioulnar Joint ◽  
Triangular Fibrocartilage

Traumatic hypersupination injury of the distal radioulnar joint is a rare injury, and occurs when sufficient supination force is applied to the joint so as to tear the volar radioulnar ligament, resulting in separation of the triangular fibrocartilage complex, and subluxation of the tendon of extensor carpi ulnaris. This allows the distal ulna to rotate such that the ulnar styloid comes to lie adjacent to the ulna notch of the radius. Treatment of this injury requires manipulation of the joint, under anaesthesia or sedation. We describe a case where posttraumatic radiological investigation of a patient with an anatomical variation of the wrist when in supination resembled a traumatic hypersupination injury of the distal radioulnar joint. A review of the literature has revealed this to be the first reported case of this type.

SAUVÉ-KAPANDJI PROCEDURE IN A PATIENT WITH WRIST DISARTICULATION: CASE REPORT

Hand Surgery ◽  
2014 ◽  
Vol 19 (02) ◽  
pp. 227-229
Author(s):  
Hyun Sik Gong ◽  
Myung Ki Chung ◽  
Goo Hyun Baek
Keyword(s):  
Case Report ◽  
Distal Radioulnar Joint ◽  
Forearm Rotation ◽  
Ulnar Styloid ◽  
Chronic Instability ◽  
Radioulnar Joint ◽  
Post Traumatic

The advantage of preserving the distal radioulnar joint in wrist disarticulation is that full forearm rotation is possible if the joint is intact, which improves the capability of the amputee. The Sauvé-Kapandji procedure has been performed to treat rheumatoid or post-traumatic chronic instability and/or arthritis of the distal radioulnar joint. We report a patient with wrist disarticulation that presented to us with limited supination of the wrist due to an injured distal radioulnar joint. We performed the Sauvé-Kapandji procedure, and the patient could regain functional supination of the forearm without losing the ulnar styloid flare that improved prosthetic suspension. This case suggests that the Sauvé-Kapandji procedure can be performed to maintain the advantage of wrist disarticulation even when the initial trauma involves an irreparable injury of the distal radioulnar joint.

scholarly journals Prevalence of triangular fibrocartilage complex injuries in patients with distal radius fractures: a 3.0T magnetic resonance imaging study

2019 ◽  
Vol 47 (8) ◽  
pp. 3648-3655
Author(s):  
Bingshan Yan ◽  
Zhaoning Xu ◽  
Yanchao Chen ◽  
Wangping Yin
Keyword(s):  
Distal Radius ◽  
Distal Radioulnar Joint ◽  
Distal Radius Fractures ◽  
Resonance Imaging ◽  
Radius Fractures ◽  
Ulnar Styloid ◽  
Radioulnar Joint ◽  
Ulnar Styloid Fracture ◽  
Triangular Fibrocartilage ◽  
3.0T Mri

Objective This study was performed to determine the prevalence of triangular fibrocartilage complex (TFCC) injuries as shown by 3.0T magnetic resonance imaging (MRI) in patients with distal radius fractures. Methods In total, 57 patients with distal radius fractures underwent 3.0T MRI examinations to observe the incidence of TFCC injuries after manual reduction and cast fixation. The fracture type was categorized by the AO classification, and the TFCC injury pattern was evaluated using the Palmer classification. The correlation between the location of the TFCC injury and the distal radius fracture pattern, distal radioulnar joint instability, or ulnar styloid fracture was analyzed. Results Fifty-five TFCC injuries were diagnosed. There was no significant relationship between the TFCC injury pattern and the type of distal radius fracture, distal radioulnar joint instability, or ulnar styloid fracture. Conclusions This study revealed a high prevalence of TFCC injuries in patients with distal radius fractures. The 3.0T MRI examination helps to assess TFCC injuries in patients with distal radius fractures. Clinical Trial Registration ChiCTR1800017101.

scholarly journals Distal radioulnar joint prosthesis for the treatment of giant cell tumor of the distal ulna: a case report and literature review

2011 ◽  
Vol 6 (2) ◽  
pp. 103-106 ◽  
Author(s):  
Isidre Gracia ◽  
Ignacio R. Proubasta ◽  
Laura Trullols ◽  
Ana Peiró ◽  
Esther Moya ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Giant Cell Tumor ◽  
Giant Cell ◽  
Distal Radioulnar Joint ◽  
Cell Tumor ◽  
Joint Prosthesis ◽  
Distal Ulna ◽  
Radioulnar Joint

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.

ACUTE PLASTIC BOWING OF THE RADIUS WITH A DISTAL RADIOULNAR JOINT INJURY: A CASE REPORT

Hand Surgery ◽  
2010 ◽  
Vol 15 (03) ◽  
pp. 217-220 ◽  
Author(s):  
Masashi Uehara ◽  
Hiroshi Yamazaki ◽  
Hiroyuki Kato
Keyword(s):  
Case Report ◽  
Internal Fixation ◽  
Radial Head ◽  
Rare Case ◽  
Distal Radioulnar Joint ◽  
Ulnar Styloid ◽  
Joint Injury ◽  
Radioulnar Joint ◽  
Joint Injuries ◽  
Macroscopic Fracture

Acute plastic bowing is an incomplete fracture with a deformation that shows no obvious macroscopic fracture line or cortical discontinuity. Although cases of acute plastic bowing of the ulna with a dislocation of the radial head have been previously reported, we present here a rare case of acute plastic bowing of the radius with a distal radioulnar joint injury in a 16-year-old boy. Internal fixation of the detached fragment to the ulnar styloid and repair of the triangular fibrocartilagenous complex resulted in the disappearance of wrist pain. In cases of distal radioulnar joint injuries in children or adolescents, radiographs of the entire forearm should be taken to evaluate the existence of radial bowing.

Surgical treatment of acute distal radioulnar joint instability associated with distal radius fractures

2015 ◽  
Vol 40 (8) ◽  
pp. 783-789 ◽  
Author(s):  
H. S. Gong ◽  
H. E. Cho ◽  
J. Kim ◽  
M. B. Kim ◽  
Y. H. Lee ◽  
...  
Keyword(s):  
Distal Radius ◽  
Joint Instability ◽  
Surgical Repair ◽  
Early Mobilization ◽  
Distal Radioulnar Joint ◽  
Volar Plating ◽  
Radius Fractures ◽  
Ulnar Styloid ◽  
Radioulnar Joint ◽  
Triangular Fibrocartilage

This study investigates the question of whether open repair of acute distal radioulnar joint instability at the time of volar plating of distal radius fractures would enable early mobilization of the wrist without the risk of distal radioulnar joint instability. We evaluated 29 patients of mean age 53 years with a distal radius fracture and acute distal radioulnar joint instability who underwent volar plating of the radius combined with surgical repair of the triangular fibrocartilage complex or an ulnar styloid base fracture, followed by active motion exercise of the wrist at 1 week after surgery. At 1 year after treatment, all patients had a stable distal radioulnar joint and grip strength averaged 90% of the normal side. This study demonstrates that surgical repair of the triangular fibrocartilage complex or ulnar styloid fracture followed by early mobilization did not result in distal radioulnar joint instability, and suggests that the surgical treatment of distal radioulnar joint instability may permit early mobilization of the wrist in patients who are considered suitable for rapid rehabilitation after surgery. Type of study: Therapeutic Level IV

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.

scholarly journals Distal radioulnar joint arthroplasty after primary excision of a giant cell tumor of distal ulna: A case report

2020 ◽  
Vol 2 (2) ◽  
pp. 28-32
Author(s):  
Rui Viegas ◽  
Pedro Amaro ◽  
José Nuno Ferreira ◽  
José Caldeira ◽  
Pedro Falcão ◽  
...  
Keyword(s):  
Case Report ◽  
Giant Cell Tumor ◽  
Giant Cell ◽  
Distal Radioulnar Joint ◽  
Joint Arthroplasty ◽  
Cell Tumor ◽  
Distal Ulna ◽  
Radioulnar Joint
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