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.

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 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.

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 Traumatic recurrent distal radioulnar joint dislocation: a case report

2009 ◽  
Vol 4 (3) ◽  
pp. 141-143 ◽  
Author(s):  
Sander Wassink ◽  
Lukas A. Lisowski ◽  
Bernard G. Schutte
Keyword(s):  
Case Report ◽  
Distal Radioulnar Joint ◽  
Joint Dislocation ◽  
Radioulnar Joint

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

Bizarre Parosteal Osteochondromatous Proliferation (Nora's Lesion) of the Sesamoid: a Case Report

2000 ◽  
Vol 21 (5) ◽  
pp. 408-412 ◽  
Author(s):  
J.A. Harty ◽  
P. Kelly ◽  
D. Niall ◽  
J.C. O'Keane ◽  
M.M. Stephens
Keyword(s):  
Case Report ◽  
Magnetic Resonance ◽  
Metatarsophalangeal Joint ◽  
Magnetic Resonance Images ◽  
Parosteal Osteosarcoma ◽  
Bizarre Parosteal Osteochondromatous Proliferation ◽  
First Metatarsophalangeal Joint ◽  
Histological Features ◽  
Nora’S Lesion ◽  
Plantar Aspect

We report the a case of Nora's lesion (Bizarre Parosteal Osteochondromatous Proliferation) of the sesamoid. A 32-year-old woman presented with a painless, enlarging mass of two years duration on the plantar aspect of the first metatarsophalangeal joint of the left foot. Radiographs, Computerized Tomographs and Magnetic Resonance images, initially suggested a parosteal osteosarcoma arising from the tibial sesamoid. The mass was excised, and a histological diagnosis of Bizarre Parosteal Osteochondromatous Proliferation of bone (Nora's lesion) was made. The aggressive growth of this lesion may suggest a neoplasm clinically. Histological features, however, are those of a reactive lesion.

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