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DOI: 10.1055/s-0039-1698789
Chronic Distal Radioulnar Joint Dislocation: A Case Report
Luxacion Cronica de la Articulacion Radiocubital Distal: Relato de un CasoPublication History
14 October 2018
05 August 2019
Publication Date:
19 November 2019 (online)
![](https://www.thieme-connect.de/media/10.1055-s-00033287/201902/lookinside/thumbnails/10-1055-s-0039-1698789_1800026-1.jpg)
Abstract
Dislocation of the distal radioulnar joint (DRUJ) usually occurs associated with a distal radius fracture. An isolated dislocation, without a radius fracture, is a rare situation.
We present a case of neglected isolated DRUJ dislocation in a 30-year-old manual laborer. The treatment was performed 4 months after the initial injury. Open reduction and fixation were performed. This resulted in a stable, pain-free joint, and the patient resumed his previous work.
Surgical techniques of foveal reattachment and dorsal capsuloplasty have been described for chronic DRUJ instability. An isolated and dislocated DRUJ is an uncommon injury that may be misdiagnosed and initially mistreated. There haven't been many reports in the literature of a case such as this.
Resumen
La luxacion de la articulación radiocubital distal sucede generalmente asociada con una fractura del radio distal. Una luxación aislada, sin fractura del radio, es una situación rara.
Presentamos un caso de una luxación aislada non diagnosticada en un trabajador manual. El tratamiento se realizó 4 meses después de la lesión inicial. Reducción abierta e fijación fueron realizados. Esto resulto en una articulación estable, sin dolor e lo paciente ha regresado a su trabajo previo.
Las técnicas quirúrgicas de fijación en la fóvea e capsuloplastia dorsal fueran descritas para la instabilidad de la articulación radiocubital distal. Una luxación aislada de la articulación radiocubital distal es una lesión infrecuente e puede ser mal diagnosticada e mal tratada inicialmente. No hay muchos casos como este publicados en la literatura.
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References
- 1 Distal Radioulnar Joint Instability. In: Green DP, Wolfe SW. Green's operative hand surgery. Philadelphia: Elsevier/Churchill Livingstone; 2011: 523
- 2 Szabo RM. Distal radioulnar joint instability. J Bone Joint Surg Am 2006; 88 (04) 884-894
- 3 Garcia-Elias M, Smith DE, Llusá M. Surgical approach to the triangular fibrocartilage complex. Tech Hand Up Extrem Surg 2003; 7 (04) 134-140
- 4 Garrigues GE, Aldridge III JM. Acute irreducible distal radioulnar joint dislocation. A case report. J Bone Joint Surg Am 2007; 89 (07) 1594-1597
- 5 Ellanti P, Grieve PP. Acute irreducible isolated anterior distal radioulnar joint dislocation. J Hand Surg Eur Vol 2012; 37 (01) 72-75
- 6 Rijal L, Sagar G, Ansari T, Joshi A, Joshi KN. Isolated volar dislocation of distal radioulnar joint: rarely occurring, commonly missed. Eur Orthop Traumatol 2012; 3 (02) 151-154
- 7 Acar E. Surgical treatment of isolated acute dislocation of the distal radioulnar joint without fracture: Case reports of dorsal and volar dislocations. Hand Microsurg 2017; 6: 154-160