Arthroscopic resection of an osteochondral loose body in the distal radioulnar joint: A case report

Yano, Koichi; Kaneshiro, Yasunori; Sakanaka, Hideki

doi:10.1016/j.aott.2018.05.001

Cited by 2 publications

(3 citation statements)

References 16 publications

(17 reference statements)

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“…Locking of the distal radioulnar joint (DRUJ) causes restriction of active and passive pronation or supination of the forearm. It is relatively rare and has been described in only a few studies that have reported the causes to be loose bodies arising from synovial osteochondromatosis (De Smet and Van Wetter, 1987; Koh et al., 2003; Ono et al., 1994; Slesarenko et al., 2004; Yano et al., 2018) or interposition of the extensor carpi ulnaris (ECU) tendon (Araki et al., 1994).…”

Section: Introductionmentioning

confidence: 99%

Acute blocking of forearm supination secondary to tearing of the triangular fibrocartilage complex

Suzuki

Nakamura

Tanino³

et al. 2020

J Hand Surg Eur Vol

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We studied the characteristics of acute blocking of supination of the distal radioulnar joint caused by triangular fibrocartilage complex injuries. Twenty-four patients who were treated for acute blocking of supination were retrospectively assessed. Supination was suddenly blocked after minor trauma to the wrist. Active and passive supination was severely restricted with a mean preoperative range of motion (11°), whereas pronation was almost normal. The cause was identified arthroscopically or at open operation. It was found to be a result of avulsion of the dorsal or palmar portion of the radioulnar ligament, which blocked movement of the ulnar head. Blocking was reduced manually in four cases, by arthroscopic surgery in eight cases and by open surgery in 12 cases. After treatment, forearm supination improved to 84° of the mean range of motion. Distal radioulnar joint blocking from a ruptured triangular fibrocartilage complex should be considered in the differential diagnosis of loss of forearm supination. Level of evidence: IV

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Section: Introductionmentioning

confidence: 99%

Acute blocking of forearm supination secondary to tearing of the triangular fibrocartilage complex

Suzuki

Nakamura

Tanino³

et al. 2020

J Hand Surg Eur Vol

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“…The radiographs of the elbow demonstrated a fracture of the humeral medial epicondyle and fracture around the radial head (►Fig. 1). It is unclear whether there was pain at the wrist at the time of injury.…”

Section: Case Reportmentioning

confidence: 99%

“…It is relatively rare; only a few case reports of locking of the DRUJ have been published. [1][2][3][4][5][6][7] Previously reported causes of DRUJ blocking include: loose bodies such as synovial osteochondromatosis, [1][2][3][4][5] interposition of the extensor carpi ulnaris tendon, 6 or the volar portion of the triangular fibrocartilage complex (TFCC) tear. 7 Bipolar injury of the forearm involves bone and soft tissue injuries to the wrist, forearm, or elbow.…”

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confidence: 99%

Distal Radioulnar Joint Locking with Bipolar Injury

et al. 2022

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Background Locking of the distal radioulnar joint (DRUJ) induces restriction of the active and passive motion of pronation or supination of the forearm. Diagnosis of DRUJ locking due to a triangular fibrocartilage complex (TFCC) tear is sometimes difficult. Case Description A 15-year-old female suffered from restriction of forearm supination after cast immobilization for the treatment of an elbow injury. The active and passive range of motion (ROM) of supination was 30 degrees, while the active ROM of pronation was normal. Radiographs of the elbow showed a fracture of the medial epicondyle and a fracture around the radial head. Radiographs of the wrist showed a subluxation of the ulnar head. Accurate diagnosis of supination restriction was difficult before surgery, so an operation was performed for the diagnosis and treatment. DRUJ locking was reduced manually and arthroscopic findings showed central perforation of the TFCC. Forearm supination improved to 90 degrees postoperatively. Literature Review DRUJ locking due to a TFCC injury is rare and this condition with bipolar injury has not been reported. Clinical Relevance DRUJ locking due to an injured TFCC should be considered as one of the differential diagnoses of supination contracture.

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Arthroscopic resection of an osteochondral loose body in the distal radioulnar joint: A case report

Cited by 2 publications

References 16 publications

Acute blocking of forearm supination secondary to tearing of the triangular fibrocartilage complex

Acute blocking of forearm supination secondary to tearing of the triangular fibrocartilage complex

Distal Radioulnar Joint Locking with Bipolar Injury

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