Isolated dorsal dislocation of the distal radioulnar joint: A case report

Abstract

Isolated distal radioulnar joint (DRUJ) dislocation is a rare injury. Reports of isolated DRUJ luxations, volar or dorsal, are often case reports and rarely a series of cases. We present a case of an isolated acute dorsal dislocation of the distal radioulnar joint in a 25-year-old man. The patient underwent closed reduction and a transcutaneous radioulnar pinning was done followed by cast immobilization in neutral rotation during 6 weeks. After six months follow -up, the functional result was satisfactory, patient experienced no pain and had no restrictions in work or sports-related activities.

Mini-invasive Indirect Distraction in the Treatment of Neglected DRUJ Dislocations—A Novel Surgical Technique

“…Patients present in the emergency room with pain at the wrist joint, loss of forearm rotation with the forearm locked in hyperpronation or hypersupination, increased soft tissue tension, and possible median nerve irritation. 5 6 Fixed rotation is the primary clinical sign ( Fig. 4 ).…”

Case report: Isolated acute dorsal distal radioulnar joint (DRUJ) dislocation

“…The stability of the joint is mainly enhanced by the triangular fibrocartilaginous complex (TFCC) which consists of: the triangular fibrocartilage (TFC), the ulnocarpal meniscus (meniscus homolog), the ulnar collateral ligament, the dorsal radioulnar ligament, the palmar radioulnar ligament, and the subsheath of the extensor carpi ulnaris (ECU) [1] .…”

“…High index of clinical suspicion is crucial for diagnosis and proper management. If left untreated, DRUJ dislocation can result in secondary instability and disability of the joint [1] . We present a case of an isolated traumatic right distal radio-ulnar joint dislocation in a 41-year old male who was managed with a closed reduction and k-wire stabilization.…”

Optimizing the Orientation of a Suture Button to Stabilize the Distal Radioulnar Joint in a Sawbones Model

“…11,12 Immobilization with or without percutaneous pinning may be used in conjunction with any of these procedures or in isolation. 6,13,14 Although immobilization can lead to excellent functional outcomes, patients often have a reduced total rotational arc of motion. 15 Using a suture button to reconstruct the DRUJ has been shown to stabilize the DRUJ and mimic natural pronosupination in cadaveric studies 16 and several case reports.…”

“… 11 , 12 Immobilization with or without percutaneous pinning may be used in conjunction with any of these procedures or in isolation. 6 , 13 , 14 Although immobilization can lead to excellent functional outcomes, patients often have a reduced total rotational arc of motion. 15 …”