Simultaneous dislocation of the proximal and distal radioulnar joints

Rafee, A.; Rajasekhar, C.; Shah, Suraj

doi:10.1016/j.injury.2005.12.011

Cited by 3 publications

(3 citation statements)

References 13 publications

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“…Current reports include no description of fractures other than the radioulnar joint dislocation. [2,4,5] During adolescence, tendons, ligaments, and joint capsules are two to ve times stronger than epiphyses plates. [6] Therefore, when radioulnar joint dislocations occur in children, their forearms are extremely pronated or supinated, injuries to the epiphyseal plate" are possible because the tendons, ligaments, and joint capsules are stronger than the epiphyseal plates.…”

Section: Discussionmentioning

confidence: 99%

The First Case of Forearm Crisscross Injury in Children: A Rare Case Report

Jiang¹,

Peng²,

Qu³

et al. 2020

Preprint

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BackgroundForearm crisscross injury is rare in children; there is no relevant literature so far. Surgeons lack experience and knowledge in treating this type of crisscross injury. We report a case of forearm crisscross injury in a child for the first time analyze its mechanism, and use minimally invasive treatment to obtain good therapeutic effects.Case presentationAn 8-year-old boy experienced pain in his left forearm when he accidentally fell while skateboarding. Physical examination revealed swelling and deformity of the left forearm. We performed imaging and results revealed left radial head dislocation, left distal radial epiphyseal separation from the shaft, and interruption of the continuity of the dorsal cortex of the left distal ulna. X-ray films of the anteroposterior and lateral positions showed that the radius and ulna were crisscrossed. Diagnosis included superior radioulnar joint dislocation, left distal radial epiphyseal injury, and left distal ulnar fracture. After unsuccessful manual reduction, we adopted a minimally invasive procedure and succeeded. After a 14-week follow-up, the patient had good left upper limb function, no complaints of pain and limited range of motion, and good follow-up results.ConclusionsThis is the first report of a child with a forearm crisscross injury in which the mechanism, as well as the differences from an adult crisscross injury were analyzed. Minimally invasive surgery with intramedullary fixation achieved a good therapeutic effect. Simultaneously, it provides a reference for the treatment of similar patients in the future.

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Section: Discussionmentioning

confidence: 99%

The First Case of Forearm Crisscross Injury in Children: A Rare Case Report

Jiang¹,

Peng²,

Qu³

et al. 2020

Preprint

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“…Essex-Lopresti first described the unhappy triad of radial head fracture, acute DRUJ dislocation and tear of the IOM in 1951 [3] and since then several variants have been described, with or without radial head fracture [4, 5]. …”

Section: Discussionmentioning

confidence: 99%

The sequelae of a missed Essex-Lopresti lesion

Thomason

Burkhart

Wegmann

et al. 2013

Strategies in Trauma and Limb Reconstruction

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Radial head fractures are the most common type of elbow fracture in adults. Unrecognised disruption of the intraosseous membrane at the time of injury can lead to severe wrist pain from proximal radial migration especially if the radial head is excised. In this case, despite anatomical reduction and internal fixation of the radial head fracture, longitudinal forearm instability developed after delayed radial head resection was performed 7 months post-injury. A Suave-Kapandji procedure was performed due to ongoing wrist pain. Because of the previous radial head resection, this led to a floating forearm that could only be solved by creating a one-bone forearm, sacrificing all forearm rotation to achieve a stable lever arm between the elbow and wrist joint.

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“…The annular ligament primarily stabilizes the proximal radioulnar joint . For most lateral elbow dislocations, the proximal radioulnar joint remains stable and the annular ligament remains intact . Therefore, the annular ligament deficient condition was not investigated in this study.…”

mentioning

confidence: 99%

Lateral collateral ligament deficiency of the elbow joint: A modeling approach

Rahman

Çil

Bogener

et al. 2016

Journal Orthopaedic Research

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A computational model capable of predicting the effects of lateral collateral ligament deficiency of the elbow joint would be a valuable tool for surgical planning and prediction of the long-term consequences of ligament deficiency. The purpose of this study was to simulate lateral collateral ligament deficiency during passive flexion using a computational multibody elbow joint model and investigate the effects of ligament insufficiency on the kinematics, ligament loads, and articular contact characteristics (area, pressure). The elbow was placed initially at approximately 20° of flexion and a 345 mm vertical downward motion profile was applied over 40 s to the humerus head. The vertical displacement induced flexion from the initial position to a maximum flexion angle of 135°. The study included simulations for intact, radial collateral ligament deficient, lateral ulnar collateral ligament deficient, and combined radial and lateral ulnar collateral ligament deficient elbow. For each condition, relative bone kinematics, contact pressure, contact area, and intact ligament forces were predicted. Intact and isolated radial collateral ligament deficient elbow simulations were almost identical for all observed outcomes. Minor differences in kinematics, contact area and pressure were observed for the isolated lateral ulnar collateral ligament deficient elbow compared to the intact elbow, but no elbow dislocation was detected. However, sectioning both ligaments together induced substantial differences in kinematics, contact area, and contact pressure, and caused complete dislocation of the elbow joint. © 2016 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 34:1645-1655, 2016.

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Simultaneous dislocation of the proximal and distal radioulnar joints

Cited by 3 publications

References 13 publications

The First Case of Forearm Crisscross Injury in Children: A Rare Case Report

The First Case of Forearm Crisscross Injury in Children: A Rare Case Report

The sequelae of a missed Essex-Lopresti lesion

Lateral collateral ligament deficiency of the elbow joint: A modeling approach

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