Simultaneous dislocation of the radial head and distal radio-ulnar joint. A case report

Verettas, D-A.J.; Drosos, Georgios I.; Xarchas, Konstantinos C.; Chatzipapas, Christos; Staikos, Christos

doi:10.7150/ijms.5.292

Cited by 8 publications

(9 citation statements)

References 9 publications

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“…Verettas (2008) [2] presented the second case of simultaneous dislocation of radial head and distal radioulnar joint without any injury.…”

Section: Discussionmentioning

confidence: 99%

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Simultaneous Dislocation of Radiocapitellar and Distal Radioulnar Joint

Nishi¹,

Suzuki²,

Tani³

et al. 2013

Case Reports in Orthopedics

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A 45-year-old male presented to the emergency room of our institution complaining of severe pain around the left elbow. While playing volleyball, he slipped down with his left arm hit between the floor and his body. He complaind of strong pain from left elbow to hand, and active motion of elbow and wrist joint was impossible. His forearm was held in supinated position. On X-ray examination, radius head was deviated to anterior lateral side, and distal end of radius was dislocated to dorsal side. Tenderness was prominent at the site of radial head and distal radioulnar joint. Surgical treatment was performed using triceps tendon strip. Good functional recovery was gained.

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“…Verettas (2008) [2] presented the second case of simultaneous dislocation of radial head and distal radioulnar joint without any injury.…”

Section: Discussionmentioning

confidence: 99%

“…Simultaneous dislocation of radius head and distal end of ulna without other injuries are very few [2]. We experienced a case of simultaneous dislocation of proximal and distal ends of radius without fracture.…”

Section: Introductionmentioning

confidence: 99%

Simultaneous Dislocation of Radiocapitellar and Distal Radioulnar Joint

Nishi¹,

Suzuki²,

Tani³

et al. 2013

Case Reports in Orthopedics

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“…2 Two others involved double volar dislocations of the proximal and distal radio-ulnar joints, and a criss-cross injury mechanism was proposed, with the interosseous membrane acting as a pivot between the 2 forearm bones. 3,4 In the current case, the radial head displaced anterolaterally and the ulnar head displaced dorsally. Continued hyperpronation may have been the main force to dislocate the proximal and distal radio-ulnar joints.…”

Section: Discussionmentioning

confidence: 99%

“…Four cases of simultaneous dislocation of the proximal and distal radio-ulnar joints have been reported. [1][2][3][4] One was a dislocation of the radial head and distal radio-ulnar joint associated with complete elbow dislocation. 1 Another was a 12-year-old injury, with instability of the elbow and wrist joints (injury mechanism was not described).…”

Section: Discussionmentioning

confidence: 99%

Simultaneous Dislocation of Proximal and Distal Radio-Ulnar Joints: A Case Report

Wong

Rama

Kumar

2013

J Orthop Surg (Hong Kong)

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“…Simultaneous dislocation of the radial head and distal radio-ulnar joint without fracture in an adult patient is rarely reported in previous studies with only 7 documented cases [1][2][3][4][5][6][7]. The typical radiographic changes involve volar dislocation of the radial head and dorsal dislocation of the distal radius, forming a criss-cross appearance of the ulna and radius on the lateral radiograph [1].…”

Section: Introductionmentioning

confidence: 99%

Simultaneous dislocation of the radial head and distal radio-ulnar joint without fracture in an adult patient: a case report and review of literature

et al. 2020

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Background: Simultaneous dislocation of the radial head and distal radio-ulnar joint without fracture (Criss-Cross Injury) in an adult patient is rarely reported in previous studies. The pathological changes and injury patterns have not been clearly demonstrated. Case presentation: A 26-year-old woman presented with acute pain of the right wrist and elbow after a fall from cycling. Physical examination revealed an unstable elbow and wrist joint. Plain radiographs showed volar dislocation of the radial head and dorsal dislocation of the distal radius without associated fracture, forming a crisscross appearance of the ulna and radius on the lateral radiograph. MRI images confirmed partial rupture of the proximal interosseous membrane from its dorsal attachment on the radius, as well as partial rupture of the medial collateral ligament. Conservative treatment failed because the radiocapitellar joint and distal radio-ulnar joint could not be simultaneously reduced. Surgical exploration revealed a highly unstable radial head, but the annular ligament was found to be intact. Manual force was applied to reduce the radial head and a percutaneous K-wire was used to stabilize the proximal radioulnar joint with the forearm in full supination. After surgery, the elbow was immobilized in 90°flexion by a long arm cast for 4 weeks. The K-wire was removed at 6 weeks postoperatively. At 18 months postoperatively, the patient had regained a full range of flexion and extension, with normal supination and a slight limitation in pronation. Conclusions: The proximal IOM, especially the dorsal band, was injured in Criss-Cross injuries, while the central part of the IOM remained intact. This injury pattern distinguished itself from Essex-Lopresti injury, which mainly involves rupture of the central band of the IOM.

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Simultaneous dislocation of the radial head and distal radio-ulnar joint. A case report

Cited by 8 publications

References 9 publications

Simultaneous Dislocation of Radiocapitellar and Distal Radioulnar Joint

Simultaneous Dislocation of Radiocapitellar and Distal Radioulnar Joint

Simultaneous Dislocation of Proximal and Distal Radio-Ulnar Joints: A Case Report

Simultaneous dislocation of the radial head and distal radio-ulnar joint without fracture in an adult patient: a case report and review of literature

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