Isolated Volar Distal Radioulnar Joint Dislocation, a Very Rare and Easily Missed Injury.
Background: Isolated distal radioulnar joint (DRUJ) dislocations without associated fracture are very rare entities. A few mechanisms of injury were reported in the literature with dorsal(posterior) dislocation being more common than the volar (palmar, anterior) dislocation. Case report: A 26-yea...
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| Format: | Article |
| Language: | English |
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Albanian Society for Trauma and Emergency Surgery
2021-07-01
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| Series: | Albanian Journal of Trauma and Emergency Surgery |
| Subjects: | |
| Online Access: | http://journal.astes.org.al/index.php/AJTES/article/view/230 |
| _version_ | 1818778593137786880 |
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| author | Dimitar Petrevski Ivo Donevski Antonio Andonovski Radmila Mihajlova-Ilie Simon Trpeski |
| author_facet | Dimitar Petrevski Ivo Donevski Antonio Andonovski Radmila Mihajlova-Ilie Simon Trpeski |
| author_sort | Dimitar Petrevski |
| collection | DOAJ |
| description | Background: Isolated distal radioulnar joint (DRUJ) dislocations without associated fracture are very rare entities. A few mechanisms of injury were reported in the literature with dorsal(posterior) dislocation being more common than the volar (palmar, anterior) dislocation.
Case report: A 26-year-old male, manual laborer presented to our emergency department (ED) 24 hours post-self-inflected injury with right wrist pain, deformity, and decreased range of motion (ROM). The physical examination showed bruising over the dorsal ulnar side of the wrist, loss of the ulnar styloid bony prominence, abnormal volar fullness of the wrist, and gutter deformity on the dorsal aspect of the distal forearm and wrist. The diagnosis was confirmed by comparative radiographs which were followed by closed reduction and immobilization in the below-elbow cast in pronation for 4 weeks.
Conclusion: Timely accurate diagnosis and conservative treatment with favorable outcome necessitate a proper history on the mechanism of injury with a thorough physical examination, accurate radiographic positioning, and true lateral view. |
| first_indexed | 2024-12-18T11:47:11Z |
| format | Article |
| id | doaj.art-b244736cd48f44c9892666a52beaa77d |
| institution | Directory Open Access Journal |
| issn | 2521-8778 2616-4922 |
| language | English |
| last_indexed | 2024-12-18T11:47:11Z |
| publishDate | 2021-07-01 |
| publisher | Albanian Society for Trauma and Emergency Surgery |
| record_format | Article |
| series | Albanian Journal of Trauma and Emergency Surgery |
| spelling | doaj.art-b244736cd48f44c9892666a52beaa77d2022-12-21T21:09:15ZengAlbanian Society for Trauma and Emergency SurgeryAlbanian Journal of Trauma and Emergency Surgery2521-87782616-49222021-07-015210.32391/ajtes.v5i2.230Isolated Volar Distal Radioulnar Joint Dislocation, a Very Rare and Easily Missed Injury.Dimitar Petrevski0Ivo Donevski1Antonio Andonovski2Radmila Mihajlova-Ilie3Simon Trpeski4Faculty of Medicine, Ss. Cyril and Methodius University, Skopje, Republic of N. MACEDONIAUniversity Clinic of Traumatology, Orthopedics, Anesthesiology, Reanimation, Intensive care and Emergency Center, Skopje, Republic of N. MACEDONIAUniversity Clinic of Traumatology, Orthopedics, Anesthesiology, Reanimation, Intensive care and Emergency Center, Skopje, Republic of N. MACEDONIAUniversity Clinic of Traumatology, Orthopedics, Anesthesiology, Reanimation, Intensive care and Emergency Center, Skopje, Republic of N. MACEDONIAUniversity Clinic of Traumatology, Orthopedics, Anesthesiology, Reanimation, Intensive care and Emergency Center, Skopje, Republic of N. MACEDONIABackground: Isolated distal radioulnar joint (DRUJ) dislocations without associated fracture are very rare entities. A few mechanisms of injury were reported in the literature with dorsal(posterior) dislocation being more common than the volar (palmar, anterior) dislocation. Case report: A 26-year-old male, manual laborer presented to our emergency department (ED) 24 hours post-self-inflected injury with right wrist pain, deformity, and decreased range of motion (ROM). The physical examination showed bruising over the dorsal ulnar side of the wrist, loss of the ulnar styloid bony prominence, abnormal volar fullness of the wrist, and gutter deformity on the dorsal aspect of the distal forearm and wrist. The diagnosis was confirmed by comparative radiographs which were followed by closed reduction and immobilization in the below-elbow cast in pronation for 4 weeks. Conclusion: Timely accurate diagnosis and conservative treatment with favorable outcome necessitate a proper history on the mechanism of injury with a thorough physical examination, accurate radiographic positioning, and true lateral view.http://journal.astes.org.al/index.php/AJTES/article/view/230distal radioulnarjoint radioulnarvolarconservative treatment |
| spellingShingle | Dimitar Petrevski Ivo Donevski Antonio Andonovski Radmila Mihajlova-Ilie Simon Trpeski Isolated Volar Distal Radioulnar Joint Dislocation, a Very Rare and Easily Missed Injury. Albanian Journal of Trauma and Emergency Surgery distal radioulnar joint radioulnar volar conservative treatment |
| title | Isolated Volar Distal Radioulnar Joint Dislocation, a Very Rare and Easily Missed Injury. |
| title_full | Isolated Volar Distal Radioulnar Joint Dislocation, a Very Rare and Easily Missed Injury. |
| title_fullStr | Isolated Volar Distal Radioulnar Joint Dislocation, a Very Rare and Easily Missed Injury. |
| title_full_unstemmed | Isolated Volar Distal Radioulnar Joint Dislocation, a Very Rare and Easily Missed Injury. |
| title_short | Isolated Volar Distal Radioulnar Joint Dislocation, a Very Rare and Easily Missed Injury. |
| title_sort | isolated volar distal radioulnar joint dislocation a very rare and easily missed injury |
| topic | distal radioulnar joint radioulnar volar conservative treatment |
| url | http://journal.astes.org.al/index.php/AJTES/article/view/230 |
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