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Locked volar distal radioulnar joint dislocation

INTRODUCTION: Volar dislocation of the distal radioulnar joint is a rare injury which is commonly missed in the emergency departments. A thorough review of literature showed very few reported cases and the cause for irreducibility varied in different cases, Lack of suspicion and improper X-ray can d...

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Autores principales: Bouri, Fadi, Fuad, Mazhar, Elsayed Abdolenour, Ayman
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4844664/
https://www.ncbi.nlm.nih.gov/pubmed/27016647
http://dx.doi.org/10.1016/j.ijscr.2016.03.012
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author Bouri, Fadi
Fuad, Mazhar
Elsayed Abdolenour, Ayman
author_facet Bouri, Fadi
Fuad, Mazhar
Elsayed Abdolenour, Ayman
author_sort Bouri, Fadi
collection PubMed
description INTRODUCTION: Volar dislocation of the distal radioulnar joint is a rare injury which is commonly missed in the emergency departments. A thorough review of literature showed very few reported cases and the cause for irreducibility varied in different cases, Lack of suspicion and improper X-ray can delay the diagnosis. CASE PRESENTATION: Our article discusses a case 40 year old construction worker, who presented to the Emergency with work-related injury, complaining of left wrist pain, deformity and inability to rotate his forearm. X-rays revealed a volar dislocation of distal ulna which was reducible after manipulation under General Anesthesia (GA). The joint was stable after the reduction. DISCUSSION: Isolated dislocation of the distal radioulnar joint can be either volar or dorsal, although dorsal dislocation is more common. The distal radioulnar articulation plays an important role in the rotational movement of the forearm. It allows pronation and supination which are essential for the function of the upper limb. Pronator Quadratus muscle spasm is an important blockade to reduction and was preventing reduction in this case. METHODS: The work has been reported in line with the CARE criteria [9]. CONCLUSION: Volar locked dislocation of Distal Radio ulnar joint is a rare injury. High degree of clinical suspicion and proper X-ray is required for prompt detection. The importance of this case is to raise the awareness among physicians in treating these kind of injuries by careful assessment of the patient and radiographs, and to consider pronator quadratus as an important cause for the blockade to reduction.
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spelling pubmed-48446642016-05-06 Locked volar distal radioulnar joint dislocation Bouri, Fadi Fuad, Mazhar Elsayed Abdolenour, Ayman Int J Surg Case Rep Case Report INTRODUCTION: Volar dislocation of the distal radioulnar joint is a rare injury which is commonly missed in the emergency departments. A thorough review of literature showed very few reported cases and the cause for irreducibility varied in different cases, Lack of suspicion and improper X-ray can delay the diagnosis. CASE PRESENTATION: Our article discusses a case 40 year old construction worker, who presented to the Emergency with work-related injury, complaining of left wrist pain, deformity and inability to rotate his forearm. X-rays revealed a volar dislocation of distal ulna which was reducible after manipulation under General Anesthesia (GA). The joint was stable after the reduction. DISCUSSION: Isolated dislocation of the distal radioulnar joint can be either volar or dorsal, although dorsal dislocation is more common. The distal radioulnar articulation plays an important role in the rotational movement of the forearm. It allows pronation and supination which are essential for the function of the upper limb. Pronator Quadratus muscle spasm is an important blockade to reduction and was preventing reduction in this case. METHODS: The work has been reported in line with the CARE criteria [9]. CONCLUSION: Volar locked dislocation of Distal Radio ulnar joint is a rare injury. High degree of clinical suspicion and proper X-ray is required for prompt detection. The importance of this case is to raise the awareness among physicians in treating these kind of injuries by careful assessment of the patient and radiographs, and to consider pronator quadratus as an important cause for the blockade to reduction. Elsevier 2016-03-22 /pmc/articles/PMC4844664/ /pubmed/27016647 http://dx.doi.org/10.1016/j.ijscr.2016.03.012 Text en © 2016 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Bouri, Fadi
Fuad, Mazhar
Elsayed Abdolenour, Ayman
Locked volar distal radioulnar joint dislocation
title Locked volar distal radioulnar joint dislocation
title_full Locked volar distal radioulnar joint dislocation
title_fullStr Locked volar distal radioulnar joint dislocation
title_full_unstemmed Locked volar distal radioulnar joint dislocation
title_short Locked volar distal radioulnar joint dislocation
title_sort locked volar distal radioulnar joint dislocation
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4844664/
https://www.ncbi.nlm.nih.gov/pubmed/27016647
http://dx.doi.org/10.1016/j.ijscr.2016.03.012
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