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Treatment of distal radioulnar joint dislocation with spontaneous rupture of extensor tendon by Sauve–Kapandji osteotomy assisted by wrist arthroscopy: A case series and literature review

RATIONALE: Dislocation of the distal radioulnar joint and injury to distal forearm are commonly encountered. However, delayed diagnosis or misdiagnosis has been relatively rare due to improved diagnosis and treatment. Treatment of old dislocation of radioulnar joint is challenging due to development...

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Autores principales: Qian, Hui, Chen, Guozhao, Liu, Zongbao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6393049/
https://www.ncbi.nlm.nih.gov/pubmed/29851780
http://dx.doi.org/10.1097/MD.0000000000010752
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author Qian, Hui
Chen, Guozhao
Liu, Zongbao
author_facet Qian, Hui
Chen, Guozhao
Liu, Zongbao
author_sort Qian, Hui
collection PubMed
description RATIONALE: Dislocation of the distal radioulnar joint and injury to distal forearm are commonly encountered. However, delayed diagnosis or misdiagnosis has been relatively rare due to improved diagnosis and treatment. Treatment of old dislocation of radioulnar joint is challenging due to development of secondary chronic instability and difficulties in restoration of joint function. PATIENT CONCERNS: This report describes three cases of patients complained about inability to extend their little fingers. DIAGNOSES: Local examination and X-ray revealed chronic ulnar joint dislocation. INTERVENTION: Wrist arthroplasty was used to perform ulnar distal articular cleansing and repair of the triangular fibrocartilage complex (TFCC) articular cartilage. The Sauve-Kapandji osteotomy was performed to treat radial joint dislocation and stabilize ulnar joint. Repair of spontaneous fracture of the extensor tendon was also performed. Postoperative gypsum was used for immobilization for 4 weeks. OUTCOMES: The follow-up results are reported. Based on Cooney wrist score, the preoperative scores were poor (55, 50, 60), while the post-operative scores were excellent (90, 85, 90) in all 3 cases. LESSONS: Early and accurate diagnosis and treatment is important for the recovery of distal radius fracture for patients with dislocation of the ulnar joint. The correct treatment determines the degree of later functional recovery. Early surgical treatment is recommended for patients with unsatisfactory reset. Delayed diagnosis and treatment often lead to chronic and persistent lower ulnar joint subluxation or dislocation, or even osteoarthritis. All patients in this report showed great improvement in wrist function after surgery.
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spelling pubmed-63930492019-03-15 Treatment of distal radioulnar joint dislocation with spontaneous rupture of extensor tendon by Sauve–Kapandji osteotomy assisted by wrist arthroscopy: A case series and literature review Qian, Hui Chen, Guozhao Liu, Zongbao Medicine (Baltimore) Research Article RATIONALE: Dislocation of the distal radioulnar joint and injury to distal forearm are commonly encountered. However, delayed diagnosis or misdiagnosis has been relatively rare due to improved diagnosis and treatment. Treatment of old dislocation of radioulnar joint is challenging due to development of secondary chronic instability and difficulties in restoration of joint function. PATIENT CONCERNS: This report describes three cases of patients complained about inability to extend their little fingers. DIAGNOSES: Local examination and X-ray revealed chronic ulnar joint dislocation. INTERVENTION: Wrist arthroplasty was used to perform ulnar distal articular cleansing and repair of the triangular fibrocartilage complex (TFCC) articular cartilage. The Sauve-Kapandji osteotomy was performed to treat radial joint dislocation and stabilize ulnar joint. Repair of spontaneous fracture of the extensor tendon was also performed. Postoperative gypsum was used for immobilization for 4 weeks. OUTCOMES: The follow-up results are reported. Based on Cooney wrist score, the preoperative scores were poor (55, 50, 60), while the post-operative scores were excellent (90, 85, 90) in all 3 cases. LESSONS: Early and accurate diagnosis and treatment is important for the recovery of distal radius fracture for patients with dislocation of the ulnar joint. The correct treatment determines the degree of later functional recovery. Early surgical treatment is recommended for patients with unsatisfactory reset. Delayed diagnosis and treatment often lead to chronic and persistent lower ulnar joint subluxation or dislocation, or even osteoarthritis. All patients in this report showed great improvement in wrist function after surgery. Wolters Kluwer Health 2018-06-01 /pmc/articles/PMC6393049/ /pubmed/29851780 http://dx.doi.org/10.1097/MD.0000000000010752 Text en Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nd/4.0 This is an open access article distributed under the Creative Commons Attribution-NoDerivatives License 4.0, which allows for redistribution, commercial and non-commercial, as long as it is passed along unchanged and in whole, with credit to the author. http://creativecommons.org/licenses/by-nd/4.0
spellingShingle Research Article
Qian, Hui
Chen, Guozhao
Liu, Zongbao
Treatment of distal radioulnar joint dislocation with spontaneous rupture of extensor tendon by Sauve–Kapandji osteotomy assisted by wrist arthroscopy: A case series and literature review
title Treatment of distal radioulnar joint dislocation with spontaneous rupture of extensor tendon by Sauve–Kapandji osteotomy assisted by wrist arthroscopy: A case series and literature review
title_full Treatment of distal radioulnar joint dislocation with spontaneous rupture of extensor tendon by Sauve–Kapandji osteotomy assisted by wrist arthroscopy: A case series and literature review
title_fullStr Treatment of distal radioulnar joint dislocation with spontaneous rupture of extensor tendon by Sauve–Kapandji osteotomy assisted by wrist arthroscopy: A case series and literature review
title_full_unstemmed Treatment of distal radioulnar joint dislocation with spontaneous rupture of extensor tendon by Sauve–Kapandji osteotomy assisted by wrist arthroscopy: A case series and literature review
title_short Treatment of distal radioulnar joint dislocation with spontaneous rupture of extensor tendon by Sauve–Kapandji osteotomy assisted by wrist arthroscopy: A case series and literature review
title_sort treatment of distal radioulnar joint dislocation with spontaneous rupture of extensor tendon by sauve–kapandji osteotomy assisted by wrist arthroscopy: a case series and literature review
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6393049/
https://www.ncbi.nlm.nih.gov/pubmed/29851780
http://dx.doi.org/10.1097/MD.0000000000010752
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