Double suture-button reconstruction for chronic volar dislocation of distal radioulnar joint: A case report

INTRODUCTION AND IMPORTANCE: A distal radioulnar joint (DRUJ) dislocation is an uncommon occurrence. If not managed properly could result in severe functional impairment. CASE PRESENTATION: We report a case of a 45-year-old lady who was injured 6 months ago. She suffered a volar dislocation of the DRUJ and an ulnar head fracture. The DRUJ was stable after open reduction and reconstruction using suture-button technique. DISCUSSION: Application of the first suture-button still result in positive ballottement with subluxation of ulnar head. Additional of second suture-button improved the stability and restored DRUJ motion. CONCLUSION: The double suture-button technique restored the DRUJ's stability and produced a good functional outcome.