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CC BY-NC-ND 4.0 · Revista Iberoamericana de Cirugía de la Mano 2019; 47(02): 137-140
DOI: 10.1055/s-0039-1698789
Case Report | Relato de Caso
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Chronic Distal Radioulnar Joint Dislocation: A Case Report

Luxacion Cronica de la Articulacion Radiocubital Distal: Relato de un Caso
Leonor Fernandes 
1   Centro Hospitalar do Oeste, Caldas da Rainha, Portugal
,
João Sousa
1   Centro Hospitalar do Oeste, Caldas da Rainha, Portugal
,
Fernando Cruz
2   Hospital dos Lusíadas, Lisboa, Portugal
› Author Affiliations
Further Information

Publication History

14 October 2018

05 August 2019

Publication Date:
19 November 2019 (online)

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Abstract

Dislocation of the distal radioulnar joint (DRUJ) usually occurs associated with a distal radius fracture. An isolated dislocation, without a radius fracture, is a rare situation.

We present a case of neglected isolated DRUJ dislocation in a 30-year-old manual laborer. The treatment was performed 4 months after the initial injury. Open reduction and fixation were performed. This resulted in a stable, pain-free joint, and the patient resumed his previous work.

Surgical techniques of foveal reattachment and dorsal capsuloplasty have been described for chronic DRUJ instability. An isolated and dislocated DRUJ is an uncommon injury that may be misdiagnosed and initially mistreated. There haven't been many reports in the literature of a case such as this.

Resumen

La luxacion de la articulación radiocubital distal sucede generalmente asociada con una fractura del radio distal. Una luxación aislada, sin fractura del radio, es una situación rara.

Presentamos un caso de una luxación aislada non diagnosticada en un trabajador manual. El tratamiento se realizó 4 meses después de la lesión inicial. Reducción abierta e fijación fueron realizados. Esto resulto en una articulación estable, sin dolor e lo paciente ha regresado a su trabajo previo.

Las técnicas quirúrgicas de fijación en la fóvea e capsuloplastia dorsal fueran descritas para la instabilidad de la articulación radiocubital distal. Una luxación aislada de la articulación radiocubital distal es una lesión infrecuente e puede ser mal diagnosticada e mal tratada inicialmente. No hay muchos casos como este publicados en la literatura.

Keywords

chronic - dislocation - distal radioulnar joint - wrist

Palabras clave

luxacion - cronica - articulacion radiocubital distal - muñeca
 

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