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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2023; 58(02): 351-355
DOI: 10.1055/s-0040-1715515
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Percutaneous Suspensory Stabilization of Chronic Distal Radioulnar Joint (DRUJ) Dislocation Using an Adjustable Loop Endobutton Construct: Case Report[*]

Article in several languages: português | English
Mohammed Schezan Iqbal 
1   Departamento de Ortopedia, INHS Kalyani, Visakhapatnam, Índia
,
Anil Kumar Mishra
2   Departamento de Ortopedia, Hospital Militar Kirkee, Pune, Índia
,
Rajiv Kaul 
3   Departamento de Ortopedia, Faculdade de Medicina das Forças Armadas, Pune, Índia
› Author Affiliations Financial Support The authors declare that they have not received financial support from public, private, or non-profit sources for the conduction of the present study.
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Abstract

Chronic distal radioulnar joint (DRUJ) dislocation has been treated historically with complex osteotomies and reconstructive procedures, often resulting in intractable stiffness and loss of function. It is desirable to use a technique of fixation that will not only restore the wrist biomechanics but also be cosmetically appealing to the individual. We present a novel technique of reduction and fixation of a chronically dislocated DRUJ in a 26-year-old male using a minimally invasive approach, with successful restoration of DRUJ function and no postoperative complications.

Keywords

wrist injuries/diagnosis - wrist injuries/surgery - wrist injuries/physiology - orthopedics/trends - external fixators

* Work developed at the Department of Orthopaedics, INHS Kalyani, Visakhapatnam, India.




Publication History

Received: 11 April 2020

Accepted: 01 June 2020

Article published online:
25 September 2020

© 2020. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • Referências

  • 1 Mulford JS, Axelrod TS. Traumatic injuries of the distal radioulnar joint. Hand Clin 2010; 26 (01) 155-163
    Google Scholar
  • 2 Marès O. Distal radioulnar joint instability. Hand Surg Rehabil 2017; 36 (05) 305-313
    Google Scholar
  • 3 Adams BD, Berger RA. An anatomic reconstruction of the distal radioulnar ligaments for posttraumatic distal radioulnar joint instability. J Hand Surg Am 2002; 27 (02) 243-251
    Google Scholar
  • 4 Gofton WT, Gordon KD, Dunning CE, Johnson JA, King GJ. Comparison of distal radioulnar joint reconstructions using an active joint motion simulator. J Hand Surg Am 2005; 30 (04) 733-742
    Google Scholar
  • 5 Nakamura T. Anatomical Reattachment of the TFCC to the Ulnar Fovea Using an ECU Half-Slip. J Wrist Surg 2015; 4 (01) 15-21
    Google Scholar
  • 6 Brink PR, Hannemann PF. Distal Oblique Bundle Reinforcement for Treatment of DRUJ Instability. J Wrist Surg 2015; 4 (03) 221-228
    Google Scholar
  • 7 Kapandji IA. The Kapandji-Sauvé operation. Its techniques and indications in non rheumatoid diseases. Ann Chir Main 1986; 5 (03) 181-193
    Google Scholar
  • 8 Gaebler C, McQueen MM. Ulnar procedures for post-traumatic disorders of the distal radioulnar joint. Injury 2003; 34 (01) 47-59
    Google Scholar
  • 9 Kakar S, Fox T, Wagner E, Berger R. Linked distal radioulnar joint arthroplasty: an analysis of the APTIS prosthesis. J Hand Surg Eur Vol 2014; 39 (07) 739-744
    Google Scholar
  • 10 de Vries EN, Walenkamp MM, Mulders MA, Dijkman CD, Strackee SD, Schep NW. Minimally invasive stabilization of the distal radioulnar joint: a cadaveric study. J Hand Surg Eur Vol 2017; 42 (04) 363-369
    Google Scholar