Abstract:
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.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Qian H,Chen G,Liu Zdoi
10.1097/MD.0000000000010752subject
Has Abstractpub_date
2018-06-01 00:00:00pages
e10752issue
22eissn
0025-7974issn
1536-5964pii
00005792-201806010-00008journal_volume
97pub_type
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