Three cases of chronic volar dislocation of the distal radioulnar joint were treated with the Sauvé-Kapandji procedure. All patients were in their twenties. They visited our clinic complaining limitation of forearm wrist rotation and pain around the wrist for more than 6 weeks after an injury. Radiograph and CT scan revealed chronic volar dislocation of the distal radioulnar joint. Closed reduction failed. The Sauvé-Kapandji procedure was required to prevent the distal radioulnar joint from becoming unstable after open reduction. Range of motion of the injured wrist improved greatly, pain disappeared and they were able to return to sports after the operation and rehabilitation. Therefore, the Sauvé-Kapandji procedure is effective in curing chronic volar dislocation of the distal radioulnar joint.
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http://dx.doi.org/10.7888/juoeh.25.249 | DOI Listing |
JBJS Case Connect
January 2025
Department of Orthopaedic Surgery, University of Tennessee Health Science Center College of Medicine Chattanooga, Chattanooga, Tennessee.
Case: A 41-year old man fell from height sustaining displaced radial shaft and ulnar styloid fractures underwent open reduction internal fixation of the radius with early recognition of a radiocapitellar dislocation and longitudinal forearm instability in the early postoperative period. Revision surgery was performed 13 days postoperatively involving annular ligament reconstruction, elbow spanning external fixation, and distal radioulnar joint stabilization. Favorable functional and radiographic outcomes are shown at 1-year follow-up.
View Article and Find Full Text PDFJ Hand Surg Eur Vol
January 2025
Royal United Hospital, Combe Park, Bath, Avon, BA1 3NG, UK.
We report a series of 12 patients who developed early distal radioulnar joint subluxation after a distal radial fracture, not present on the initial radiographs. Early identification and management of this condition can give good clinical results. IV.
View Article and Find Full Text PDFJ Clin Med
December 2024
Department of Orthopaedics and Trauma Surgery, "Venizeleion" General Hospital of Heraklion, 71409 Crete, Greece.
: Acute isolated distal radioulnar joint (DRUJ) dislocations are rare and often misdiagnosed during initial evaluation due to subtle clinical presentation, low index of suspicion, and imaging barriers. Prompt diagnosis and treatment are critical to avoid chronic instability, limited wrist mobility, and osteoarthritis. This systematic review evaluates the functional outcomes of conservative and surgical treatment protocols for acute isolated DRUJ dislocations.
View Article and Find Full Text PDFAnat Sci Int
January 2025
Department of Anatomy, Faculty of Medicine, Ege University, Izmir, Turkey.
The aim of this study was to define the branching patterns and innervation regions of the superficial branch of the radial nerve and the dorsal branch of the ulnar nerve and to evaluate the distance from 1-2, 3-4, 4-5, midcarpal radial, midcarpal ulnar, dorsal radioulnar joint, 6-radial, 6-ulnar dorsal arthroscopy portals to certain landmarks on the dorsal surface of the hand and wrist. Forty hands and wrists of 20 formalin-fixed intact cadavers without any known pathology, surgical scars or trauma were examined in the Macroscopy Laboratory of Ege University Faculty of Medicine, Department of Anatomy. Arthroscopy portals were placed using a dorsal approach to the wrist in the dissection method.
View Article and Find Full Text PDFJ Mech Behav Biomed Mater
December 2024
School of Engineering, University of Guelph, Guelph, Ontario, Canada. Electronic address:
As a biarticular muscle, the biceps brachii both supinates the forearm and flexes the elbow and shoulder, thus allowing the upper limb to perform a variety of activities of daily living (ADL). The biceps brachii originates on the coracoid apex as well as the supraglenoid tubercle and inserts on the radial tuberosity. At the distal end, the bicipital aponeurosis (BA) provides a transition of the biceps tendon into the antebrachial fascia.
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