Closed Reduction of an Acute Volar Dislocation of the Distal Radio-Ulnar Joint by a Modified Technique.

Case Rep Orthop

Department of Surgery, Section of Orthopedics, Faculty of Medicine, University of Manitoba, Winnipeg, MB, Canada.

Published: August 2018

There is scarce literature describing treatment of volar dislocation of the distal radio-ulnar joint (DRUJ). Irreducible dislocation is usually treated surgically. We present the case of a 37-year-old male with acute right wrist pain and loss of pronation. A diagnosis of volar DRUJ dislocation was made. Reduction using conventional technique was unsuccessful. A second attempt was successful by applying pressure over the interosseous membrane of the forearm and manipulating the ulnar head. At three weeks, the patient had minimal pain, a stable DRUJ, and near complete range of motion. This modified technique for reduction of a locked anterior DRUJ dislocation can be used to avoid an unnecessary surgical intervention.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6098930PMC
http://dx.doi.org/10.1155/2018/4289406DOI Listing

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