Emergency physicians occasionally encounter dislocations of the distal radioulnar joint when these are associated with fractures of the forearm, such as the Galeazzi fracture. Isolated dislocations of the distal radioulnar joint without fracture are rare and are described in terms of the position of the ulna in relation to the radiocarpal joint. Radiographs may be difficult to interpret if a true lateral view is not obtained. This injury may be easily missed in the emergency department because of its infrequent occurrence, its relatively benign appearance, and difficulty in interpretation of radiographs.
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http://dx.doi.org/10.1016/s0196-0644(94)70328-0 | DOI Listing |
J Med Case Rep
December 2024
Department of Hand & Reconstructive Microsurgery Surgery, Rashid Hospital, Dubai, United Arab Emirates.
Background: Open and crushed forearm injury is a complex and rare injury affecting the upper extremity. It results in damage to various structures, including bones, soft tissues, and neurovascular bundles, ultimately leading to functional impairment. Typically, these injuries occur owing to high-energy trauma.
View Article and Find Full Text PDFSci Rep
December 2024
Department of Hand Surgery, Beijing Jishuitan Hospital, Capital Medical University, Beijing, China.
Congenital radioulnar synostosis (CRUS) presents a complex forearm deformity, requiring precise osteotomy planning for anatomical restoration. This study proposes an automatic osteotomy preoperative planning method for forearms with CRUS. Proximal forearm bones are first aligned with the template forearm and then a dual dimensional optimization (DDO) strategy is used to optimize the spatial transformation parameters of the distal fragment.
View Article and Find Full Text PDFJ Am Acad Orthop Surg
December 2024
From the Zucker School of Medicine at Hofstra/Northwell, New York Hand and Wrist Center of Lenox Hill, New York.
Surgical fixation of unstable distal radius fractures greatly depends on the characteristics of the fracture pattern. Intra-articular fractures of the distal radius often involve several key fragments that require adequate reduction and fixation. The volar lunate facet is just one of those fragments, making up the critical corner of the distal radius articular surface and serving as the keystone to both the radiocarpal and distal radioulnar joints.
View Article and Find Full Text PDFJ Orthop Surg Res
December 2024
The First Affiliated Hospital of Guangxi Medical University, 6 Shuangyong Road, Nanning, Guangxi, China.
Background: Congenital radioulnar synostosis (CRUS) is a rare upper limb deformity characterized by impaired rotational movement of the forearm. Rotational osteotomy is a commonly employed surgical procedure for treatment. This study aimed to analyze its surgical efficacy in treating CRUS in children.
View Article and Find Full Text PDFCureus
November 2024
Orthopaedics, Gandhi Medical College, Bhopal, Bhopal, IND.
Background Pronator quadratus (PQ) acts as the pronator of the wrist and stabiliser of the distal radioulnar joint; it also provides a protective cover over the edge of the plate, preventing friction and subsequent rupture of flexor tendons. The repair of PQ is often difficult, and its durability is questionable; hence, preserving the PQ while volar plating distal radius fractures is advocated. Methods In this prospective randomised trial, 60 patients with a fracture of the distal end of the radius of AO-type (Arbeitsgemeinschaft für Osteosynthesefragen) 23 A2, A3, B1, B3, C1, and C2 were treated with volar plate fixation using either the PQ-releasing and repair approach (Group A, n = 30) or the PQ-sparing approach (Group B, n = 30), allowed by simple randomisation.
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