Irreducible Chronic Volar Dislocation of the Distal Radioulnar Joint After Surgery for Distal Radius Fracture: A Case Report

Satoru Kamekura; Yoko Hosaka; Gen Sasaki; Hideaki Miyamoto; Michio Kimura; Jinso Hirota

doi:10.2106/JBJS.CC.20.00838

Irreducible Chronic Volar Dislocation of the Distal Radioulnar Joint After Surgery for Distal Radius Fracture: A Case Report

JBJS Case Connect. 2021 Jun 11;11(2). doi: 10.2106/JBJS.CC.20.00838.

Authors

Satoru Kamekura¹, Yoko Hosaka¹, Gen Sasaki², Hideaki Miyamoto², Michio Kimura², Jinso Hirota³

Affiliations

¹ Department of Orthopaedic Surgery, Tokyo Metropolitan Bokutoh Hospital, Sumida-Ku, Tokyo, Japan.
² Department of Orthopaedic Surgery, Teikyo University School of Medicine, Itabashi-Ku, Tokyo, Japan.
³ Department of Orthopaedic Surgery, Mitsui Memorial Hospital, Chiyoda-ku, Tokyo, Japan.

PMID: 34115652
DOI: 10.2106/JBJS.CC.20.00838

Abstract

Case: We report a case of irreducible chronic volar dislocation of the distal radioulnar joint (DRUJ) after surgery for distal radius fracture. The patient underwent volar locking plate fixation for distal radius fracture. Despite the satisfactory alignment of the distal radius, irreducible volar dislocation of the DRUJ was discovered at 5 weeks after the initial surgery. DRUJ reconstruction at 9 weeks after injury using the Adams-Berger procedure resulted in a stable and functional DRUJ and wrist.

Conclusion: To prevent postoperative DRUJ instability or dislocation, the DRUJ should be evaluated for stability immediately after fracture fixation.

Publication types

Case Reports

MeSH terms

Bone Plates / adverse effects
Humans
Joint Dislocations* / complications
Joint Dislocations* / diagnostic imaging
Joint Dislocations* / surgery
Joint Instability* / etiology
Joint Instability* / surgery
Radius Fractures* / complications
Radius Fractures* / surgery
Wrist Joint / diagnostic imaging
Wrist Joint / surgery