SAUVÉ-KAPANDJI PROCEDURE IN A PATIENT WITH WRIST DISARTICULATION: CASE REPORT

Hand Surgery ◽  
2014 ◽  
Vol 19 (02) ◽  
pp. 227-229
Author(s):  
Hyun Sik Gong ◽  
Myung Ki Chung ◽  
Goo Hyun Baek
Keyword(s):  
Case Report ◽  
Distal Radioulnar Joint ◽  
Forearm Rotation ◽  
Ulnar Styloid ◽  
Chronic Instability ◽  
Radioulnar Joint ◽  
Post Traumatic

The advantage of preserving the distal radioulnar joint in wrist disarticulation is that full forearm rotation is possible if the joint is intact, which improves the capability of the amputee. The Sauvé-Kapandji procedure has been performed to treat rheumatoid or post-traumatic chronic instability and/or arthritis of the distal radioulnar joint. We report a patient with wrist disarticulation that presented to us with limited supination of the wrist due to an injured distal radioulnar joint. We performed the Sauvé-Kapandji procedure, and the patient could regain functional supination of the forearm without losing the ulnar styloid flare that improved prosthetic suspension. This case suggests that the Sauvé-Kapandji procedure can be performed to maintain the advantage of wrist disarticulation even when the initial trauma involves an irreparable injury of the distal radioulnar joint.

scholarly journals A Case Report of Volar Dislocation of Ulnar Head: A Very Rare Wrist Injury Easy to Overlook and Easy to Diagnose

2021 ◽  
Vol 11 (7) ◽  
Author(s):  
Ozcan Kaya ◽  
Okan Ozkunt ◽  
Irem Kurt
Keyword(s):  
Case Report ◽  
Magnetic Resonance ◽  
Physical Examination ◽  
Outpatient Service ◽  
Distal Radioulnar Joint ◽  
Magnetic Resonance Images ◽  
Wrist Pain ◽  
Wrist Injury ◽  
Forearm Rotation ◽  
Radioulnar Joint

Introduction: Ulnar volar dislocation (UVD) is a very rare entity. Due to rarity of condition, usually, it’s misdiagnosed at emergency departments and management of this clinical entity is not well studied. Here, we report a case of UVD impressing diagnostic challenge, indication of treatment, and follow-up. Case Report: A 29-year-old man presented to orthopedic outpatient service with complaining of the right wrist pain. He had an assault history 3 days before. In the emergency department, he had been diagnosed as wrist sprain. Splint and pain killers were prescribed. Due to increase of pain, he admitted to orthopedics. He was diagnosed UVD. Under general anesthesia, joint was reduced with forced pronation maneuver. After 3 weeks immobilization period, magnetic resonance images revealed partial injury of triangular fibrocartilage complex then splint removed and rehabilitation initiated. Over than 24 months, he is doing well without movement limitation and wrist strength impairment. Conclusion: For prevention misdiagnosis of UVD, physical examination is very important. Forearm rotation limitation with pain in the wrist should be indicative for distal radioulnar joint injury. Physical examination should be supported with proper evaluation of suitable radiographs. After reduction of joint, magnetic resonance images give clues about ligamentous injury. Our case supports the importance of rigorous physical examination and evaluation of radiographs for wrist injury. In the presence of partial injury of ligaments, the condition can be treated with shorter periods of immobilization and early rehabilitation. Keywords: Wrist pain, ulnar volar dislocation, distal radioulnar joint, forearm rotation.

Preventing recurrence of radioulnar synostosis with pedicled adipofascial flaps

2011 ◽  
Vol 37 (3) ◽  
pp. 244-250 ◽  
Author(s):  
J. Sonderegger ◽  
S. Gidwani ◽  
M. Ross
Keyword(s):  
Distal Radioulnar Joint ◽  
Forearm Rotation ◽  
Radioulnar Synostosis ◽  
Radioulnar Joint ◽  
Interosseous Artery ◽  
Posterior Interosseous Nerve Palsy ◽  
Post Traumatic ◽  
Term Maintenance

The surgical treatment of post-traumatic radioulnar synostosis is difficult. Recurrence after resection alone is a concern with poor long-term maintenance of forearm rotation. We report on the use of pedicled adipofascial flaps to prevent recurrence and facilitate maintenance of movement in six adult patients with radioulnar synostosis. Five involved the proximal radioulnar joint and one the distal radioulnar joint. In four the flap was based on the radial artery and in two on the posterior interosseous artery. Mean intraoperative supination was 78° and pronation was 76°. Mean follow up was 32 months. At follow-up, mean supination was 71° and pronation was 70°. No patient had radiological recurrence of synostosis. The only complication was a transient posterior interosseous nerve palsy. Pedicled adipofascial flaps are a safe addition to resection alone which may prevent recurrence and maintain the range of forearm rotation achieved at operation.

scholarly journals A Misdiagnosis of Traumatic Hypersupination of the Distal Radioulnar Joint: A Case Report

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Vipin Asopa ◽  
Robert J. Douglas ◽  
Andrew D. Saies ◽  
James S. Church
Keyword(s):  
Case Report ◽  
Anatomical Variation ◽  
Distal Radioulnar Joint ◽  
Review Of The Literature ◽  
Ulnar Styloid ◽  
Distal Ulna ◽  
Radiological Investigation ◽  
Rare Injury ◽  
Radioulnar Joint ◽  
Triangular Fibrocartilage

Traumatic hypersupination injury of the distal radioulnar joint is a rare injury, and occurs when sufficient supination force is applied to the joint so as to tear the volar radioulnar ligament, resulting in separation of the triangular fibrocartilage complex, and subluxation of the tendon of extensor carpi ulnaris. This allows the distal ulna to rotate such that the ulnar styloid comes to lie adjacent to the ulna notch of the radius. Treatment of this injury requires manipulation of the joint, under anaesthesia or sedation. We describe a case where posttraumatic radiological investigation of a patient with an anatomical variation of the wrist when in supination resembled a traumatic hypersupination injury of the distal radioulnar joint. A review of the literature has revealed this to be the first reported case of this type.

ACUTE PLASTIC BOWING OF THE RADIUS WITH A DISTAL RADIOULNAR JOINT INJURY: A CASE REPORT

Hand Surgery ◽  
2010 ◽  
Vol 15 (03) ◽  
pp. 217-220 ◽  
Author(s):  
Masashi Uehara ◽  
Hiroshi Yamazaki ◽  
Hiroyuki Kato
Keyword(s):  
Case Report ◽  
Internal Fixation ◽  
Radial Head ◽  
Rare Case ◽  
Distal Radioulnar Joint ◽  
Ulnar Styloid ◽  
Joint Injury ◽  
Radioulnar Joint ◽  
Joint Injuries ◽  
Macroscopic Fracture

Acute plastic bowing is an incomplete fracture with a deformation that shows no obvious macroscopic fracture line or cortical discontinuity. Although cases of acute plastic bowing of the ulna with a dislocation of the radial head have been previously reported, we present here a rare case of acute plastic bowing of the radius with a distal radioulnar joint injury in a 16-year-old boy. Internal fixation of the detached fragment to the ulnar styloid and repair of the triangular fibrocartilagenous complex resulted in the disappearance of wrist pain. In cases of distal radioulnar joint injuries in children or adolescents, radiographs of the entire forearm should be taken to evaluate the existence of radial bowing.

IRREDUCIBLE CHRONIC PALMAR DISLOCATION OF THE DISTAL RADIOULNAR JOINT – A CASE REPORT

Hand Surgery ◽  
2005 ◽  
Vol 10 (02n03) ◽  
pp. 319-322 ◽  
Author(s):  
Y. Kikuchi ◽  
T. Nakamura ◽  
Y. Horiuchi
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Distal Radioulnar Joint ◽  
Dynamic Force ◽  
Ulnar Styloid ◽  
Pronator Quadratus ◽  
Radioulnar Joint ◽  
Ulnar Head ◽  
The Stability ◽  
Pronator Quadratus Muscle

We report a rare case of irreducible chronic palmar dislocation of the distal radioulnar joint (DRUJ). This case showed that the dislocated ulnar head was impacted to the palmar cortex of the radius probably due to the dynamic force of the pronator quadratus muscle. Re-attachment of the ulnar styloid and partial resection of the ulnar head were necessary to make the reduction of the DRUJ possible. The continuity of the radioulnar ligament to the ulnar head was restored and the stability of DRUJ was maintained after reduction.

Salvage Procedures for Distal Radioulnar Joint Complications

2016 ◽  
Vol 21 (02) ◽  
pp. 173-186 ◽  
Author(s):  
Chong Jin Yeo ◽  
Levi Philip Morse ◽  
Jeganath Krishnan ◽  
Gregory Ian Bain
Keyword(s):  
Surgical Techniques ◽  
Distal Radioulnar Joint ◽  
Degenerative Joint Disease ◽  
Joint Disease ◽  
Forearm Rotation ◽  
Radioulnar Joint ◽  
Load Transmission ◽  
Points Of Interest ◽  
Post Traumatic ◽  
Special Points

The distal radioulnar joint (DRUJ) allows forearm rotation and load transmission across the wrist. Post-traumatic and degenerative joint disease of DRUJ may cause pain and disability. Deficiency of the soft tissue or bony supports may result in DRUJ instability. Various techniques have been developed to address arthritis and / or instability of the DRUJ. A comprehensive review of the spectrum of surgical techniques and arthroplasty options is presented. The concepts of these procedures are discussed in detail, with a focus on special points of interest to optimise outcomes and to avoid complications. The salvage of the complications of arthroplasties is also presented in detail.

Total Distal Radioulnar Joint Arthroplasty for Paediatric Post-Traumatic Distal Ulna Growth Arrest

2021 ◽  
Vol 26 (03) ◽  
pp. 467-471
Author(s):  
Brahman Sivakumar ◽  
David J. Graham ◽  
Neil F. Jones
Keyword(s):  
Distal Radius ◽  
Growth Arrest ◽  
Distal Radioulnar Joint ◽  
Joint Arthroplasty ◽  
Forearm Rotation ◽  
Distal Ulna ◽  
Radioulnar Joint ◽  
Post Traumatic Growth ◽  
Post Traumatic

Growth arrest following paediatric distal radius and ulnar fractures infrequently results in a symptomatic deformity. The distal radioulnar joint (DRUJ) plays a complex role in the motion of the wrist, allowing for forearm rotation, and acceptable reconstruction options are limited when severe deformity does occur. We present a case of symptomatic severe post traumatic growth arrest of the distal radioulnar joint which was treated by osteotomy and Scheker total distal radioulnar joint arthroplasty.

The Critical Size of Ulnar Styloid Fragment for the DRUJ Stability

2021 ◽  
Author(s):  
Mauro Maniglio ◽  
Il Jung Park ◽  
Matthias Zumstein ◽  
Michael Kuenzler ◽  
Michelle H. McGarry ◽  
...  
Keyword(s):  
Critical Size ◽  
Fragment Size ◽  
Distal Radioulnar Joint ◽  
Forearm Rotation ◽  
Ulnar Styloid ◽  
Druj Instability ◽  
Ulnar Styloid Fracture ◽  
Fracture Size ◽  
Clinically Significant ◽  
Fracture Types

Abstract Background Ulnar styloid fractures can be associated with clinically significant instability of the distal radioulnar joint (DRUJ). However, the exact fragment size that results in DRUJ instability is unknown. Purpose The objective of this study was to determine the critical size of an ulnar styloid fracture that would result in a significant increase in DRUJ translation and forearm rotation. Methods Eight cadaveric specimens were used to investigate the effects of three different ulnar styloid fracture sizes on DRUJ instability: tip fracture, base fracture, and a fracture including the fovea. Forearm rotation and dorsopalmar DRUJ translation were measured after each sequential increase in fracture size. Results Relative to the uninjured state, a significant increase in forearm rotation and dorsopalmar translation was found for all three fractures. However, the fovea fracture showed a statistically significant increase in forearm rotation compared with all other fracture types and a statistically significant increase in total dorsopalmar translation compared with the tip fracture. Conclusion In this study, ulnar styloid fractures involving the fovea resulted in significantly greater DRUJ instability comparted to tip and base fractures alone. This study provides important biomechanical data regarding the critical size of ulnar styloid fractures that result in DRUJ instability and may aid in the surgical decision-making algorithm in these patients.

Sign in / Sign up

Export Citation Format

Share Document