scholarly journals Posttraumatic ulnar carpal translocation type I accompanied with disruption of the lunotriquetral ligament caused by a severe radiocarpal fracture-dislocation injury type II accompanied with complete luxation of the distal radioulnar joint. What are the salvage options with its special features in indication when patients develop posttraumatic painful wrist joint osteoarthritis?

2017 ◽  
Vol 2 (4) ◽  
Author(s):  
Ingo Schmidt
Author(s):  
Matthew DelGiudice

Chapter 100 describes the indications, the technique, and the imaging findings of wrist arthrography. Wrist arthrography is selectively performed in routine clinical practice for MR arthrography (MRA), typically in younger patients. The main indications include evaluation of the intrinsic interosseous wrist ligaments (scapholunate and lunotriquetral) and triangular fibrocartilage complex (TFCC) injuries. Contrast should easily inject and disperse throughout the radiocarpal joint space. Complications from contrast injection are rare and include infection and bleeding. Full-thickness tearing of any of the 3 components of the scapholunate and/or lunotriquetral ligament allows abnormal communication with the midcarpal joint. Central tearing of the triangular fibrocartilage disc allows abnormal communication with the distal radioulnar joint.


2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Akira Hashimoto ◽  
Motoki Sonohata ◽  
Hideyuki Senba ◽  
Masaaki Mawatari

Spontaneous flexor tendon rupture is rare, occurring most commonly in the little finger or flexor pollicis longus. To the best of our knowledge, there have been no reports of spontaneous flexor tendon rupture due to primary distal radioulnar joint (DRUJ) osteoarthritis (OA). We present a case of spontaneous flexor tendon rupture in the index finger due to primary DRUJ OA in a 71-year-old female farmer. Surgical exploration confirmed that, at the wrist joint level, the flexor digitorum profundus of the index finger had undergone degeneration and complete rupture. The flexor digitorum superficialis of the index finger was elongated and thinned. A bony spur toward the volar side was covered with synovial fluid from a pinhole-sized perforation of the capsule. The combination of direct friction from the DRUJ spur and the matrix metalloproteinases in the synovial fluid from the perforation of the DRUJ capsule may have caused the spontaneous flexor tendon rupture. Palmar-side symptoms associated with DRUJ OA should be carefully examined because of the risk of spontaneous flexor tendon rupture.


Author(s):  
Valentino Coppa ◽  
Filippo M. Senes

Abstract Background Galeazzi's fracture-dislocation (GFD) is a rare and complex injury consisting of a radial fracture associated with distal radioulnar joint (DRUJ) dislocation. Case Description We are presenting a case of a boy, who at the onset showed an open GFD and his assessment after a 1-year follow-up. As a treatment, closed reduction and long-arm cast were performed. At the last follow-up, the patient presented a complete recovery of range of motion and function of the affected wrist. Literature Review To the best of our knowledge, in the current literature, there are no reported cases of open GFD. Clinical Relevance Although open GFD is rare this case report may suggest orthopaedic surgeon how to approach and manage it.


Hand Surgery ◽  
2012 ◽  
Vol 17 (02) ◽  
pp. 233-238 ◽  
Author(s):  
Maria Mercedes Reverté Vinaixa ◽  
Rahul Singh ◽  
Joan Minguell Monyart ◽  
Gemma Duarri Llado ◽  
Manuel Pérez Dominguez ◽  
...  

Primary synovial chondromatosis is a proliferation of cartilaginous bodies within the synovial membrane, tendon sheath or bursa. It is a rare orthopaedic entity especially when it occurs in the distal radioulnar joint. We report a 27-year-old man with recurrent synovial chondromatosis, nine years after his first operation. Although rare, synovial chondromatosis must be considered in the differential diagnosis in a patient with pain and swelling of the distal radioulnar joint. From our literature review, we report a 17% (5/30) recurrence rate for synovial chondromatosis involving the wrist joint which has not been documented in the medical literature previously.


1999 ◽  
Vol 24 (3) ◽  
pp. 379-381 ◽  
Author(s):  
Y. KIKUCHI ◽  
T. NAKAMURA

We report a rare case of Galeazzi fracture-dislocation with an irreducible distal radioulnar joint. The cause of the irreducibility was entrapment of a fragment avulsed from the fovea of the ulna. The patient was successfully treated with open reduction and internal fixation of the radius, ulnar styloid process and avulsed fracture at the fovea of the ulna.


2014 ◽  
Vol 96-B (4) ◽  
pp. 508-512
Author(s):  
E. A. van Amerongen ◽  
L. B. Creemers ◽  
N. Kaoui ◽  
J. E. J. Bekkers ◽  
M. Kon ◽  
...  

Hand Surgery ◽  
2005 ◽  
Vol 10 (02n03) ◽  
pp. 249-254 ◽  
Author(s):  
Masayuki Kamano ◽  
Hironori Ko ◽  
Kenichi Kazuki

The authors present two rare cases of a paediatric Galeazzi-equivalent fracture. In contrast to Galeazzi's fracture-dislocation in adults, an epiphyseal separation of the distal ulna occurred instead of dislocation of the distal radioulnar joint (DRUJ) or both. A precise radiographic analysis of the epiphyseal separation of the distal ulna and its anatomical reduction were keys to obtaining a good result in the treatment of paediatric Galeazzi-equivalent fracture.


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