Isolated palmar dislocation of distal radioulnar joint: a new mechanism of injury: a case report.

Autor: Lin X; Department of Gastrointestinal Surgery, The First Affiliated Hospital, Zhejiang University, # 79Qingchun Road, Hangzhou, Zhejiang Province, People's Republic of China, 310003., Shen H; Department of Orthopedics, The First Affiliated Hospital, College of Medicine, Zhejiang University, #79 Qingchun Road, Hangzhou, Zhejiang Province, People's Republic of China, 310003., Lu H; Department of Orthopedics, The First Affiliated Hospital, College of Medicine, Zhejiang University, #79 Qingchun Road, Hangzhou, Zhejiang Province, People's Republic of China, 310003. huilu@zju.edu.cn.
Jazyk: angličtina
Zdroj: BMC musculoskeletal disorders [BMC Musculoskelet Disord] 2019 Aug 09; Vol. 20 (1), pp. 368. Date of Electronic Publication: 2019 Aug 09.
DOI: 10.1186/s12891-019-2734-6
Abstrakt: Background: Isolated palmar dislocation of distal radioulnar joint is a rare injury. It can easily lead to misdiagnosis. Previous literature reports were all rotation violence. We reported a patient with direct impact violence.
Case Presentation: We report a 31-year-old male laborer presented to our hospital with an acute trauma. Severe tenderness and limited mobility were seen in his right wrist. He received an x-ray film examination and diagnosed as the isolated palmar dislocation of distal radioulnar joint. The treatment was closed reduction and splint fixation. After half a year, the patient gained a functional recovery of his previously afflicted wrist.
Conclusions: To the best of our knowledge, this is the first case of isolated palmar dislocation of distal radioulnar joint caused by a direct impact violence. Patients and physicians should be aware of the properties of this mechanism of injury so that early diagnosis and treatment can be achieved.
Databáze: MEDLINE
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