Minimally invasive stabilization of an isolated dorsal distal radioulnar joint dislocation using a suture button suspension system

Document Type : Case Report

Authors

1 Department of Orthopaedic Surgery, Joint, Bone and Connective Tissue, Rheumatology Research Center, 5th Azar Hospital, Golestan University of Medical Sciences, Gorgan, Iran

2 Humanitas Clinical and Research Center, IRCCS, Rozzano, Department of Biomedical Sciences, Humanitas University, Milan, Italy

3 Orthopedic Resident

10.4103/atr.atr_76_21

Abstract

Isolated dislocation of distal radioulnar joint (DRUJ) is rare. The first choice of treatment is closed reduction and casting. If it is unsuccessful, operative intervention is the next step. In this report, we present a patient suffering from an unstable DRUJ dorsal dislocation after attempting closed reduction under general anesthesia. The instability was confirmed clinically and radiologically. The surgical treatment included a minimally invasive stabilization technique in which a suture button suspension system was applied to the extra-articular part of a DRUJ. At a 6-month follow-up, a pain-free full range of motion of forearm and stable DRUJ were achieved.
Level of evidence: 4.

Keywords

References

1.
Cannon DL. Wrist disorders. In: Azar FM, Canale ST, Beaty JH, editors. Campbell's Operative Orthopaedics E-Book. 13th ed., Ch. 69. Philadelphia: Elsevier; 2017. p. 3525-53.  Back to cited text no. 1
    
2.
Adams BD, Leversedge FJ. In: Wolf SW, Pederson WC, Kozin SH, Cohen MS, editors. Green's Operative Hand Surgery. 7th ed., Ch. 4. Philadelphia: Elsevier; 2017. p. 457-515.  Back to cited text no. 2
    
3.
Dameron TB Jr. Traumatic dislocation of the distal radio-ulnar joint. Clin Orthop Relat Res 1972;83:55-63.  Back to cited text no. 3
    
4.
Moriya T, Aoki M, Iba K, Ozasa Y, Wada T, Yamashita T. Effect of triangular ligament tears on distal radioulnar joint instability and evaluation of three clinical tests: A biomechanical study. J Hand Surg Eur Vol 2009;34:219-23.  Back to cited text no. 4
    
5.
Adams BD, Lawler E. Chronic instability of the distal radioulnar joint. J Am Acad Orthop Surg 2007;15:571-5.  Back to cited text no. 5
    
6.
Sang L, Liu H, Liu J, Chen B, Xu S. A case report of distal radioulnar joint dislocation fixed by using mini-plate-button. Int J Surg Case Rep 2017;34:69-73.  Back to cited text no. 6
    
7.
Thomas BP, Sreekanth R. Distal radioulnar joint injuries. Indian J Orthop 2012;46:493-504.  Back to cited text no. 7
  [Full text]  
8.
Garrigues GE, Aldridge JM 3rd. Acute irreducible distal radioulnar joint dislocation. A case report. J Bone Joint Surg Am 2007;89:1594-7.  Back to cited text no. 8
    
9.
Garcia-Elias M. Soft-tissue anatomy and relationships about the distal ulna. Hand Clin 1998;14:165-76.  Back to cited text no. 9
    
10.
Tarallo L, Adani R, Catani F. Closed reduction of acute volar dislocation of the distal radioulnar joint. J Hand Surg Eur Vol 2013;38:572-4.  Back to cited text no. 10
    
11.
Thiru RG, Ferlic DC, Clayton ML, McClure DC. Arterial anatomy of the triangular fibrocartilage of the wrist and its surgical significance. J Hand Surg Am 1986;11:258-63.  Back to cited text no. 11
    
12.
Tay SC, Berger RA, Tomita K, Tan ET, Amrami KK, An KN. In vivo three-dimensional displacement of the distal radioulnar joint during resisted forearm rotation. J Hand Surg Am 2007;32:450-8.  Back to cited text no. 12
    
13.
Adams BD. Anatomic reconstruction of the distal radioulnar ligaments for DRUJ instability. Tech Hand Up Extrem Surg 2000;4:154-60.  Back to cited text no. 13
    
14.
Moritomo H, Kataoka T. Palmar reconstruction of the triangular fibrocartilage complex for static instability of the distal radioulnar joint. Tech Hand Up Extrem Surg 2014;18:110-5.  Back to cited text no. 14
    
15.
Stein AJ, Adabi K, Schofield JL, Marsh M, Paulo J. Anatomic dorsal and volar radioulnar ligament reconstruction with Mersilene augmentation for distal radioulnar joint instability. Tech Hand Up Extrem Surg 2015;19:27-31.  Back to cited text no. 15
    
16.
Brink PR, Hannemann PF. Distal oblique bundle reinforcement for treatment of DRUJ instability. J Wrist Surg 2015;4:221-8.  Back to cited text no. 16
    
17.
Riggenbach MD, Conrad BP, Wright TW, Dell PC. Distal oblique bundle reconstruction and distal radioulnar joint instability. J Wrist Surg 2013;2:330-6.  Back to cited text no. 17
    
18.
de Vries EN, Walenkamp MM, Mulders MA, Dijkman CD, Strackee SD, Schep NW. Minimally invasive stabilization of the distal radioulnar joint: A cadaveric study. J Hand Surg Eur Vol 2017;42:363-9.  Back to cited text no. 18
    
19.
Zooker CC, Parks BG, White KL, Hinton RY. TightRope versus fiber mesh tape augmentation of acromioclavicular joint reconstruction: A biomechanical study. Am J Sports Med 2010;38:1204-8.  Back to cited text no. 19
    
20.
Assiotis A, Giannakakis N, Hacker A. Trapeziumectomy and mini tightrope stabilization of the first metacarpal for thumb carpometacarpal osteoarthritis: A prospective case series. Acta Orthop Belg 2017;83:473-9.  Back to cited text no. 20
    
21.
Garcia-Elias M, Hagert E. Surgical approaches to the distal radioulnar joint. Hand Clin 2010;26:477-83.  Back to cited text no. 21
    
Archives of Trauma Research
Volume 11, Issue 1
March 2022
Pages 47-49

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History

  • Receive Date: 18 June 2023
  • Accept Date: 18 June 2023

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