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经成功闭合复位治疗的尺桡远侧关节孤立掌侧脱位

Isolated Volar Dislocation of the Distal Radioulnar Joint Treated With Successful Closed Reduction.

作者信息

Glazier Matthew T, Schuette Hayden B, Schnee Benjamin A, Skura Brian, Goubeaux Craig

机构信息

Orthopedic Surgery, OhioHealth, Columbus, USA.

Orthopedic Surgery, Florida Orthopedic Institute, Tampa, USA.

出版信息

Cureus. 2021 Jun 15;13(6):e15656. doi: 10.7759/cureus.15656. eCollection 2021 Jun.

DOI:10.7759/cureus.15656
PMID:34277249
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8281106/
Abstract

We report the case of A 34-year-old right-hand-dominant male who presented with an isolated left volar dislocation of the distal radioulnar joint (DRUJ) without any associated fractures. The patient had sustained the injury in an altercation in the evening prior to the presentation and had woken up the next morning with left wrist pain and restricted wrist motion. Closed reduction was successful under conscious sedation and the patient was treated conservatively with splint immobilization without needing operative intervention. This report highlights a rare injury pattern - an isolated volar DRUJ dislocation - that was successfully closed reduced, despite reports that this injury pattern frequently requires open reduction.

摘要

我们报告了一例34岁右利手男性患者,其表现为单纯的左桡尺远侧关节(DRUJ)掌侧脱位,无任何相关骨折。患者在就诊前一晚的一次争吵中受伤,第二天早上醒来时感到左手腕疼痛,手腕活动受限。在清醒镇静下闭合复位成功,患者采用夹板固定保守治疗,无需手术干预。本报告强调了一种罕见的损伤模式——单纯的DRUJ掌侧脱位——尽管有报道称这种损伤模式通常需要切开复位,但该例成功进行了闭合复位。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93ce/8281106/b7f13f6b1960/cureus-0013-00000015656-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93ce/8281106/b36b5f941cda/cureus-0013-00000015656-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93ce/8281106/b7f13f6b1960/cureus-0013-00000015656-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93ce/8281106/b36b5f941cda/cureus-0013-00000015656-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93ce/8281106/b7f13f6b1960/cureus-0013-00000015656-i03.jpg

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本文引用的文献

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Closed Reduction of an Acute Volar Dislocation of the Distal Radio-Ulnar Joint by a Modified Technique.改良技术闭合复位桡尺远侧关节急性掌侧脱位
Case Rep Orthop. 2018 Aug 2;2018:4289406. doi: 10.1155/2018/4289406. eCollection 2018.
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