Daradkeh Salah Tewfik, Elayan Basel, Daradkeh Yazan Tawfiq, Al Dabouby Firas Salman
Orthopedics and Trauma, Faculty of Medicine, Department of General Surgery and Special Surgery, Yarmouk University, Jordan.
Faculty of Medicine, Yarmouk University, Jordan.
Int J Surg Case Rep. 2022 Jun;95:107190. doi: 10.1016/j.ijscr.2022.107190. Epub 2022 May 11.
Isolated acute distal radioulnar joint (DRUJ) dislocation is a rare injury that should be early recognized and treated promptly to avoid the limitation and disability associated with delayed diagnosis and management.
We present a patient with a traumatic dorsal isolated DRUJ dislocation who was successfully treated with a closed reduction and k-wire pinning along with cast immobilization.
Previous reports of distal radioulnar joint dislocation have described the mechanics of this injury as well as a guidance to diagnosis and treatment. Closed reduction, stabilization of wrist joint, and early mobilization of elbow joint can help in preserving the joint function and a faster recovery.
Closed reduction under general anesthesia, DRUJ stabilization by k-wire pinning, and above elbow casting can be successful in most cases. We recommend an early transition to below elbow cast to encourage early elbow range of motion and prevent joint stiffness.
孤立性急性下尺桡关节（DRUJ）脱位是一种罕见的损伤，应尽早识别并及时治疗，以避免与延迟诊断和处理相关的功能受限和残疾。
我们报告一例创伤性背侧孤立性DRUJ脱位患者，通过闭合复位、克氏针固定及石膏固定成功治愈。
既往有关下尺桡关节脱位的报道描述了该损伤的机制以及诊断和治疗指南。闭合复位、稳定腕关节以及早期活动肘关节有助于保留关节功能并更快恢复。
在大多数情况下，全身麻醉下的闭合复位、克氏针固定DRUJ以及上臂石膏固定可取得成功。我们建议尽早更换为下臂石膏，以促进肘关节早期活动范围并防止关节僵硬。
