双缝线纽扣重建治疗桡尺远侧关节慢性掌侧脱位：一例报告
Double suture-button reconstruction for chronic volar dislocation of distal radioulnar joint: A case report.
作者信息
Satria Oryza, Abubakar Irsan, Novera Diaz
机构信息
Department of Orthopaedic and Traumatology, Fatmawati General Hospital, Jakarta, Indonesia.
Division of Orthopaedic and Traumatology, Department of Surgery, Universitas Syiah Kuala, Zainoel Abidin General Hospital, Banda Aceh, Indonesia.
出版信息
Ann Med Surg (Lond). 2022 Sep 17;82:104705. doi: 10.1016/j.amsu.2022.104705. eCollection 2022 Oct.
INTRODUCTION AND IMPORTANCE
A distal radioulnar joint (DRUJ) dislocation is an uncommon occurrence. If not managed properly could result in severe functional impairment.
CASE PRESENTATION
We report a case of a 45-year-old lady who was injured 6 months ago. She suffered a volar dislocation of the DRUJ and an ulnar head fracture. The DRUJ was stable after open reduction and reconstruction using suture-button technique.
DISCUSSION
Application of the first suture-button still result in positive ballottement with subluxation of ulnar head. Additional of second suture-button improved the stability and restored DRUJ motion.
CONCLUSION
The double suture-button technique restored the DRUJ's stability and produced a good functional outcome.
引言与重要性
桡尺远侧关节（DRUJ）脱位并不常见。若处理不当可能导致严重的功能障碍。
病例介绍
我们报告一例45岁女性，她在6个月前受伤。她遭受了桡尺远侧关节掌侧脱位及尺骨头骨折。采用缝线纽扣技术进行切开复位和重建后，桡尺远侧关节稳定。
讨论
应用第一枚缝线纽扣后，尺骨头仍有阳性浮髌试验及半脱位。加用第二枚缝线纽扣提高了稳定性并恢复了桡尺远侧关节的活动。
结论
双缝线纽扣技术恢复了桡尺远侧关节的稳定性并产生了良好的功能结果。
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