Isolated volar dislocation of the distal radio-ulnar joint is an extremely rare lesion. Diagnosis is commonly missed. The authors report their experience about a case of an acute locked volar distal radio-ulnar joint dislocation. A correct clinical and radiological diagnosis was done in the Emergency Department, and a closed reduction was achieved only after an axillary block, after a first failed attempt under slight sedation. A K-wire blocking the prono-supination and a short removable forearm cast protected the reduction for 25 days. Two weeks after the removal of the immobilization, the patient presented a complete functional recovery, with full range of motion. The authors highlight the importance of the clinical and radiological findings: a dorsal dimple at the ulnar side leads to a high index of suspicion, and represent the most relevant aid in diagnosis, associated to a proper imaging assessment. Prompt management allows a minimally invasive approach and a rapid functional recovery.

Management of locked volar radio-ulnar joint dislocation / Starnoni, M.; Colzani, G.; De Santis, G.; Acciaro, A. L.. - In: PLASTIC AND RECONSTRUCTIVE SURGERY – GLOBAL OPEN. - ISSN 2169-7574. - 7:10(2019), pp. 1-4. [10.1097/GOX.0000000000002480]

Management of locked volar radio-ulnar joint dislocation

Starnoni M.
;
De Santis G.;Acciaro A. L.
2019

Abstract

Isolated volar dislocation of the distal radio-ulnar joint is an extremely rare lesion. Diagnosis is commonly missed. The authors report their experience about a case of an acute locked volar distal radio-ulnar joint dislocation. A correct clinical and radiological diagnosis was done in the Emergency Department, and a closed reduction was achieved only after an axillary block, after a first failed attempt under slight sedation. A K-wire blocking the prono-supination and a short removable forearm cast protected the reduction for 25 days. Two weeks after the removal of the immobilization, the patient presented a complete functional recovery, with full range of motion. The authors highlight the importance of the clinical and radiological findings: a dorsal dimple at the ulnar side leads to a high index of suspicion, and represent the most relevant aid in diagnosis, associated to a proper imaging assessment. Prompt management allows a minimally invasive approach and a rapid functional recovery.
2019
7
10
1
4
Management of locked volar radio-ulnar joint dislocation / Starnoni, M.; Colzani, G.; De Santis, G.; Acciaro, A. L.. - In: PLASTIC AND RECONSTRUCTIVE SURGERY – GLOBAL OPEN. - ISSN 2169-7574. - 7:10(2019), pp. 1-4. [10.1097/GOX.0000000000002480]
Starnoni, M.; Colzani, G.; De Santis, G.; Acciaro, A. L.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11380/1205034
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