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Treatment of distal radioulnar joint dislocation with spontaneous rupture of extensor tendon by Sauve-Kapandji osteotomy assisted by wrist arthroscopy: A case series and literature review.

Abstract Dislocation of the distal radioulnar joint and injury to distal forearm are commonly encountered. However, delayed diagnosis or misdiagnosis has been relatively rare due to improved diagnosis and treatment. Treatment of old dislocation of radioulnar joint is challenging due to development of secondary chronic instability and difficulties in restoration of joint function.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 29851780
OWN - NLM
STAT- MEDLINE
DCOM- 20180608
LR  - 20180608
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 97
IP  - 22
DP  - 2018 Jun
TI  - Treatment of distal radioulnar joint dislocation with spontaneous rupture of
      extensor tendon by Sauve-Kapandji osteotomy assisted by wrist arthroscopy: A case
      series and literature review.
PG  - e10752
LID - 10.1097/MD.0000000000010752 [doi]
AB  - RATIONALE: Dislocation of the distal radioulnar joint and injury to distal
      forearm are commonly encountered. However, delayed diagnosis or misdiagnosis has 
      been relatively rare due to improved diagnosis and treatment. Treatment of old
      dislocation of radioulnar joint is challenging due to development of secondary
      chronic instability and difficulties in restoration of joint function. PATIENT
      CONCERNS: This report describes three cases of patients complained about
      inability to extend their little fingers. DIAGNOSES: Local examination and X-ray 
      revealed chronic ulnar joint dislocation. INTERVENTION: Wrist arthroplasty was
      used to perform ulnar distal articular cleansing and repair of the triangular
      fibrocartilage complex (TFCC) articular cartilage. The Sauve-Kapandji osteotomy
      was performed to treat radial joint dislocation and stabilize ulnar joint. Repair
      of spontaneous fracture of the extensor tendon was also performed. Postoperative 
      gypsum was used for immobilization for 4 weeks. OUTCOMES: The follow-up results
      are reported. Based on Cooney wrist score, the preoperative scores were poor (55,
      50, 60), while the post-operative scores were excellent (90, 85, 90) in all 3
      cases. LESSONS: Early and accurate diagnosis and treatment is important for the
      recovery of distal radius fracture for patients with dislocation of the ulnar
      joint. The correct treatment determines the degree of later functional recovery. 
      Early surgical treatment is recommended for patients with unsatisfactory reset.
      Delayed diagnosis and treatment often lead to chronic and persistent lower ulnar 
      joint subluxation or dislocation, or even osteoarthritis. All patients in this
      report showed great improvement in wrist function after surgery.
FAU - Qian, Hui
AU  - Qian H
AD  - People's First Hospital of Zhangjiagang, Jiangsu, China.
FAU - Chen, Guozhao
AU  - Chen G
FAU - Liu, Zongbao
AU  - Liu Z
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Aged
MH  - Arthroscopy/*methods
MH  - Early Diagnosis
MH  - Female
MH  - Humans
MH  - Joint Dislocations/complications/diagnostic imaging/*surgery
MH  - Male
MH  - Middle Aged
MH  - Osteoarthritis/complications/diagnostic imaging
MH  - Osteotomy/methods
MH  - Radiography
MH  - Radius/*injuries
MH  - Range of Motion, Articular/physiology
MH  - Rupture, Spontaneous/complications/diagnostic imaging
MH  - Secondary Prevention
MH  - Tendons/pathology/physiopathology
MH  - Treatment Outcome
MH  - Ulna/*injuries
MH  - Wrist/diagnostic imaging/surgery
MH  - Wrist Injuries/diagnostic imaging/surgery
MH  - Wrist Joint/diagnostic imaging/physiopathology/*surgery
EDAT- 2018/06/01 06:00
MHDA- 2018/06/09 06:00
CRDT- 2018/06/01 06:00
PHST- 2018/06/01 06:00 [entrez]
PHST- 2018/06/01 06:00 [pubmed]
PHST- 2018/06/09 06:00 [medline]
AID - 10.1097/MD.0000000000010752 [doi]
AID - 00005792-201806010-00008 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2018 Jun;97(22):e10752. doi: 10.1097/MD.0000000000010752.