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Isolated Dislocation of the Distal Radio-Ulnar Joint: An Unrecognized Emergency

Ralahy Fanjalalaina, Randimbinirina Zakarimanana, Andrianimaro Florelia, Rohimpitiavana Amboara, Razafimahandry Henri

Ministry of Public Health Ringgold Standard Institution, Fianarantsoa, Madagascar

Correspondence to: Dr. Ralahy Fanjalalaina,  Email: fafah.ralahy@gmail.com

Summary

Dislocation of the isolated distal radio-ulnar joint (DRU) is rare. The clinical and radiological signs are not very suggestive, which make the diagnosis difficult and sometimes late. The care remains disparate for both recent forms and neglected forms. In order to illustrate the management of these lesions in the light of data from the literature, we report two cases of isolated dislocation of the distal radioulnar joint. The first patient was a 22-year-old woman who presented with a recent palmar traumatic dislocation of the left DRU whose reduction followed by immobilization restored the function and mobility of the wrist. The second patient was a 34-year-old man with dislodged dorsal dislocation from the DRUJ who received a Sauvé-Kapandji intervention with a marked improvement in wrist mobility.DRUJ dislocations must be diagnosed and reduced early as neglected or recurrent lesions require surgery. For the case, the intervention of Sauvé-Kapandji gave good result.

 

Key words: Dislocation, Distal Radioulnar, Sauvé-Kapandji, Surgery, Wrist

Ann Afr Surg. 2019; 17(1):***

DOI: http://dx.doi.org/10.4314/aas.v16i1.*

Conflicts of Interest: None

Funding: None

© 2019 Author. This work is licensed under the Creative Commons Attribution 4.0 International License.

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