Kırık olmadan Akut izole distal radioulnar eklem çıkığı cerrahi tedavisi: Nadir görülen pediatrik olgu sunumu
Distal radioulnar eklem (DRUE), el bilek stabilitesinde rol oynayan en önemli yapılardan biridir. DRUE çıkığı atlanırsa, instabilite ile sonuçlanır. Bu da el bileği fonksiyonlarını olumsuz etkiler. Çocuklarda kırık olmadan distal radioulnar eklem çıkığı nadirdir. Cerrahi olarak tedavi edilen ve 12 ay takip edilen nadir görülen pediatrik bir vakayı sunuyoruz. Travma hikayesi olup, ağrılı önkol supinasyon ve pronasyon varlığında bu yaralanmadan şüphe etmek gerekir. Radyografi ile tanı tam doğrulanmalıdır. Kapalı redüksiyon ve perkütan Kirschner teli ile yapılan cerrahi sonrası olumlu klinik ve fonksiyonel sonuç verir.
Surgical treatment of isolated acute dislocation of the distal radioulnar joint without fracture: A rare pediatric case report
Distal radioulnar joint (DRUJ) is one of the most important structures that play a role in wrist stability. If the DRUE output is skipped, it results in instability. This affects the wrist functions negatively. It is rare for children to have distal radioulnar joint without fracture. We present a rare pediatric case treated surgically and followed for 12 months. Trauma is a story, painful forearm supination and pronation in the presence of this injury should be suspicious. The diagnosis should be confirmed by radiography. Closed reduction and percutaneous Kirschner wire make positive clinical functional results after surgery.
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- Lees VC. Functional anatomy of the distal radioulnar joint health and disease. Ann R Coll Surg Engl. 2013; 95: 163-70.
- Carlsen BT, Dennison DG, Moran SL. Acute dislocation of the distal radioulnar joint and distal ulna fractures. Hand Clin. 2010; 26: 503-16.
- Acar E. An isolated acute pisiform and triquetrum fracture. Hand Microsurg (In press). doi:10.5455/ handmicrosurg.237736.
- Acar E, Toker S. Clavicular fracture in a national wrestler: A case report of rapid return to play. J Orthop Traumatol Rehabil. 2015; 8: 46-9.
- Garrigues GE, Aldridge JM., Acute irreducible distal radioulnar joint dislocation. A case report. J Bone Joint Surg Am. 2007; 89: 1594-7.
- Dameron TB. Traumatic dislocation of the distal radio- ulnar joint. Clin Orthop Relat Res. 1972; 83: 55-63.
- Acar E. Surgical treatment of isolated acute dislocation of the distal radioulnar joint without fracture: Case reports of dorsal and volar dislocations. Hand Microsurg (In press). doi:10.5455/handmicrosurg. 238566.
- Mittal R, Kulkarni R, Subsposh SY, Giannoudis PV. Isolated volar dislocation of the distal radioulnar joint: how easy to miss. Eur J Emerg Med. 2004; 11: 113-6.
- Bouri F, Fuad M, Abdolenour AE. Locked volar radioulnar joint dislocation. Int J Surg Case Rep. 2016; 22: 12-4.
- Thomas BP, Sreekanth R. Distal radioulnar joint injuries. Indian J Orthop. 2012; 46: 493-504.
- Hagert CG. Distal radius fracture and the distal radioulnar joint--anatomical considerations. Handchir Mikrochir PlastChir. 1994; 26: 22-6.
- Szabo RM. Distal radioulnar joint instability. J Bone Joint Surg Am. 2006; 88: 884-9.
- Tay SC, Tomita K, Berger RA. The ''Ulnar Fovea Sign'' for defining ulnar wrist pain: an analysis of sensitivity and specificity. J Hand Surg. 2007; 32: 438-44.
- Nakamura R. Diagnosis of ulnar wrist pain. Nagoya J Med Sci. 2001; 64: 81-91.
- Wijfells MME, Brink PRG, Schipper IB. Clinical and non-clinical aspects of distal radioulnar joint instability. Open Orthop J. 2012; 6: 204-10.
- Young D, Papp S, Giachino A. Physical examination of the wrist. Orthop Clin N Am. 2007; 38: 149-65
- Wassink S, Lisowski LA, Schutte BG. Traumatic recurrent distal radioulnar joint dislocation: a case report. Strat Traum Limb Recon. 2009; 4: 141-3.