Document Detail


Irreducible dislocation of distal radial ulnar joint.
MedLine Citation:
PMID:  3453929     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Volar dislocations of the distal radioulnar joint are often missed initially. Late closed reduction of this joint is generally unsuccessful. Even acute reductions of the distal radioulnar joint is often incomplete or unsuccessful. This is not the case for dorsal dislocations. Obstruction to reduction may be due to the contracted volar soft tissues in late cases or to the dynamic pull of the pronator quadratus acutely. A previously unrecognized cause for difficulty in reduction is the torn triangular fibrocartilaginous complex (TFCC). When the tear occurs at its dorsal insertion on the radius, leaving the TFCC attached to the volar radius and to the ulna, it may block the reduction of the ulnar head into the sigmoid notch. Open reduction is required in such cases with repair of the TFCC.
Authors:
D Paley; J Rubenstein; R Y McMurtry
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Orthopaedic review     Volume:  15     ISSN:  0094-6591     ISO Abbreviation:  Orthop Rev     Publication Date:  1986 Apr 
Date Detail:
Created Date:  1988-09-01     Completed Date:  1988-09-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0431766     Medline TA:  Orthop Rev     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  228-31     Citation Subset:  IM    
Affiliation:
Emergency Services, Sunnybrook Medical Centre, Toronto, Ontario, Canada.
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MeSH Terms
Descriptor/Qualifier:
Cartilage, Articular / injuries
Dislocations / radiography*,  surgery
Humans
Male
Middle Aged
Time Factors
Tomography, X-Ray Computed
Wrist Injuries / radiography*,  surgery
Wrist Joint*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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