TREATMENT OF RADIAL-SIDED DISPLACED DISTAL RADIOULNAR JOINT INJURY: A REPORT OF TWO CASES AND LITERATURE REVIEW

Văn Thái Nguyễn, Gia Ánh Thỳ Lê, Viết Tân Nguyễn, Ngọc Hiếu Nguyễn, Kim Xoa Cao

Main Article Content

Abstract

Isolated posttraumatic ulnar translocation of the radiocarpal joint is a rare pathological condition in the field of orthopedic trauma. This injury is characterized by the displacement of the carpal bones towards the ulna without associated injuries such as fractures of the distal radius, ulna, or carpal bones. In clinical practice, the diagnosis of ulnar translocation is often delayed due to two main reasons. Firstly, due to its rarity, many physicians are unfamiliar with the clinical presentation of this injury. Secondly, the radiographic signs on X-rays are often subtle and can be easily overlooked if not carefully evaluated. The consequences of delayed diagnosis can lead to serious complications such as chronic pain, limited wrist mobility, and early joint degeneration. Therefore, early recognition and timely intervention play a crucial role in improving patient prognosis. In this report, we present two clinical cases of isolated ulnar translocation. Through detailed analysis of the injury mechanism, clinical manifestations, radiographic features, and treatment methods, we aim to raise awareness among clinicians about this rare type of injury. The ultimate goal is to improve early diagnostic capabilities and appropriate management, thereby optimizing treatment outcomes for patients

Article Details

References

1. Stabler A, Baumeister RG, Szeimies U, et al. (1994) Rotatory palmar subluxation of the lunate in post-traumatic ulnar carpal translocation. Skeletal Radiol 23(2):103–106
2. Rayhack JM, Linscheid RL, Dobyns JH, et al. (1987) Posttraumatic ulnar translation of the carpus. J Hand Surg [Am] 12(2):180–189
3. Bellinghausen HW, Gilula LA, Young LV, et al. (1983) Post-traumatic palmar carpal subluxation. Report of two cases. J Bone Joint Surg Am 65(7):998–1006
4. Viegas SF, Patterson RM, Ward K (1995) Extrinsic wrist ligaments in the pathomechanics of ulnar translation instability. J Hand Surg [Am] 20(2):312–318
5. Arslan H, Tokmak M (2002). Isolated ulnar radiocarpal dislocation. Arch Orthop Trauma Surg 122(3):179–181
6. Howard RF, Slawski DP, Gilula LA (1997) Isolated palmar radiocarpal dislocation and ulnar translocation: a case report and review of the literature. J Hand Surg [Am] 22(1):78–82
7. Dumontier C, Meyer zu Reckendorf G, Sautet A, et al (2001). Radiocarpal dislocations: classification and proposal for treatment. A review of twenty-seven cases. J Bone Joint Surg Am 83-A(2):212–218
8. Jebson PJ, Adams BD, Meletiou SD (2000). Ulnar translocation instability of the carpus after a dorsal radiocarpal dislocation: a case report. Am J Orthop 29(6):462–464.