Journal of Clinical Orthopaedics | Vol 7 | Issue 1 | Jan-Jun 2022 | page: 64-66 | Parag Lad, Pankaj Ahire
Author: Parag Lad , Pankaj Ahire 
 Department of Orthopaedics, Pinnacle Orthocentre & Jupiter Hospital, Thane, Maharashtra, India
 Department of Orthopaedics, P D Hinduja Hospital and Medical Research Centre, Mumbai, Maharashtra, India
Address of Correspondence
Dr. Parag Lad,
Department of Orthopaedic, Pinnacle Orthocentre, Chandanwadi-Charai Junction, Thane (401602), Maharashtra, India.
Background: A palmar dislocation of distal radio-ulnar joint (DRUJ) is rare and causes gross functional restriction of pronation. It is certainly major cosmetic concern for the patient as keeps the forearm supinated because of dislocation. Usually, such injuries are caused due to high velocity trauma and fall on supinated hand. The literature is sparse on the management of palmar dislocation of DRUJ.
Materials and Methods: We present a case report on the management of chronic palmar dislocation in a 27-year-old professional gymnast trainer with 1-year follow-up. We describe the surgical technique of open reduction by palmar approach and reconstruction of triangular fibrocartilage complex ligament by suture anchor. The post-operative rehabilitation protocol is also mentioned in detail.
Results: The patient has 80° pronation and painless wrist range of movements at 1-year follow-up. She is able to perform all activities of daily living though not confident in weight bearing on affected wrist.
Conclusion: As per our knowledge, this is described for the 1st time about the management of chronic palmar DRUJ case in young gymnast. The restricted pronation is important sign of palmar DRUJ dislocation. The return of pronation gives immense satisfaction to the patient.
Keywords: Case report, palmar, chronic, DRUJ, dislocation, wrist, gymnast
- Xiao JY, Liu B, Li L, Shi HF, Wu F. Predictors for poor outcome for conservatively treated traumatic triangular fibrocartilage complex tears. Bone Joint J 2021;103-B:1386-91.
- Lee JK, Hwang JY, Lee SY, Kwon BC. What is the natural history of the triangular fibrocartilage complex tear without distal radioulnar joint instability? Clin Orthop Relat Res 2019;477:442-9.
- Kikuchi Y, Nakamura T, Horiuchi Y. Irreducible chronic palmar dislocation of the distal radioulnar joint–a case report. Hand Surg 2005;10:319-22.
- Paley D, Rubenstein J, McMurtry RY. Irreducible dislocation of distal radial ulnar joint. Orthop Rev 1986;15:228-31.
- Deshmukh SC, Wajid M, Thomas B. Matched distal ulnar resection for chronic, traumatic volar dislocation of the distal radioulnar joint. Orthopaedics 2001;24:169-70.
- Ridoux PE, Brientini JM, Garbuio P, Tropet Y. Traumatic isolated palmar dislocation of the distal radio-ulnar joint. Apropos of a case. Rev Chir Orthop Reparatrice Appar Mot 1996;82:255-9.
|How to Cite this article: Lad P, Ahire P. Management of Chronic Palmar Distal Radio-ulnar Joint Dislocation of Wrist: A Case Report on Young Gymnast with 1-Year Follow-up. Journal of Clinical Orthopaedics Jan-Jun 2022;7(1):64-66.|