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 | Vol 7 | Issue 1 |  Jan-Jun 2022 | page: 64-66 | Parag Lad, Pankaj Ahire


Author: Parag Lad [1], Pankaj Ahire [2]

[1] Department of Orthopaedics, Pinnacle Orthocentre & Jupiter Hospital, Thane, Maharashtra, India

[2] 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


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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.

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First time Anterior Shoulder Dislocation: Rationale for Treatment

Journal of Clinical Orthopaedics | Vol 6 | Issue 1 |  Jan-Jun 2021 | page: 60-64 | Shirish S Pathak , Gaurav Waghmare

Author: Shirish S Pathak [1], Gaurav Waghmare [1]

[1] Department of Shoulder and Sports Injury, Deenanath Mangeshkar Hospital, Pune, India

Address of Correspondence
Dr. Gaurav Waghmare,
Department of Shoulder and Sports Injury, Deenanath Mangeshkar Hospital, Pune, India


Anterior traumatic glenohumeral joint dislocation is the most common dislocation in the human body. The definitive management of first-time anterior shoulder dislocation remains controversial. The traditional conservative treatment of closed reduction and immobilisation has shown high recurrence rates in the young athletic male population involved in contact sports. This has led to an increased interest and trend amongst shoulder surgeons to offer early operative stabilisation after first dislocation itself. This article reviews current literature about recurrence rates after conservative versus operative treatment of first time shoulder dislocation. It also highlights key issues of defining the high risk group for recurrence after conservative treatment, compares the outcomes of surgery for first versus recurrent shoulder dislocations and also mentions complications of early surgery. Article also discusses an evidenced based treatment algorithm for the treatment of a first time anterior shoulder dislocation.
Keywords: dislocation, rationale, anterior


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How to Cite this article: Pathak SS, Waghmare G. First time anterior shoulder dislocation: rationale for treatment. Journal of Clinical Orthopaedics Jan-Jun 2021;6(1):60-64.

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