Manual reduction and splint fixation for distal radius fracture with dislocation: a case report

Area of Science:

• Orthopedic Surgery
• Traumatology
• Radiology

Background:

• Distal radius fractures (DRF) are common, representing about 20% of all fractures.
• Distal radioulnar joint (DRUJ) dislocations often accompany DRF but can be subtle and missed.
• Missed DRUJ dislocations can lead to misdiagnosis and poor treatment outcomes.

Observation:

• An elderly female patient with a DRF initially had an undiagnosed DRUJ dislocation.
• Subtle clinical and imaging findings can obscure concurrent DRUJ dislocations in DRF cases.
• A high index of suspicion and thorough examination are vital for identifying associated DRUJ injuries.

Findings:

• The overlooked DRUJ dislocation was diagnosed upon careful reassessment.
• Manual reduction and splint fixation were employed for the DRUJ dislocation management.
• The patient experienced significant functional recovery, including improved wrist mobility and pain reduction.

Implications:

• Early identification of DRUJ dislocations in DRF patients is critical.
• Prompt intervention prevents long-term wrist dysfunction and suboptimal treatment.
• Thorough evaluation and timely management lead to substantial patient recovery.