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Isolated Distal Radioulnar Joint Dislocation in an Adolescent: A Case Report and Systematic Review.
Stephen Murphy1,2, Eoin Fahey1,2, Pat Fleming1,2
1Department of Trauma and Orthopaedics, Cork University Hospital, Whilton, Cork, Ireland.
Journal of Orthopaedic Case Reports
|May 12, 2025
Summary
This case report details a rare isolated distal radioulnar joint (DRUJ) dislocation in a young athlete. Successful closed reduction and early rehabilitation led to a full recovery, highlighting prompt diagnosis and treatment importance.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Radiology
Background:
- Isolated distal radioulnar joint (DRUJ) dislocations are uncommon injuries.
- Prompt diagnosis and treatment are crucial to prevent long-term complications like pain, stiffness, and functional loss.
Observation:
- A 16-year-old male sustained an acute isolated DRUJ dislocation from a sports injury.
- Initial closed reduction attempts at another facility were unsuccessful.
Findings:
- The patient underwent successful closed reduction in our major trauma center.
- Post-reduction management included temporary casting and early physiotherapy.
Implications:
- This case underscores the importance of considering DRUJ dislocations in patients with wrist trauma and pronation/supination difficulties.
- Early diagnosis via thorough clinical evaluation and imaging (radiographs, CT/MRI) is essential.
- Timely intervention and rehabilitation can lead to excellent functional outcomes.
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