Open AccessIsolated Distal Ulna Fracture With Distal Radioulnar Joint Dislocation: A Novel Fracture Pattern
Author(s) -
Matthew Ciminero,
Nick Yohe,
Garret Garofolo-Gonzalez,
Jack Choueka
Publication year - 2019
Publication title -
hand
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.722
H-Index - 35
eISSN - 1558-9455
pISSN - 1558-9447
DOI - 10.1177/1558944719856116
Subject(s) - druj , medicine , distal radioulnar joint , kirschner wire , ulna , orthopedic surgery , reduction (mathematics) , range of motion , surgery , dislocation , orthodontics , internal fixation , materials science , geometry , mathematics , composite material
Background: Galeazzi fractures composed of a middle to distal third radius fracture with dislocation and/or instability at the distal radioulnar joint (DRUJ) have been well described for decades. However, the inverse scenario has seldom if ever been described in the literature. Methods: We explore the case of a 25-year-old active patient who experienced a traumatic distal ulna fracture with dislocation of the DRUJ without a distal radius fracture. Results: It was successfully treated with open reduction and Kirschner wire fixation. The patient regained equivalent strength and range of motion compared with the contralateral uninjured extremity. Conclusion: We feel this patient's successful postoperative course can guide future treatment plans for orthopedic surgeons who encounter similar fractures.