Distal radioulnar joint disruption - Revision history

Josgood: /* Background */

2017-10-27T16:30:20Z

Background

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	==Background==		==Background==
	*Seen with intra-articular or distal radial shaft fractures or both bone fracture		*Seen with intra-articular or [[distal radius fractures\|distal radial shaft fractures]] or [[Radia ulna fracture\|both bone fracture]]

	==Clinical Features==		==Clinical Features==

Rossdonaldson1: /* Disposition */

2017-04-10T05:46:15Z

Disposition

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	==Disposition==		==Disposition==
			*Outpatient with ortho followup

	==See Also==		==See Also==

Ted Fan: clinical features

2016-12-26T00:28:09Z

clinical features

← Revisión anterior		Revisión del 00:28 26 dic 2016
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	==Clinical Features==		==Clinical Features==
			*Easy to miss due to concomitant injuries
			*Painful pronation or supination of wrist/forearm, possible crepitus
			*Prominent or displaced ulnar styloid

	==Differential Diagnosis==		==Differential Diagnosis==

Rossdonaldson1 at 11:59, 16 October 2016

2016-10-16T11:59:47Z

← Revisión anterior		Revisión del 11:59 16 oct 2016
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	*Seen with intra-articular or distal radial shaft fractures or both bone fracture		*Seen with intra-articular or distal radial shaft fractures or both bone fracture

	==Imaging==		==Clinical Features==

			==Differential Diagnosis==
			{{Distal radius fracture DDX}}

			==Evaluation==
			===Imaging===
	*PA		*PA
	**Narrowing and overlap of distal radioulnar joint		**Narrowing and overlap of distal radioulnar joint
Línea 8:		Línea 14:
	**Volar or dorsal displacement of ulna (which is usually centered/overlapping the radius)		**Volar or dorsal displacement of ulna (which is usually centered/overlapping the radius)
	**Requires a true lateral to avoid a false positive result		**Requires a true lateral to avoid a false positive result
	*Radiographic signs of instability:<ref name="Hand and wrist emergencies">German C. Hand and wrist emergencies. In: Bond M, ed. Orthopedic Emergencies: Expert Management for the Emergency Physician. Cambridge: Cambridge University Press; October 31, 2013.</ref>
	**Radial shortening
	**Fracture of the sigmoid notch of radius
	**Fracture of ulnar styloid base with >2mm displacement
	*Consider forearm radiographs to evaluate for [[Galeazzi fracture-dislocation]] and [[Essex Lopresti]]		*Consider forearm radiographs to evaluate for [[Galeazzi fracture-dislocation]] and [[Essex Lopresti]]

	==~~Differential Diagnosis~~==		===Radiographic signs of instability<ref name="Hand and wrist emergencies">German C. Hand and wrist emergencies. In: Bond M, ed. Orthopedic Emergencies: Expert Management for the Emergency Physician. Cambridge: Cambridge University Press; October 31, 2013.</ref>===
	~~{{Distal~~ radius ~~fracture DDX}}~~		*Radial shortening
			*Fracture of the sigmoid notch of radius
			*Fracture of ulnar styloid base with >2mm displacement

	==Management==		==Management==
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	*Volar dislocation		*Volar dislocation
	**Immobilize wrist in pronation		**Immobilize wrist in pronation

			==Disposition==

	==See Also==		==See Also==

Rossdonaldson1: /* References */

2016-10-16T11:58:28Z

References

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	==References==		==References==
	<references/>		<references/>
	*German C. Hand and wrist emergencies. In: Bond M, ed. Orthopedic Emergencies: Expert Management for the Emergency Physician. Cambridge: Cambridge University Press; October 31, 2013.

	[[Category:Orthopedics]]		[[Category:Orthopedics]]

Rossdonaldson1: /* Imaging */

2016-10-16T11:58:17Z

Imaging

← Revisión anterior		Revisión del 11:58 16 oct 2016
Línea 8:		Línea 8:
	**Volar or dorsal displacement of ulna (which is usually centered/overlapping the radius)		**Volar or dorsal displacement of ulna (which is usually centered/overlapping the radius)
	**Requires a true lateral to avoid a false positive result		**Requires a true lateral to avoid a false positive result
	*Radiographic signs of instability:		*Radiographic signs of instability:<ref name="Hand and wrist emergencies">German C. Hand and wrist emergencies. In: Bond M, ed. Orthopedic Emergencies: Expert Management for the Emergency Physician. Cambridge: Cambridge University Press; October 31, 2013.</ref>
	**Radial shortening		**Radial shortening
	**Fracture of the sigmoid notch of radius		**Fracture of the sigmoid notch of radius
	**Fracture of ulnar styloid base with >2mm displacement		**Fracture of ulnar styloid base with >2mm displacement
	*Consider forearm radiographs to evaluate for [[Galeazzi fracture-dislocation]] and [[Essex Lopresti]]		*Consider forearm radiographs to evaluate for [[Galeazzi fracture-dislocation]] and [[Essex Lopresti]]

	==Differential Diagnosis==		==Differential Diagnosis==

Ted Fan: xray findings

2016-10-10T15:00:43Z

xray findings

← Revisión anterior		Revisión del 15:00 10 oct 2016
Línea 8:		Línea 8:
	**Volar or dorsal displacement of ulna (which is usually centered/overlapping the radius)		**Volar or dorsal displacement of ulna (which is usually centered/overlapping the radius)
	**Requires a true lateral to avoid a false positive result		**Requires a true lateral to avoid a false positive result
			*Radiographic signs of instability:
			**Radial shortening
			**Fracture of the sigmoid notch of radius
			**Fracture of ulnar styloid base with >2mm displacement
			*Consider forearm radiographs to evaluate for [[Galeazzi fracture-dislocation]] and [[Essex Lopresti]]

	==Differential Diagnosis==		==Differential Diagnosis==
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	==References==		==References==
	<references/>		<references/>
			*German C. Hand and wrist emergencies. In: Bond M, ed. Orthopedic Emergencies: Expert Management for the Emergency Physician. Cambridge: Cambridge University Press; October 31, 2013.

	[[Category:Orthopedics]]		[[Category:Orthopedics]]

Neil.m.young: Text replacement - " w/ " to " with "

2016-07-13T00:23:05Z

Text replacement - " w/ " to " with "

← Revisión anterior		Revisión del 00:23 13 jul 2016
Línea 1:		Línea 1:
	==Background==		==Background==
	*Seen w/ intra-articular or distal radial shaft fractures or both bone fracture		*Seen with intra-articular or distal radial shaft fractures or both bone fracture

	==Imaging==		==Imaging==

Neil.m.young: Text replacement - "*Tintinalli" to ""

2016-06-26T05:40:57Z

Text replacement - "*Tintinalli" to ""

← Revisión anterior		Revisión del 05:40 26 jun 2016
Línea 23:		Línea 23:
	==References==		==References==
	<references/>		<references/>
	*Tintinalli

	[[Category:Orthopedics]]		[[Category:Orthopedics]]

Neil.m.young: Text replacement - "==Source==" to "==References== "

2016-06-26T04:49:48Z

Text replacement - "==Source==" to "==References== <references/>"

← Revisión anterior		Revisión del 04:49 26 jun 2016
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	*[[Distal radius fractures]]		*[[Distal radius fractures]]

	==~~Source~~==		==References==
			<references/>
	*Tintinalli		*Tintinalli

	[[Category:Orthopedics]]		[[Category:Orthopedics]]