Distal Radioulnar Joint Dislocation Following Radius Bridging Plate for DRF
Year: 2025
Type: article
Study design: Case Report
Abstract: Background: This case report highlights two cases of progressive distal radioulnar joint dislocation following dorsal bridging plate (DBP) fixation for complex distal radius fractures (DRFs), a complication not previously documented in this situation. Case Description: Both cases involved young patients with associated non-displaced basal ulnar styloid fractures, treated using DBP without addressing ulnar-sided lesions. Postoperative CT scan analysis revealed anterior translation of the distal radius metaphysis. Literature Review/Clinical Relevance: The non-anatomic straight design of the plate, when associated with a destabilizing ulnar-sided lesion, may contribute to this complication by moving anteriorly the distal metaphysis of the radius. Further research is necessary to establish a causal relationship between the implant design and anterior translation of the distal radius metaphysis. In cases involving a combination of ulnar-sided wrist injuries and DBP management for DRF, it is advisable to address ulnar-sided wrist injuries during the initial management of DRF when using DBP.
Source: Journal of Wrist Surgery
DOI: 10.1055/a-2617-6167
Authors: Thibault Druel, Andras Barta, Victor Rutka, Arnaud Walch
Institutions: Hospices Civils de Lyon, Hôpital Edouard Herriot
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W4411196190