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Journal of Hand Surgery (British and European Volume)
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Articles

Ulnar Styloid Malunion with Dislocation of the Distal Radioulnar Joint

R. NAKAMURA
E. HORII
T. IMAEDA
E. NAKAO
K. SHIONOYA
H. KATO

From the Division of Hand Surgery, Department of Orthopaedic Surgery, Nagoya University School of Medicine, Nagoya, Japan

Correspondence: R. Nakamura MD, Division of Hand Surgery, Department of Orthopaedic Surgery, Nagoya University School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya 466, Japan.

Four patients with dorsal dislocation of the distal radioulnar joint and ulnar styloid malunion had corrective osteotomy of the ulnar styloid. Dislocation of the distal radioulnar joint was reduced in three of four patients. Subluxation persisted in the remaining patient. Wrist function improved in all patients. These results support the contention that a displaced ulnar styloid fracture with distal radioulnar joint dislocation should be reduced and internally fixed. Corrective osteotomy is recommended for malunion of the ulnar styloid associated with dislocation of the distal radioulnar joint.

Journal of Hand Surgery (British and European Volume), Vol. 23, No. 2, 173-175 (1998)
DOI: 10.1016/S0266-7681(98)80168-X
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