ArticleInternational journal of surgery case reports2026
A simple button-to-button fixation for chronic distal radio-ulnar junction disruption: a case report and literature review.
Article in International journal of surgery case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
Introduction and importance: The stability of the wrist joint is essential. A simple button-to-button (BtB) fixation technique may provide long-term stability after a chronic distal radio-ulnar joint (DRUJ) disruption and result in a good functional outcome. Case presentation: A 32-year-old female was admitted to the clinic right after having difficulties with wrist rotation movement for 6 months before admission. There was a history of traffic accidents before this complaint. She fell to the ground with her arm holding her body in a wrist rotation position. A tenderness was found during physical examination, specifically on her left wrist joint. Further, a piano key sign was positive. Magnetic Resonance Imaging revealed DRUJ disruption. The patient was diagnosed with chronic DRUJ disruption. Clinical discussion: We implement a simple, minimally invasive surgical approach with a novel kit of BtB fixation to stabilize wrist function. The length of surgery was measured and showed a short duration of 10 minutes. The Visual Analog Scale (VAS), Euroqol 5-Dimension (EQ5D) score, and Disability of Arm, Shoulder, and Hand (DASH) were determined and showed a good patient-reported outcome. The cost of treatment was estimated, resulting in an Average Cost-Effectiveness Ratio of $2692/QALY. Conclusion: The minimally invasive approach with the BtB procedure is a simple and cost-effective approach for treating a chronic DRUJ disruption in selected patients. VAS, EQ5D, and DASH scores pointed out a good functional outcome.
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