To study the incidence of missed Distal Radio-Ulnar Joint (DRUJ) injuries, its’ early diagnosis by dynamic C.T. Scan and Management by modified Kapanji method

Abstract

Background and Method: All the patients coming to the Department of Orthopaedics of Index Medical College Hospital & Research Centre, Indore, with an aim to Study The Incidence of missed Distal Radio-Ulnar Joint (Druj) Injuries, Its’ Early Diagnosis by Dynamic C.T. Scan and Management by Modified Kapanji Method and diagnosed with distal radio-ulnar joint injuries. All the trauma cases were received in the casualty and primary treatment with detailed examination and required imaging studies were done. The x-ray included antero-posterior and posterio-anterior views with dynamic CT scan and CT scan for head injury patient was donr through all investigation operative procedure were planned. The required consent was taken by the patient beforehand. Result: DRUJ injuries are more prevalent among young males than females. In age group 16 to 30 female (45%) is higher than male (38.8%). DRUJ injuries was seen more in left (55%) than right (45%) hand. Fall on out stretched hand (58%) is the major mechanism of DRUJ injuries followed by trivial trauma in 42%. DRUJ injury was missed in 18.33%, chronic in 20%, acute in 38.33% and sub-acute in 23.33%. Conclusion: Present study conclude that DRUJ injuries are more prevalent among young males than females. DRUJ injuries was seen more in left (55%) than right(45%) hand with fall on out stretched hand is the major mechanism. Physical examination is effective in diagnosis; radiological examination suggested for further investigations. Positive symptoms of DRUJ injuries were in 100%, physical examination was positive in 85% and negative in 15%. Positive CT findings in 66.67% and negative in 33.33%. X-ray findings were positive in 71.67% and negative in 28.33%.