CT Maneuver Reduced Locked DRUJ - Summary - MDSpire

CT Maneuver Reduced Locked DRUJ

CT imaging identified a Hill-Sachs-like bony lock that helped physicians tailor a modified reduction maneuver following failed standard attempts.

  • By

  • Andrea Surnit

  • May 12, 2026

  • 4 min

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Objective:

To report a case of successful closed reduction of a volar distal radioulnar joint (DRUJ) dislocation using a modified maneuver informed by CT imaging in a single patient.

Key Findings:
  • CT imaging revealed a bony locking mechanism preventing standard reduction.
  • Extreme wrist pronation was crucial for successful reduction.
  • Post-reduction, the patient regained full range of motion and remained asymptomatic at follow-up.
Interpretation:

The case highlights the importance of early diagnosis and tailored reduction techniques for volar DRUJ dislocations, which may often be misdiagnosed.

Limitations:
  • Single-patient case report limits generalizability, making it difficult to apply findings broadly.
  • Lack of saved fluoroscopic images and acute MRI data limits understanding of soft-tissue injuries.
  • No long-term in-person follow-up data available, raising questions about the durability of the results.
Conclusion:

The modified closed reduction technique may serve as an alternative to open surgery for volar DRUJ dislocations with identified bony locking mechanisms, emphasizing the need for early diagnosis and tailored reduction techniques.

Original Source(s)

CT Maneuver Reduced Locked DRUJ

  • by Andrea Surnit

  • May 12, 2026

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