- CT imaging with 3D reconstruction identified a bony impaction mechanism that guided maneuver selection prior to surgery.
- Extreme pronation appeared to be the critical maneuver for disengaging the impacted ulnar head from the volar radial rim.
- Volar distal radioulnar joint dislocations may be difficult to diagnose and can be initially misdiagnosed, particularly in emergency settings.
- The patient regained normal pronation, supination, and flexion-extension function by 6 weeks following immobilization and rehabilitation.
- The findings are limited by the single-patient design and lack of long-term radiographic follow-up.
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