Distal radioulnar joint instability in distal radius fractures: The role of sigmoid notch and triangular fibrocartilage complex revisited

Injury ◽  
2006 ◽  
Vol 37 (3) ◽  
pp. 252-258 ◽  
Author(s):  
David W. Cole ◽  
Gamal A. Elsaidi ◽  
Kevin R. Kuzma ◽  
Gary R. Kuzma ◽  
Beth P. Smith ◽  
...  
Keyword(s):  
Distal Radius ◽  
Joint Instability ◽  
Distal Radioulnar Joint ◽  
Triangular Fibrocartilage Complex ◽  
Distal Radius Fractures ◽  
Radius Fractures ◽  
Radioulnar Joint ◽  
Sigmoid Notch ◽  
Triangular Fibrocartilage

Radioulnar Ratio in Detection of Distal Radioulnar Joint Instability Associated With Acute Distal Radius Fractures

2010 ◽  
Vol 35 (9) ◽  
pp. 730-734 ◽  
Author(s):  
J.H. Scheer ◽  
S. Hammerby ◽  
L.E. Adolfsson
Keyword(s):  
Computed Tomography ◽  
Prospective Study ◽  
Distal Radius ◽  
Joint Instability ◽  
Stress Test ◽  
Distal Radioulnar Joint ◽  
Distal Radius Fractures ◽  
Radius Fractures ◽  
Radioulnar Joint ◽  
Triangular Fibrocartilage

Lesions of the triangular fibrocartilage complex (TFCC) are commonly associated with distal radius fractures and may adversely affect the functional outcome. This prospective study evaluated computed tomography, using the radioulnar ratio (RUR), to detect laxity of the distal radioulnar joint in 48 consecutive patients with acute distal radius fractures and compared the results with a radioulnar stress test. We found the clinical stress test to be reliable in chronic cases, but the RUR method of questionable value in both acute and chronic cases.

scholarly journals Prevalence of triangular fibrocartilage complex injuries in patients with distal radius fractures: a 3.0T magnetic resonance imaging study

2019 ◽  
Vol 47 (8) ◽  
pp. 3648-3655
Author(s):  
Bingshan Yan ◽  
Zhaoning Xu ◽  
Yanchao Chen ◽  
Wangping Yin
Keyword(s):  
Distal Radius ◽  
Distal Radioulnar Joint ◽  
Distal Radius Fractures ◽  
Resonance Imaging ◽  
Radius Fractures ◽  
Ulnar Styloid ◽  
Radioulnar Joint ◽  
Ulnar Styloid Fracture ◽  
Triangular Fibrocartilage ◽  
3.0T Mri

Objective This study was performed to determine the prevalence of triangular fibrocartilage complex (TFCC) injuries as shown by 3.0T magnetic resonance imaging (MRI) in patients with distal radius fractures. Methods In total, 57 patients with distal radius fractures underwent 3.0T MRI examinations to observe the incidence of TFCC injuries after manual reduction and cast fixation. The fracture type was categorized by the AO classification, and the TFCC injury pattern was evaluated using the Palmer classification. The correlation between the location of the TFCC injury and the distal radius fracture pattern, distal radioulnar joint instability, or ulnar styloid fracture was analyzed. Results Fifty-five TFCC injuries were diagnosed. There was no significant relationship between the TFCC injury pattern and the type of distal radius fracture, distal radioulnar joint instability, or ulnar styloid fracture. Conclusions This study revealed a high prevalence of TFCC injuries in patients with distal radius fractures. The 3.0T MRI examination helps to assess TFCC injuries in patients with distal radius fractures. Clinical Trial Registration ChiCTR1800017101.

scholarly journals Defining Residual Radial Translation of Distal Radius Fractures: A Potential Cause of Distal Radioulnar Joint Instability

2014 ◽  
Vol 03 (01) ◽  
pp. 022-029 ◽  
Author(s):  
Livio Di Mascio ◽  
Susan Peters ◽  
Allen Cockfield ◽  
Fraser Taylor ◽  
Greg Couzens ◽  
...  
Keyword(s):  
Distal Radius ◽  
Joint Instability ◽  
Distal Radioulnar Joint ◽  
Distal Radius Fractures ◽  
Radius Fractures ◽  
Radioulnar Joint

Surgical treatment of acute distal radioulnar joint instability associated with distal radius fractures

2015 ◽  
Vol 40 (8) ◽  
pp. 783-789 ◽  
Author(s):  
H. S. Gong ◽  
H. E. Cho ◽  
J. Kim ◽  
M. B. Kim ◽  
Y. H. Lee ◽  
...  
Keyword(s):  
Distal Radius ◽  
Joint Instability ◽  
Surgical Repair ◽  
Early Mobilization ◽  
Distal Radioulnar Joint ◽  
Volar Plating ◽  
Radius Fractures ◽  
Ulnar Styloid ◽  
Radioulnar Joint ◽  
Triangular Fibrocartilage

This study investigates the question of whether open repair of acute distal radioulnar joint instability at the time of volar plating of distal radius fractures would enable early mobilization of the wrist without the risk of distal radioulnar joint instability. We evaluated 29 patients of mean age 53 years with a distal radius fracture and acute distal radioulnar joint instability who underwent volar plating of the radius combined with surgical repair of the triangular fibrocartilage complex or an ulnar styloid base fracture, followed by active motion exercise of the wrist at 1 week after surgery. At 1 year after treatment, all patients had a stable distal radioulnar joint and grip strength averaged 90% of the normal side. This study demonstrates that surgical repair of the triangular fibrocartilage complex or ulnar styloid fracture followed by early mobilization did not result in distal radioulnar joint instability, and suggests that the surgical treatment of distal radioulnar joint instability may permit early mobilization of the wrist in patients who are considered suitable for rapid rehabilitation after surgery. Type of study: Therapeutic Level IV

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