Intraoperative evaluation of DRUJ instability through dorsal stress radiography in distal radius fractures

2021 ◽  
Author(s):  
Samuel Baek ◽  
Se Bong Oh ◽  
Jung Ho Lee ◽  
Tae Min Kim ◽  
Myung Ho Shin ◽  
...  
Keyword(s):  
Distal Radius ◽  
Distal Radius Fractures ◽  
Stress Radiography ◽  
Radius Fractures ◽  
Intraoperative Evaluation ◽  
Druj Instability

scholarly journals Radiographic Predictors of DRUJ Instability with Distal Radius Fractures

2014 ◽  
Vol 03 (01) ◽  
pp. 002-006 ◽  
Author(s):  
Akio Iida ◽  
Ryotaro Fujitani ◽  
Tadanobu Onishi ◽  
Yasuhito Tanaka ◽  
Shohei Omokawa
Keyword(s):  
Distal Radius ◽  
Distal Radius Fractures ◽  
Radius Fractures ◽  
Druj Instability

Chronic DRUJ Instability After Distal Radius Fractures

2021 ◽  
pp. 371-385
Author(s):  
Vicente Carratalá Baixauli ◽  
Francisco J. Lucas García ◽  
Ignacio Miranda Gómez ◽  
Fernando Corella Montoya
Keyword(s):  
Distal Radius ◽  
Distal Radius Fractures ◽  
Radius Fractures ◽  
Druj Instability

scholarly journals Radiographic and Arthroscopic Assessment of DRUJ Instability Due to Foveal Avulsion of the Radioulnar Ligament in Distal Radius Fractures

2014 ◽  
Vol 03 (01) ◽  
pp. 012-017 ◽  
Author(s):  
Takuji Iwamoto ◽  
Noboru Matsumura ◽  
Kazuki Sato ◽  
Yoshiaki Toyama ◽  
Toshiyasu Nakamura
Keyword(s):  
Distal Radius ◽  
Distal Radius Fractures ◽  
Radius Fractures ◽  
Druj Instability

scholarly journals Assessment and Management of Acute Volar Rim Fractures

2021 ◽  
Author(s):  
John J. Heifner ◽  
Jorge L. Orbay
Keyword(s):  
Clinical Outcomes ◽  
Distal Radius ◽  
Initial Treatment ◽  
Distal Radius Fractures ◽  
Rigid Fixation ◽  
Locking Plates ◽  
Radius Fractures ◽  
Fixed Angle ◽  
Intraoperative Evaluation ◽  
Initial Reduction

AbstractThe volar rim of the distal radius is the only bony restraint to volar carpal subluxation. Higher loads across the volar rim require stable and rigid fixation to maintain reduction and allow healing while rehabilitation begins. Volar marginal fragments are not amenable to buttressing by fixed angle volar locking plates. Appropriate management of volar marginal fragments comprises two steps—recognition of their presence and rigid anatomical repair. The best opportunity for success in the presence of a volar marginal fragment is its adequate initial treatment. The purpose of this review is to reinforce the importance of a complete preoperative and intraoperative evaluation of distal radius fractures. Volar marginal fragments can easily be overlooked even following initial reduction and fixation. Understanding the relevant anatomy and loading parameters can facilitate intraoperative decisions on approach and fixation, which are integral to achieving optimal clinical outcomes.

scholarly journals Factors associated with Distal Radio-Ulnar Joint (DRUJ) instability in patients with Distal Radius Fractures

2018 ◽  
Vol 9 (5) ◽  
pp. 62-66
Author(s):  
Niraj Ranjeet ◽  
Krishna Sapkota ◽  
Pratyenta Raj Onta ◽  
Pabin Thapa ◽  
Krishna Wahegoankar ◽  
...  
Keyword(s):  
Distal Radius ◽  
Young Male ◽  
High Energy ◽  
Distal Radius Fractures ◽  
Radius Fractures ◽  
Ulnar Styloid ◽  
High Energy Trauma ◽  
Factors Associated ◽  
Sigmoid Notch ◽  
Druj Instability

Background: Distal Radius Fractures (DRF) are common fractures with variety of complications if treated inadequately. Among them, Distal Radio-Ulnar Joint (DRUJ) instability is one of the common residual disabilities leading to chronic and persistent subluxation or dislocation of the DRUJ which causes arthritis, pain and limitation of the hand functions. Aims and Objectives: This study aims to identify the factors either clinical of radiographic, indicative of DRUJ instability patients in acute DRF which may help the orthopedic surgeons to correctly diagnose and allow proper treatment.Materials and Methods: All patients from Aug 1, 2016-July 31, 2017 with acute DRF who were treated at Manipal Teaching Hospital were examined and evaluated for DRUJ instability. The demographic, clinical and radiological parameters of all the patients were analyzed and compared with those with stable DRUJ. Preoperatively all the fractures were classified using AO classification. Based on the classification, the association of fracture comminution, and intra-articular involvement with DRUJ instability, as well as its relation to the osteoporotic age was analyzed. Associated ulna styloid fracture and sigmoid notch involvement if present was noted with its size and displacement.Results: Out of 74 wrists, there were 30 males and 44 females, with a mean age of 44 (range 18-79). Most of the females (72%, n=32/44) sustained low energy trauma, while most of the males (77%, n=23/30) sustained high energy trauma. Irrespective of the sex, it was noted that DRUJ instability was significantly higher in males (p<0.0001) and in the non-osteoporotic age group (p=0.05). In our study 72.72% of DRF was associated with unstable DRUJ in patients with high energy trauma. AO types A3/B3/C3 (81.25%, n=26/32) was associated with more DRUJ instability compared to less comminuted fractures as AO type A2/B2/C2 (56%, n=14/25) or A1/B1/C1 (29.41%, n=5/17) (p<0.001). AO type C (43.24%, n=32) were associated with more DRUJ instability as compared to AO type B (25.67%, n=19) or AO type A (31.08%, n=23) (p=0.009). Ulnar styloid fractures was noted in 37.83% (28/74) of DRF and 35 (47.29%) patients had involvement of the sigmoid notch out of which 7 (20%) was displaced > 2mm and 28 (80%) was undisplaced.Conclusion: Factors associated with DRUJ instability in DRF were young male patients, high energy trauma, displaced ulnar styloid base fractures, sigmoid notch involvement, AO type C.Asian Journal of Medical Sciences Vol.9(5) 2018 62-66

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