Ulnar corner

Author(s):  
David Warwick ◽  
Roderick Dunn ◽  
Erman Melikyan ◽  
Jane Vadher

Anatomy 470Causes of ulnar corner pain 472Tendon 474Hook of hamate non-union 475Luno-triquetral instability 476Ulnar translation of carpus 477Distal radioulnar joint 478Ulno–carpal joint 480Pisotriquetral joint 482Other causes of ulnar corner pain 484Surgical procedures 486Ulnar head—270° cartilage, articulates with sigmoid notch of distal radius. Variable concavity of sigmoid notch = variable contribution to stability and variable exposure to ulnar corner symptoms after distal radius malunion....

2007 ◽  
Vol 25 (4) ◽  
pp. 547-555 ◽  
Author(s):  
Joseph J. Crisco ◽  
Douglas C. Moore ◽  
G. Elisabeta Marai ◽  
David H. Laidlaw ◽  
Edward Akelman ◽  
...  

Hand Surgery ◽  
2008 ◽  
Vol 13 (02) ◽  
pp. 93-97 ◽  
Author(s):  
Chun-Ying Cheng ◽  
Chung-Hsun Chang

Joint incongruity at radiocarpal joint is a common complication of the distal radius fracture, and has received much attention and study. However, the problem and outcome of treatment of intra-articular incongruity at the sigmoid notch after distal radius fracture is rarely reported. We describe a patient with deformity of the distal radioulnar joint, and impairment of supination after distal radius fracture. The evaluation of the distal radioulnar joint revealed the absence of degenerative arthritis and malunion of the sigmoid notch of the distal radius with a prominent volar lip limiting supination. We present a method of corrective osteotomy for the malunited sigmoid notch of the distal radius, to correct the incongruity of the distal radioulnar joint and restore supination.


2012 ◽  
Vol 37 (3) ◽  
pp. 481-485 ◽  
Author(s):  
Francisco del Piñal ◽  
Alexis Studer ◽  
Carlos Thams ◽  
Eduardo Moraleda

2020 ◽  
Vol 45 (10) ◽  
pp. 984.e1-984.e7
Author(s):  
Lionel Athlani ◽  
Audrey Chenel ◽  
Philippe Berton ◽  
Romain Detammaecker ◽  
Gilles Dautel

2021 ◽  
pp. 175319342110166
Author(s):  
Grey E. B. Giddins ◽  
Greg T. Pickering

The incidence of distal radioulnar joint instability following a distal radius fracture is estimated around one in three based upon clinical examination. Using a validated rig, we objectively measured distal radioulnar joint translation in vivo following distal radius fracture. Dorsopalmar translation of the distal radioulnar joint was measured in 50 adults with previous distal radius fractures. Measurements were compared with the uninjured wrist and against a database of previous measurements within healthy and clinically lax populations. Translation at the distal radioulnar joint was greater in injured wrists at 12.2 mm (range 10–15, SD 1.2) than the uninjured wrists at 6.4 (range 4–9, SD 0.8) ( p < 0.001) and was always outside the established normal range. There was no statistically significant link between translation and the severity of the injury. Instability appears almost inevitable following a distal radius (wrist) fracture, albeit subclinical in the vast majority.


2018 ◽  
Vol 08 (01) ◽  
pp. 010-017
Author(s):  
Emily Lalone ◽  
Masao Nishiwaki ◽  
Ryan Willing ◽  
James Johnson ◽  
Graham King ◽  
...  

Background The effects of dorsal angulation deformity on in vitro distal radioulnar joint (DRUJ) contact patterns are not well understood. Purpose The purpose of this study was to utilize intercartilage distance to examine the effects of forearm rotation angle, distal radius deformity, and triangular fibrocartilage complex (TFCC) sectioning on DRUJ contact area and centroid position. Methods An adjustable implant permitted the creation of simulated intact state and dorsal angulation deformities of 10, 20, and 30 degrees. Three-dimensional cartilage models of the distal radius and ulna were created using computed tomography data. Using optically tracked motion data, the relative position of the cartilage models was rendered and used to measure DRUJ cartilage contact mechanics. Results DRUJ contact area was highest between 10 and 30 degrees of supination. TFCC sectioning caused a significant decrease in contact area with a mean reduction of 11 ± 7 mm2 between the TFCC intact and sectioned conditions across all variables. The position of the contact centroid moved volarly and proximally with supination for all variables. Deformity had a significant effect on the location of the contact centroid along the volar–dorsal plane. Conclusion Contact area in the DRUJ was maximal between 10 and 30 degrees of supination during the conditions tested. There was a significant effect of simulated TFCC rupture on contact area in the DRUJ, with a mean contact reduction of 11 ± 7 mm2 after sectioning. Increasing dorsal angulation caused the contact centroid to move progressively more volar in the sigmoid notch.


Sign in / Sign up

Export Citation Format

Share Document