Hyperextension trauma to the elbow joint induced through the distal ulna or the distal radius: Pathoanatomy and kinematics: An experimental study of the ligament injuries

2007 ◽  
Vol 8 (3) ◽  
pp. 177-182 ◽  
Author(s):  
S. Tyrdal ◽  
B. S. Olsen
Keyword(s):  
Experimental Study ◽  
Distal Radius ◽  
Elbow Joint ◽  
Ligament Injuries ◽  
Distal Ulna

Proposed Guidelines for Treatment of Concomitant Distal Radius and Distal Ulna Fractures

Hand Surgery ◽  
2015 ◽  
Vol 20 (03) ◽  
pp. 396-401
Author(s):  
Benjamin Liang ◽  
Jen Ming Lai ◽  
Arul Murugan ◽  
Kin Ghee Chee ◽  
Sreedharan Sechachalam ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Distal Radius ◽  
Distal Ulna ◽  
Non Union ◽  
Cast Immobilisation ◽  
Group 4 ◽  
Ulna Fractures ◽  
Group 2 ◽  
Both Bones ◽  
Group 1

Background: Concomitant distal radius and distal ulna metaphysis or head fractures (DRUF) are uncommon and acceptable results have been reported from cast immobilisation and internal fixation. Methods: We reviewed the charts of 1094 patients treated for distal radius fracture at our institution in a two year period from 2009 to 2010. 24 patients with concomitant DRUF with were treated by cast immobilisation (group 1, n = 11), internal fixation of both bones (group 2, n = 7), internal fixation of radius alone (group 3, n = 2), and internal fixation of radius with distal ulna resection (group 4, n = 4). Patients treated by surgery underwent intraoperative assessment of distal ulna stability to determine the indication for ulna fixation. Post surgical range of motion, clinical parameters, and functional outcome scores (Gartland-Werley and modified Mayo) were measured. Results: Wrist motion was comparable in each group. Radiographic parameters were better in surgical groups. 23 of 24 patients achieved excellent/good outcomes based on Gartland-Werley scores, while 12 of 24 achieved good modified Mayo wrist score. There was a case of distal ulna non-union in group 1, and another case of delayed distal radius union in group 2. Conclusions: By evaluating patients’ functional requirement, and dynamic fluoroscopy examination, satisfactory outcomes can be achieved for various presentations of DRUF.

Distal Radioulnar Joint Osteoarthritis: An Update on Treatment Options

2021 ◽  
Author(s):  
Brian M. Katt ◽  
Amr Tawfik ◽  
Nicholas Zingas ◽  
Francis Sirch ◽  
Pedro K. Beredjiklian ◽  
...  
Keyword(s):  
Septic Arthritis ◽  
Distal Radius ◽  
Joint Instability ◽  
Conservative Therapy ◽  
Treatment Options ◽  
Distal Radioulnar Joint ◽  
Surgical Approaches ◽  
Distal Ulna ◽  
Load Bearing ◽  
Radioulnar Joint

AbstractThe distal radioulnar joint (DRUJ), the articulation between the sigmoid notch of the radius and the distal ulna, plays a pivotal role in stability and load bearing and allows for pronation and supination of the forearm. Osteoarthritis (OA) of the DRUJ commonly occurs due to distal radius trauma but may also be the result of conditions such as joint instability, septic arthritis, or primary OA. It is initially managed with conservative therapy, but surgery is often considered when nonoperative methods fail. The surgical approaches available to treat this pathology have grown over the years. The procedures have generally favorable outcomes, each with their own unique complications and considerations. This paper comprises a review of the outcomes and complications for the different procedures commonly used to surgically treat DRUJ OA.

CARPAL LIGAMENT INJURIES ASSOCIATED WITH FRACTURES OF THE DISTAL RADIUS

1995 ◽  
Vol 88 ◽  
pp. S113
Author(s):  
William DeVries ◽  
Philip A. Deffer ◽  
Neven Popovic ◽  
Jonathan Cook ◽  
Allan Smith
Keyword(s):  
Distal Radius ◽  
Ligament Injuries

scholarly journals Comparative Study of Internal Fixation of the Ulna and Distal Ulna Resection in Patients Older Than 70 Years With Distal Radius and Distal Metaphyseal Ulna Fractures

Hand ◽  
2018 ◽  
Vol 14 (4) ◽  
pp. 540-546
Author(s):  
Jorge G. Boretto ◽  
Ezequiel E. Zaidenberg ◽  
Gerardo L. Gallucci ◽  
Alejandro Sarme ◽  
Pablo De Carli
Keyword(s):  
Internal Fixation ◽  
Distal Radius ◽  
The Elderly ◽  
Acute Management ◽  
Distal Ulna ◽  
Radiographic Appearance ◽  
Patient Demographics ◽  
Ulna Fractures

Background: Acute management of fractures of the distal ulna that are associated with fractures of the distal radius remains difficult, particularly in the elderly. Methods: In this study, we investigated whether internal fixation of the distal ulna is associated with a higher rate of complications than resection of the distal ulna in patients older than 70 years. Twenty-four consecutive patients were included in this study, 12 of whom had undergone open reduction and internal fixation (ORIF) of the distal ulna, and 12 who had undergone distal ulna resection. Patients were retrospectively assessed for range of motion, grip strength, pain, and radiographic appearance. The functional outcome was evaluated by the Mayo Wrist Score. Complications were classified according to the Classification of Surgical Complications. Results: There were no differences in patient demographics between the 2 groups, except patient age. Clinical evaluation showed no difference at follow-up; however, there were significantly more complications associated with ORIF compared with resection. Conclusions: The results from our study show that women older than 70 years with fracture of the distal radius and distal ulna have a higher rate of complications if ORIF of the distal ulna is performed. Patients should be warned, by surgeons, of this in cases where ORIF of the distal ulna is suggested.

scholarly journals Conservative treatment of distal ulna metaphyseal fractures associated with distal radius fractures in elderly people

2018 ◽  
Vol 104 (7) ◽  
pp. 1101-1105 ◽  
Author(s):  
Kotaro Sato ◽  
Kenya Murakami ◽  
Yoshikuni Mimata ◽  
Norio Numata ◽  
Hideo Shiraishi ◽  
...  
Keyword(s):  
Conservative Treatment ◽  
Elderly People ◽  
Distal Radius ◽  
Distal Radius Fractures ◽  
Radius Fractures ◽  
Distal Ulna ◽  
Metaphyseal Fractures

Management of Distal Ulnar Fracture Combined with Distal Radius Fracture

2016 ◽  
Vol 21 (02) ◽  
pp. 155-160 ◽  
Author(s):  
Jae Kwang Kim ◽  
Jong-Oh Kim ◽  
Yong-Do Koh
Keyword(s):  
Distal Radius Fracture ◽  
Distal Radius ◽  
Distal Radius Fractures ◽  
Radius Fracture ◽  
Surgical Approaches ◽  
Radius Fractures ◽  
Ulnar Styloid ◽  
Cast Immobilization ◽  
Distal Ulna ◽  
Ulnar Styloid Fracture

The distal ulna is composed of the ulnar styloid, ulnar head, and distal ulnar metaphyseal area. Most of distal ulnar metaphyseal fractures are associated with distal radius fractures and this incidence tends to be greater in osteoporotic elderly. Consideration of the treatment of distal ulna metaphyseal fracture should be addressed after treating a distal radius fracture. If it is stable, cast immobilization is preferred, however, if it shows malalignment or instability, an operative method should be considered. More than half of distal radius fractures are combined with an ulnar styloid fracture, and considerable cases of ulnar styloid fractures result in nonunion. However, ulnar styloid nonunion usually does not cause any problems on the wrist. Recent studies of distal radius fractures treated using a volar locking plate have reported that neither the initial displacement nor the size of a concomitant ulnar styloid fracture affects clinical outcome, which suggests surgical approaches may usually not be indicated for ulnar styloid fractures.

Load Transfer at the Distal Ulna Following Simulated Distal Radius Fracture Malalignment

2015 ◽  
Vol 40 (2) ◽  
pp. 217-223 ◽  
Author(s):  
Louis M. Ferreira ◽  
Gillian S. Greeley ◽  
James A. Johnson ◽  
Graham J.W. King
Keyword(s):  
Distal Radius Fracture ◽  
Distal Radius ◽  
Load Transfer ◽  
Radius Fracture ◽  
Distal Ulna
Sign in / Sign up

Export Citation Format

Share Document