Monteggia Fracture-Dislocation Associated with Proximal and Distal Radioulnar Joint Instability

2009 ◽  
Vol 91 (4) ◽  
pp. 950-954 ◽  
Author(s):  
Emilie V Cheung ◽  
Jeffrey Yao
Keyword(s):  
Joint Instability ◽  
Distal Radioulnar Joint ◽  
Fracture Dislocation ◽  
Monteggia Fracture ◽  
Radioulnar Joint ◽  
Monteggia Fracture Dislocation

scholarly journals The management of chronic paediatric Monteggia fracture-dislocation

2021 ◽  
Vol 24 ◽  
pp. 65-76
Author(s):  
Tom Gryson ◽  
Alexander Van Tongel ◽  
Frank Plasschaert
Keyword(s):  
Fracture Dislocation ◽  
Monteggia Fracture ◽  
Monteggia Fracture Dislocation

scholarly journals Physiology of Acute and Subacute Distal Radioulnar Joint Instability

2006 ◽  
Vol 55 (3) ◽  
pp. 363-367
Author(s):  
Yukio Abe ◽  
Kazunari Tsue ◽  
Kenzo Fujii ◽  
Ryuta Iwanaga
Keyword(s):  
Joint Instability ◽  
Distal Radioulnar Joint ◽  
Radioulnar Joint

Patients with triangular fibrocartilage complex injuries and distal radioulnar joint instability have reduced rotational torque in the forearm

2016 ◽  
Vol 41 (7) ◽  
pp. 732-738 ◽  
Author(s):  
J. K. Andersson ◽  
P. Axelsson ◽  
J. Strömberg ◽  
J. Karlsson ◽  
J. Fridén
Keyword(s):  
Joint Instability ◽  
Clinical Signs ◽  
Case Series ◽  
Distal Radioulnar Joint ◽  
Triangular Fibrocartilage Complex ◽  
Wrist Arthroscopy ◽  
Level Of Evidence ◽  
Independent Observer ◽  
Radioulnar Joint ◽  
Triangular Fibrocartilage

A total of 20 patients scheduled for wrist arthroscopy, all with clinical signs of rupture to the triangular fibrocartilage complex and distal radioulnar joint instability, were tested pre-operatively by an independent observer for strength of forearm rotation. During surgery, the intra-articular pathology was documented by photography and also subsequently individually analysed by another independent hand surgeon. Arthroscopy revealed a type 1-B injury to the triangular fibrocartilage complex in 18 of 20 patients. Inter-rater reliability between the operating surgeon and the independent reviewer showed absolute agreement in all but one patient (95%) in terms of the injury to the triangular fibrocartilage complex and its classification. The average pre-operative torque strength was 71% of the strength of the non-injured contralateral side in pronation and supination. Distal radioulnar joint instability with an arthroscopically verified injury to the triangular fibrocartilage complex is associated with a significant loss of both pronation and supination torque. Level of evidence: Case series, Level IV.

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