scholarly journals Chronic Distal Radioulnar Instability- Diagnosis and Treatment: A Review

2020 ◽  
pp. 65-72
Author(s):  
Sanad Younes ◽  
Ahmad Saad ◽  
Zeyad Buahlaika
Keyword(s):  
Joint Instability ◽  
Tissue Injury ◽  
Soft Tissue Injury ◽  
Distal Radioulnar Joint ◽  
The Body ◽  
Restricted Movement ◽  
Radioulnar Joint ◽  
Proper Form ◽  
Bony Injury ◽  
Type Of Injury

The distal radioulnar joint is one of the inherently unstable joint in the body, its injury is commonly missed and the patient may present later with pain and restricted movement because of joint instability.  The distal radioulnar joint instability could be dorsal , volar , or bidirectional, and it could be caused by soft tissue injury or bony injury and malunion. It is fundamentall to recognize the type of injury and the cause of instability to be able to provide the proper form of treatment to get the best results.

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.

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.

Sign in / Sign up

Export Citation Format

Share Document