Distal Radioulnar Joint Instability

Author:

Kolovich Gregory P.1ORCID,Heifner John J.2ORCID,Falgiano Peter A.3,Mahoney Brendan4

Affiliation:

1. Optim Orthopedics, Savannah, GA;

2. Department of Orthopedic Surgery, Larkin Hospital, Miami, FL;

3. Miami Orthopaedic Research Foundation, Miami, FL; and

4. Mercer University School of Medicine, Macon, GA.

Abstract

Summary: The distal radioulnar joint (DRUJ) is vital to the stability and function of the wrist and forearm. The osseous morphology is variable and provides little stability. A complex of confluent soft tissues is the primary stabilizer; however, the contribution of each component has yet to be elucidated. It has become increasingly clear that the anatomic fixation of distal radius fractures restores DRUJ stability, obviating the need for additional DRUJ stabilization. This review will describe the anatomy and biomechanics of the DRUJ and discuss injury patterns, treatments, and clinical results.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Reference46 articles.

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3. Relative articular inclination of the distal radioulnar joint: a radiographic study;Sagerman;J Hand Surg Am,1995

4. Anatomical studies on the geometry and stability of the distal radio ulnar joint;af Ekenstam;Scand J Plast Reconstr Surg,1985

5. The triangular fibrocartilage complex of the wrist—anatomy and function;Palmer;J Hand Surg Am,1981

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