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. 2015 Sep;6(3):225-9.
doi: 10.1177/2151458515584050.

Distal Radioulnar Joint Instability

Ali R Mirghasemi  1 , Daniel J Lee  2 , Narges Rahimi  3 , Shervin Rashidinia  4 , John C Elfar  2
Affiliations

Distal Radioulnar Joint Instability

Ali R Mirghasemi et al. Geriatr Orthop Surg Rehabil. 2015 Sep.

Abstract

Distal radioulnar joint (DRUJ) instability is a common clinical condition but a frequently missed diagnosis. Both surgical and nonsurgical treatments are possible for chronic cases of DRUJ instability. Nonsurgical treatment can be considered as the primary therapy in less active patients, while surgery should be considered to recover bone and ligament injuries if nonsurgical treatment fails to restore forearm stability and function. The appropriate choice of treatment depends on the individual patient and specific derangement of the DRUJ.

Keywords: distal radioulnar joint; instability; surgical management; triangular fibrocartilage complex.

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Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
The distal radioulnar joint with the triangular fibrocartilage complex. Adapted with permission from Adams BD. Distal radioulnar joint instability. In: Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, eds. Green’s Operative Hand Surgery. 6th ed. Philadelphia, PA: Churchill Livingstone Elsevier; 2011:524.
Figure 2.
Figure 2.
Computed tomography (CT) methods for assessing distal radioulnar joint (DRUJ) instability. A, Radioulnar lines (Mino method). B, Congruency. C, Epicenter. D, Radioulnar ratio. Adapted with permission from Adams BD. Distal radioulnar joint instability. In: Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, eds. Green’s Operative Hand Surgery. 6th ed. Philadelphia, PA: Churchill Livingstone Elsevier; 2011:529.
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