The Impact of Distal Ulnar Fracture Malunion on Distal Radioulnar Joint Instability

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Distal Radioulnar Joint Instability

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 ...

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Influence of ulnar translation of the radial shaft in distal radius fracture on distal radioulnar joint instability.

It has been reported that the distal interosseous membrane (DIOM) of the forearm constrains the dorsal dislocation of the distal radius. A residual ulnar translation deformity of the radial shaft in distal radius fractures has the potential to cause distal radioulnar joint (DRUJ) instability when triangular fibrocartilage complex (TFCC) injury is also present, because it may result in detension...

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Chronic instability of the distal radioulnar joint.

The ligament reconstruction technique described closely reconstructs the anatomic origin and insertion of the palmar and dorsal radioulnar ligaments. In a series of 14 patients, stability was completely restored in 12. Patients were able to return to their previous work, athletic activities, and avocations without limitations. Recovery of strength and motion was at least 85%. One patient with i...

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Effects of distal radius malunion on distal radioulnar joint mechanics--an in vivo study.

Patients with a malunited distal radius often have painful and limited forearm rotation, and may progress to arthritis of the distal radioulnar joint (DRUJ). The purpose of this study was to determine if DRUJ congruency and mechanics were altered in patients with malunited distal radius fractures. In nine subjects with unilateral malunions, interbone distances and dorsal and palmar radioulnar l...

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Anatomic Reconstruction of the Distal Radioulnar Ligament for Posttraumatic Distal Radioulnar Joint Instability

BACKGROUND To analyze clinical outcomes after anatomical reconstruction of distal radioulnar ligaments in patients with chronic post-traumatic instability of the distal radioulnar joint. METHODS Anatomical reconstruction was performed in 16 patients with subluxation or dynamic instability of distal radioulnar joint following trauma. Osteotomy was performed simultaneously in 10 patients with r...

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ژورنال

عنوان ژورنال: The Journal of Hand Surgery

سال: 2016

ISSN: 0363-5023

DOI: 10.1016/j.jhsa.2016.07.059