Chronic Distal Radioulnar Joint Instability

Hand Clin. 2020 Nov;36(4):443-453. doi: 10.1016/j.hcl.2020.07.004. Epub 2020 Sep 2.

Abstract

The distal radioulnar joint is inherently unstable, relying primarily on ligaments for stability. Disruption of the joint-stabilizing structures can occur in isolation or concomitantly with osseous trauma. Instability can result from dislocations, fractures, ligament injuries, or malunions. Untreated instability alters wrist and forearm kinematics, leading to pain, weakness, and possibly arthritis. In chronic instability, the native ligaments may not be reparable, necessitating a reconstructive procedure.

Keywords: Chronic DRUJ instability; DRUJ ligament reconstruction; Distal radioulnar joint.

Publication types

  • Review

MeSH terms

  • Diagnostic Imaging
  • Humans
  • Joint Instability / physiopathology*
  • Joint Instability / surgery*
  • Ligaments, Articular / injuries
  • Ligaments, Articular / physiopathology
  • Orthopedic Procedures
  • Physical Examination
  • Triangular Fibrocartilage / injuries
  • Triangular Fibrocartilage / physiopathology
  • Wrist Joint / physiopathology*
  • Wrist Joint / surgery*