Distal Radioulnar Joint Arthroplasty

Bowers, William H.

doi:10.1097/00003086-199202000-00015

Cited by 44 publications

(48 citation statements)

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“…This joint is also connected to the carpus with a ligament apparatus (Figure 1) and transmits forces to the hand (Hagert 1996). The stability of the DRU-joint is provided by bony congruity between the sigmoid notch of the radius and the ulnar head, which are held together by ligaments (Hagert 1996, Garcia-Elias 1998, Bowers 1999; Figure 1). …”

Section: Functional Anatomy-ligaments Are Important Stabilizersmentioning

confidence: 99%

“…The major stabilizers of the DRU-joint are the ulnoradial ligaments, which represent the transverse, peripheral part of the triangular brocartilage complex (TFCC) (Palmer and Werner 1981, af Ekenstam and Hagert 1985a,b, Palmer 1989, Hagert 1995, Hagert 1996, Garcia-Elias 1998, Bowers 1999. The ligaments pass from the fovea of the ulnar head and the base of the ulnar styloid to the dorsal and palmar edges of the distal radius (Palmer and Werner 1981, af Ekenstam and Hagert 1985a,b, Palmer 1989, Chidgey et al 1991.…”

Section: Functional Anatomy-ligaments Are Important Stabilizersmentioning

confidence: 99%

“…The TFCC includes a central articular disc and the ulnocarpal ligament ( Figure 1). The articular disc bears a compressive load and acts like an ulnocarpal cushion, but gives no stability to the DRU-joint (Palmer 1981, 1989, af Ekenstam and Hagert 1985a,b, Chidgey et al 1991, Hagert 1995, 1996, Garcia-Elias 1998, Bowers 1999. It is cartilaginous and avascular (Bednar et al 1991, Chidgey et al 1991.…”

Section: Functional Anatomy-ligaments Are Important Stabilizersmentioning

confidence: 99%

“…The commonest complaint after distal radial fractures is ulnar-sided wrist pain (Frykman 1967, Cooney et al 1980, Altissimi et al 1986, Solgaard 1988, found in every fth patient (Frykman 1967), which affects the end-result adversely (Frykman 1967, Hollingsworth and Morris 1976, Jupiter et al 1992, Stoffelen et al 1998. Such pain has been attributed mainly to malunion of the distal radius (Lidström 1959, Frykman 1967, Hollingsworth and Morris 1976, van der Linden and Ericson 1981, Villar et al 1987, Kopylov et al 1993, Warwick et al 1993, Hove et al 1995, Stoffelen 1997) thus creating an imbalance distally, which may lead to both ulnocarpal abutment (Bowers 1999), as well as incongruency (Kihara et al 1995) and osteoarthrosis of the distal radioulnar (DRU) joint (Fernandez 1993). It has recently been suggested that in many cases common distal radial fractures are complicated by ligament injuries, found on wrist arthroscopy (Geissler et al 1996a, Lindau et al 1997, Richards et al 1997).…”

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confidence: 99%

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The radioulnar joint in distal radial fractures: A review

Lindau

Aspenberg

2002

Acta Orthopaedica Scandinavica

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-We searched The Cochrane Library andMedline regarding the radioulnar joint in distal radial fractures and found no randomized or controlled studies. This review presents the descriptive literature by summarizing accepted views and controversies. There is only weak support for the commonly accepted treatments. Current research has shown that distal radial fractures are often associated with ligament injuries not seen on radiographs. These injuries can lead to laxity of the DRU-joint and subsequent worse outcome, which indicates that we must have a complete diagnosis including ligament injuries if we want to understand better the fracture and its sequelae. Randomized studies should be done before advocating surgical treatment of these unforeseen injuries. n What's the problem?

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Section: Functional Anatomy-ligaments Are Important Stabilizersmentioning

confidence: 99%

Section: Functional Anatomy-ligaments Are Important Stabilizersmentioning

confidence: 99%

Section: Functional Anatomy-ligaments Are Important Stabilizersmentioning

confidence: 99%

mentioning

confidence: 99%

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The radioulnar joint in distal radial fractures: A review

Lindau

Aspenberg

2002

Acta Orthopaedica Scandinavica

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“…[6] Such fractures also involve the distal radioulnar joint. [1,3] It has been suggested that computed tomography aids identification of coronal fracture lines. Rozental and colleagues identified an articular fracture involving the distal radioulnar joint (DRUJ) on 13 of 20 CT scans, but only on seven of 20 radiographs.…”

Section: Introductionmentioning

confidence: 99%

Inter-observer variation in the diagnosis of coronal articular fracture lines in the lunate facet of the distal radius

Wijffels

Guitton

Ring

2012

HAND

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Background Several studies support the use of CT for diagnosing coronal fractures of the distal radius but the interobserver reliability of these observations is less well studied. We tested the null hypothesis that radiographs alone and the combination of radiographs and two-dimensional computed tomography scans (2DCT) have the same inter-observer variation for the diagnosis of coronal articular fracture lines in the distal radius. Methods Using a web-based survey, 63 surgeons were randomized to evaluate 16 fractures of the distal radius on radiographs alone or radiographs and 2DCT for the presence or absence of a coronal fracture line of the lunate facet and, if present, the stability of the fracture. The kappa multirater measure was calculated to estimate agreement between observers. Results The inter-observer variation in diagnosis of a coronal fracture line was fair with both radiographs and 2DCT, as was the diagnosis of instability of the volar lunate facet fracture when present.Conclusion Two-dimensional computed tomography does not improve observer agreement on the diagnosis of coronal plane articular fracture lines in the lunate facet of the distal radius.

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Malunion of the ulnar styloid as a cause of ulnar wrist pain

2004

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We present a case of ulnar wrist pain that had been wrongly attributed to non-union of the ulnar styloid. Surgical exploration revealed an ulnar styloid malunion that had caused pain by impinging on the triquetrum and a triangular fibrocartilage complex (TFC) lesion. There was no fracture of the distal radius and no associated carpal instability or disruption of the distal radio-ulnar joint. Treatment by resection of the ulnar styloid and re-attachment of the TFC provided a satisfactory outcome.

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Distal Radioulnar Joint Arthroplasty

Cited by 44 publications

References 0 publications

The radioulnar joint in distal radial fractures: A review

The radioulnar joint in distal radial fractures: A review

Inter-observer variation in the diagnosis of coronal articular fracture lines in the lunate facet of the distal radius

Malunion of the ulnar styloid as a cause of ulnar wrist pain

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