Standard radiographic assessments of distal radius fractures miss involvement of the distal radioulnar joint: a diagnostic study
نویسندگان
چکیده
منابع مشابه
Defining residual radial translation of distal radius fractures: a potential cause of distal radioulnar joint instability.
BACKGROUND Instability of the distal radioulnar joint (DRUJ) is a complication that can occur following distal radius fracture or malunion. We have observed that residual radial translation of the distal radius, relative to the radial shaft, may be a causal factor of DRUJ instability, even once the traditional radiographic parameters (volar tilt, radial inclination, and ulnar variance) have bee...
متن کاملThe distal radioulnar joint.
The distal radioulnar joint (DRUJ) acts in concert with the proximal radioulnar joint to control forearm rotation. The DRUJ is stabilized by the triangular fibrocartilage complex (TFCC). This complex of fibrocartilage and ligaments support the joint through its arc of rotation, as well as provide a smooth surface for the ulnar side of the carpus. TFCC and DRUJ injuries are part of the common pa...
متن کاملEffects 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...
متن کاملEssential radiographic evaluation for distal radius fractures.
Fractures of the distal radius can be complex injuries, often generating multiple fragments with distortion of the normal anatomy in all three dimensions. Superficial assessment of the injury on the standard PA and lateral radiographs often can result in incomplete recognition of the injury pattern and a misdirected approach to treatment. In addition, failure to recognize subtle radiographic fi...
متن کاملDistal 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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ژورنال
عنوان ژورنال: Archives of Orthopaedic and Trauma Surgery
سال: 2021
ISSN: 0936-8051,1434-3916
DOI: 10.1007/s00402-021-03801-7