Ulnar Styloid Base Fractures Cause Distal Radioulnar Joint Instability in a Cadaveric Model

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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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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...

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Fixing fractures of the ulnar styloid in distal radius fractures

The majority of distal radius fractures are associated with an ulnar styloid fracture [1-3]. There is solid evidence in the literature that this association may ultimately affect the clinical outcome causing instability, disability, and pain in the distal radioulnar joint (DRUJ) [2,4-7]. The main reasons for the worse outcome are: (1) DRUJ instability, (2) impingement with the triquetrum, and (...

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Ignore fractures of the ulnar styloid in distal radius fractures

Introduction Fractures of the ulnar styloid frequently accompany fractures of the distal radius, however, there is no conclusive evidence whether it influences the final outcome of the treatment. The majority of studies show no negative effect of ulnar styloid fractures on final outcome, when the fracture of the distal radius is fixed, preferably by a locking plate [1,2]. Some authors, however,...

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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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ژورنال

عنوان ژورنال: HAND

سال: 2017

ISSN: 1558-9447,1558-9455

DOI: 10.1177/1558944716685830