Abstract Introduction Double injury patterns in the form of Monteggia or Galeazzi fracture dislocation represent a spectrum of forearm injuries which are severe and usually necessitate operative intervention. Association of ulnar dislocation with proximal radioulnar disruption with fracture of the radial shaft, without dislocation of radiohumeral joint, represents a rare and unusual double inju...

The authors report their experience with the Sauvé-Kapandji procedure for the management of posttraumatic disorders of the distal radioulnar joint in 9 younger and active patients. The mean age of our series was 37 years. We operated patients for whom pain in the distal radioulnar joint was more relieved by usual analgesic medical treatment, and those with a limitation of wrist movements. Until...

Over a 6-year-period, 15 women and 11 men with a mean age of 53 years (range, 24 to 80 years) had resection of the distal part of the ulna (Darrach's procedure) to address stiffness, instability, non-union, or substantial radioulnar length discrepancy after trauma. At an average follow-up of 21 months (range, 4 to 60 months), the improvement in total arc of forearm rotation averaged 87 degrees ...

Anatomic variations of the radial artery and their effect on the use of the radial artery as a route for transradial coronary intervention (TRI) were studied. Ultrasonography of the radial artery was performed prospectively in 115 patients selected to undergo elective TRI. Anatomic variations were observed in 11 of 115 patients (9.6%). Variations included six tortuous configurations (5. 2%), tw...

Alteration in length of the distal ulna may provide an attractive alternative to more destructive procedures commonly used for the treatment of mechanical and degenerative problems at the distal radioulnar joint. Ulnar recession has shown effectiveness in ulnolunate impingement, triangular fibrocartilage tears, and symptomatic ulnar plus variance. It has also been effective in chondromalacia of...

ANATOMY The TFCC is a fibrocartilage-ligament complex which stabilizes the distal radioulnar joint (DRUJ), transmits axial load between the carpus and the ulna, and stabilizes the ulnar aspect of the carpus. The TFCC is comprised of the disc proper (articular disc), meniscus homologue, ulnolunate ligament, ulnotriquetral ligament, proximal ligamentous component, volar and dorsal radioulnar liga...