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RODRIGUEZ-MERCHAN, E. Carlos, Shojaei, Babak, Kachooei, Amir R.. (1400). Distal Radioulnar Joint Instability: Diagnosis and Treatment. , 10(1), 3-16. doi: 10.22038/abjs.2021.57194.2833
E. Carlos RODRIGUEZ-MERCHAN; Babak Shojaei; Amir R. Kachooei. "Distal Radioulnar Joint Instability: Diagnosis and Treatment". , 10, 1, 1400, 3-16. doi: 10.22038/abjs.2021.57194.2833
RODRIGUEZ-MERCHAN, E. Carlos, Shojaei, Babak, Kachooei, Amir R.. (1400). 'Distal Radioulnar Joint Instability: Diagnosis and Treatment', , 10(1), pp. 3-16. doi: 10.22038/abjs.2021.57194.2833
RODRIGUEZ-MERCHAN, E. Carlos, Shojaei, Babak, Kachooei, Amir R.. Distal Radioulnar Joint Instability: Diagnosis and Treatment. , 1400; 10(1): 3-16. doi: 10.22038/abjs.2021.57194.2833

Distal Radioulnar Joint Instability: Diagnosis and Treatment

The Archives of Bone and Joint Surgery
مقاله 2، دوره 10، شماره 1، فروردین 2022، صفحه 3-16    اصل مقاله (1.39 M)
نوع مقاله: CURRENT CONCEPTS REVIEW
شناسه دیجیتال (DOI): 10.22038/abjs.2021.57194.2833
نویسندگان
E. Carlos RODRIGUEZ-MERCHAN* 1؛ Babak Shojaei2؛ Amir R. Kachooei3
1Department of Orthopaedic Surgery, La Paz University Hospital, Madrid, Spain. 2 Osteoarticular Surgery Research, Hospital La Paz Institute for Health Research – IdiPAZ (La Paz University Hospital – Autonomous University of Madrid), Madrid, Spain
2Orthopedic Research Center, Department of Orthopedic, Hand, and Microsurgery, St. Marien Stift Medical Campus, Friesoythe, Germany
3Rothman Orthopaedic Institute, Thomas Jefferson University, Philadelphia, USA. - Orthopedic Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. Iran
چکیده
Distal radioulnar joint (DRUJ) instability and triangular fibrocartilage complex (TFCC) tears are more usual than estimated and are frequently overlooked. Diagnosis is often clinical, which can be confirmed using computed tomography (CT) scan and magnetic resonance imaging (MRI). In doubtful cases, bilateral computed tomography in neutral forearm rotation, supination, and pronation should also be performed. Wrist arthroscopy can be diagnostic and therapeutic for ulnar-sided wrist pain. Two systematic reviews showed equivalent outcomes between open and arthroscopic repair of the TFCC. There is scant proof to advise one technique over the other in clinical practice. TFCC repair and reconstruction are contraindicated when there is a bony deformation of the radius or ulna or osteoarthritis of the DRUJ. With the advancement of implant arthroplasty, salvage procedures are less desirable. Constrained distal radioulnar arthroplasty is stable, and the longevity is encouraging. Level of evidence: III
کلیدواژه‌ها
Distal radioulnar joint؛ Instability؛ Triangular fibrocartilage complex؛ Treatment
مراجع
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