Chronic Instability of Distal Radioulnar Joint

Shin,  Hyun Dae; Cha,  Soo Min

doi:2014.19.2.79

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Arch Hand Microsurg > Volume 19(2); 2014 > Article

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Journal of the Korean Society for Surgery of the Hand 2014;19(2):79-86.
Published online June 30, 2014.
DOI: https://doi.org/10.12790/jkssh.2014.19.2.79

Chronic Instability of Distal Radioulnar Joint

Hyun Dae Shin, Soo Min Cha

Department of Orthopaedic Surgery, Regional Rheumatoid and Degenerative Arthritis Center, Chungnam National University Hospital, Chungnam National University College of Medicine, Daejeon, Korea. hyunsd@cnu.ac.kr

Received: 10 May 2014 • Accepted: 2 June 2014

Abstract

Chronic instability of distal radioulnar joint (DRUJ) can develop after injury such as fractures or dislocations, to the bony structures or to the soft tissue as like ligament, capsule. If proper treatment is not performed, normal biomechanics of DRUJ would be altered, thus arthritic joint with chronic functional impairment, pain resulted in. The proper treatments included several procedures for repair of the bony structures and recovery of realignment, various methods for soft tissue repair and reconstruction in unstable condition without bony structures destruction. Several salvage methods such as Darrach procedure, hemiresectional interposition arthroplasty, Sauve-Kapandji procedure, were recommended for the advanced arthritic DRUJ. Wide ulnar resection, one-bone forearm procedure, prosthetic replacement for DRUJ were rarely indicated, but the a few long-term results were reported. Operative stabilization (repair or reconstruction) for each structure assumed as DRUJ instability, is essential and proper selection among the several salvage procedures for the advanced arthritis joint, is needed.

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