Reconstruction of the Distal Oblique Bundle of the Interosseous Membrane with Extensor Carpi Radialis Hemitendon: A New Minimally-Invasive Technique

Francisco Martínez-Martínez; Alberto Giménez-Ros; Vicente J. León-Muñoz; Fernando Santonja-Medina

doi:10.1055/s-0040-1719013

Revista Iberoamericana de Cirugía de la Mano, Table of Contents

CC BY-NC-ND 4.0 · Revista Iberoamericana de Cirugía de la Mano 2020; 48(02): 138-142
DOI: 10.1055/s-0040-1719013

Surgical Technicque| Técnica quirúrgica

Reconstruction of the Distal Oblique Bundle of the Interosseous Membrane with Extensor Carpi Radialis Hemitendon: A New Minimally-Invasive Technique

Article in several languages: English | español

Francisco Martínez-Martínez

¹Department of Orthopedic Surgery, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain

,

Alberto Giménez-Ros

²Department of Orthopedic Surgery, Hospital Universitario Virgen del Castillo de Yecla, Murcia, Spain

,

Vicente J. León-Muñoz

¹Department of Orthopedic Surgery, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain

,

Fernando Santonja-Medina

¹Department of Orthopedic Surgery, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain

› Author Affiliations

Abstract

The main stabilizing element of the distal radioulnar joint (DRUJ) is the triangular fibrocartilage complex (TFCC). Secondary stabilizers include the distal oblique band (DOB), which is inconsistently found. When TFCC repair has failed or cannot be performed, DOB reconstruction is a therapeutic option. Even though distal radioulnar ligamentoplasty remains the technique of choice, recent papers show similar outcomes from both methods. We present two cases of successful DOB repair with the extensor carpi radialis longus (ECRL) hemitendon.

Keywords

distal radioulnar joint - instability - distal oblique bundle - reconstruction

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References

References
1 Kakar S, Carlsen BT, Moran SL, Berger RA. The management of chronic distal radioulnar instability. Hand Clin 2010; 26 (04) 517-528
2 Moritomo H. The distal oblique bundle of the distal interosseous membrane of the forearm. J Wrist Surg 2013; 2 (01) 93-94
3 Moritomo H, Noda K, Goto A, Murase T, Yoshikawa H, Sugamoto K. Interosseous membrane of the forearm: length change of ligaments during forearm rotation. J Hand Surg Am 2009; 34 (04) 685-691
4 Dy CJ, Jang E, Taylor SA, Meyers KN, Wolfe SW. The impact of coronal alignment on distal radioulnar joint stability following distal radius fracture. J Hand Surg Am 2014; 39 (07) 1264-1272
5 Omokawa S, Iida A, Kawamura K. et al. A Biomechanical Perspective on Distal Radioulnar Joint Instability. J Wrist Surg 2017; 6 (02) 88-96
6 Riggenbach MD, Conrad BP, Wright TW, Dell PC. Distal oblique bundle reconstruction and distal radioulnar joint instability. J Wrist Surg 2013; 2 (04) 330-336
7 Brink PRG, Hannemann PF. Distal oblique bundle reinforcement for treatment of DRUJ instability. J Wrist Surg 2015; 4 (03) 221-228
8 de Vries EN, Walenkamp MM, Mulders MA, Dijkman CD, Strackee SD, Schep NW. Minimally invasive stabilization of the distal radioulnar joint: a cadaveric study. J Hand Surg Eur Vol 2017; 42 (04) 363-369
9 Low SL, Clippinger BB, Landfair GL, Criner-Woozley K. A Biomechanical Evaluation of the DRUJ after Distal Oblique Bundle Reconstruction. J Hand Surg Am 2020; 45 (05) 452.e1-452.e8
10 Fahandezh-Saddi Diaz H. Estudio anatómico del abductor accesorio de la mano y su correlación clínico-ecográfica. Estudio en cadáver. (Tesis doctoral). Madrid: Departamento de cirugía, Universidad Complutense de Madrid; 2015