Radiographic Predictors of DRUJ Instability with Distal Radius Fractures

Shohei Omokawa; Akio Iida; Ryotaro Fujitani; Tadanobu Onishi; Yasuhito Tanaka

doi:10.1055/s-0034-1365825

Journal of Wrist Surgery, Inhaltsverzeichnis

J Wrist Surg 2014; 03(01): 002-006
DOI: 10.1055/s-0034-1365825

Special Focus Section: Radial Translation of Distal Radius Fractures

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Radiographic Predictors of DRUJ Instability with Distal Radius Fractures

Shohei Omokawa

¹Department of Orthopedic Surgery, Nara Medical University, Kashihara, Japan

²Department of Orthopedic Surgery, Ishinkai-Yao General Hospital, Yao, Japan

,

Akio Iida

¹Department of Orthopedic Surgery, Nara Medical University, Kashihara, Japan

²Department of Orthopedic Surgery, Ishinkai-Yao General Hospital, Yao, Japan

,

Ryotaro Fujitani

²Department of Orthopedic Surgery, Ishinkai-Yao General Hospital, Yao, Japan

,

Tadanobu Onishi

¹Department of Orthopedic Surgery, Nara Medical University, Kashihara, Japan

,

Yasuhito Tanaka

¹Department of Orthopedic Surgery, Nara Medical University, Kashihara, Japan

› Institutsangaben

Abstract

Because the distal radioulnar joint (DRUJ) is an inherently unstable joint, the diagnosis and treatment of DRUJ instability is often difficult in a clinical hand surgery practice. Several soft tissue stabilizers are recognized, of which the deep limbs of the radioulnar ligament are primary stabilizers. This article discusses the predictors of DRUJ instability in distal radius fractures based on our clinical and biomechanical analyses.

Keywords

radioulnar - joint - instability - predictor

Volltext

Referenzen

References
1 Palmer AK, Werner FW. The triangular fibrocartilage complex of the wrist—anatomy and function. J Hand Surg Am 1981; 6: 153-162
2 Nakamura T, Takayama S, Horiuchi Y, Yabe Y. Origins and insertions of the triangular fibrocartilage complex: a histological study. J Hand Surg [Br] 2001; 26 (5) 446-454
3 Fujitani R, Omokawa S, Akahane M, Iida A, Ono H, Tanaka Y. Predictors of distal radioulnar joint instability in distal radius fractures. J Hand Surg Am 2011; 36 (12) 1919-1925
4 Richards RS, Bennett JD, Roth JH, Milne Jr K. Arthroscopic diagnosis of intra-articular soft tissue injuries associated with distal radial fractures. J Hand Surg Am 1997; 22 (5) 772-776
5 Kwon BC, Seo BK, Im HJ, Baek GH. Clinical and radiographic factors associated with distal radioulnar joint instability in distal radius fractures. Clin Orthop Relat Res 2012; 470 (11) 3171-3179
6 Bombaci H, Polat A, Deniz G, Akinci O. The value of plain X-rays in predicting TFCC injury after distal radial fractures. J Hand Surg Eur Vol 2008; 33: 322-326
7 May MM, Lawton JN, Blazar PE. Ulnar styloid fractures associated with distal radius fractures: incidence and implications for distal radioulnar joint instability. J Hand Surg Am 2002; 27 (6) 965-971
8 Kobayashi M, Garcia-Elias M, Nagy L , et al. Axial loading induces rotation of the proximal carpal row bones around unique screw-displacement axes. J Biomech 1997; 30 (11-12) 1165-1167
9 Moore TM, Lester DK, Sarmiento A. The stabilizing effect of soft-tissue constraints in artificial Galeazzi fractures. Clin Orthop Relat Res 1985; 194 (194) 189-194
10 Omori S, Moritomo H, Murase T , et al. Changes in length of the radioulnar ligament and distal oblique bundle after Colles' fracture. J Plast Surg Hand Surg 2013; 47: 409-414
11 Saito T, Nakamura T, Nagura T, Nishiwaki M, Sato K, Toyama Y. The effects of dorsally angulated distal radius fractures on distal radioulnar joint stability: a biomechanical study. J Hand Surg Eur Vol 2013; 38: 739-745
12 Nakanishi Y, Omokawa S, Shimizu T, Nakano K, Kira T, Tanaka Y. Intra-articular distal radius fractures involving the distal radioulnar joint (DRUJ): three dimensional computed tomography-based classification. J Orthop Sci 2013; 18 (5) 788-792