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The distal radioulnar joint 

The distal radioulnar joint
The distal radioulnar joint

Ruby Grewal

, James H. Roth

, and G.J.W. King

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date: 27 January 2022

DRUJ Stabilizers:

Primary: TFCC

Secondary: interosseous membrane, extensor retinaculum, dorsal carpal ligament complex, and the forearm muscles especially the pronator quadratus.


Plain or stress radiography


CT: for bone alignment especially DRUJ arthritis and subluxation

MRI: for soft tissue constraints


TFCC Pathology:

1. Traumatic

Central or peripheral

Treatment: Central — debridement, Peripheral — repair/decompression.

2. Degenerative

Mainly due to ulnocarpal impingement

Treatment: decompression by shortening or Feldon wafer.


Treatment: Steroid injection or Surgery

Surgical Options


Partial resection



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