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The distal radioulnar joint 

The distal radioulnar joint
Chapter:
The distal radioulnar joint
Author(s):

Ruby Grewal

, James H. Roth

, and G.J.W. King

DOI:
10.1093/med/9780199550647.003.006004
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date: 13 December 2019

DRUJ Stabilizers:

Primary: TFCC

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

Investigations:

Plain or stress radiography

Arthrography

CT: for bone alignment especially DRUJ arthritis and subluxation

MRI: for soft tissue constraints

Arthroscopy.

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.

DRUJ OA:

Treatment: Steroid injection or Surgery

Surgical Options

Darrach’s

Partial resection

Sauve-Kapandji

Replacement.

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