Universität zu Köln

Spies, C. K., Mueller, L. P., Oppermann, J., Hahn, P. and Unglaub, F. (2014). Instability of the Distal Radioulnar Joint - an Overview of Clinical and Radiological Procedures Regarding their Efficacies. Handchir. Mikrochir. Plast. Chir., 46 (3). S. 137 - 151. NEW YORK: THIEME MEDICAL PUBL INC. ISSN 1439-3980

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Abstract

The distal radioulnar joint (DRUJ) plays a tremendous role regarding the functionality of the upper extremity. Lesions of the DRUJ can limit the functionality of the upper extremity decisively. Many clinical and radiological procedures are used to diagnose instability of the DRUJ. Up to now, there has not been a general consensus concerning the standardisation of the evaluation of DRUJ instability. The TFCC (triangular fibrocartilage complex) with its ligamentum subcruentum insertions at the fovea ulnaris and at the basis of the processus styloideus ulnae is in conjunction with the membrana interossea a very important stabiliser of the DRUJ. A fall on the extended hand or a forceful wrist rotation can usually cause injuries to the stabilisers. Ulnar-sided pain, limited pronosupination and loss of grip strength are clinically apparent. Both clinical tests and radiological procedures should be judged regarding their specific efficacies. These tests have to be evaluated in comparison to the gold standard of wrist arthroscopy. Each test alone is not able to verify DRUJ instability on a regular basis. The introduction of a standardised diagnostic procedure including anamnesis and specific clinical and radiological tests should be established. The standardisation ought to be maintained strictly in order to guarantee a growing test efficacy. Finally, high diagnostic reliability is based on a thorough examination which includes complementary clinical and radiological procedures.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Spies, C. K. UNSPECIFIED UNSPECIFIED UNSPECIFIED Mueller, L. P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Oppermann, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hahn, P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Unglaub, F. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-436651
DOI:	10.1055/s-0033-1363662
Journal or Publication Title:	Handchir. Mikrochir. Plast. Chir.
Volume:	46
Number:	3
Page Range:	S. 137 - 151
Date:	2014
Publisher:	THIEME MEDICAL PUBL INC
Place of Publication:	NEW YORK
ISSN:	1439-3980
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language TRIANGULAR FIBROCARTILAGE COMPLEX; SIDED WRIST PAIN; ULNAR STYLOID FRACTURES; EXTENSOR CARPI ULNARIS; COMPUTED-TOMOGRAPHY; RADIUS FRACTURES; INTEROSSEOUS MEMBRANE; FOREARM ROTATION; LIGAMENT TEARS; SUBLUXATION Multiple languages Surgery Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/43665