Universität zu Köln

Spies, Christian K., Langer, Martin, Mueller, Lars P., Oppermann, Johannes and Unglaub, Frank (2020). Distal radioulnar joint instability: current concepts of treatment. Arch. Orthop. Trauma Surg., 140 (5). S. 639 - 651. NEW YORK: SPRINGER. ISSN 1434-3916

Full text not available from this repository.

Abstract

Distal radioulnar joint (DRUJ) instability is often an underestimated or missed lesion which may entail fatal consequences. The triangular fibrocartilage complex is a biomechanically very important stabilizer of the DRUJ and guarantees unrestricted range of motion of the forearm. To detect DRUJ instability a systematic examination is of uppermost importance. The contralateral healthy arm will be used for comparison during clinical examination. X-rays are required to exclude osseous lesions or deformities. Computed tomography of both wrists in neutral forearm rotation, supination, and pronation may be necessary to verify DRUJ instability in ambiguous situations. Following a systematic clinical examination wrist and DRUJ arthroscopy detects lesions definitely. Tears of the distal radioulnar ligaments which entail DRUJ instability should be repaired preferably anatomically. Ulnar-sided ligament ruptures which cause instability are detected more often than radial-sided ones. Osseous ligament avulsions are mostly refixated osteosynthetically. Ligamentous tears of the distal radioulnar ligaments may be reconstructed using anchor suture or transosseous refixation. Secondary procedures such as tendon transplants are necessary for anatomical reconstruction in cases of unrepairable ligament tears.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Spies, Christian K. UNSPECIFIED UNSPECIFIED UNSPECIFIED Langer, Martin UNSPECIFIED UNSPECIFIED UNSPECIFIED Mueller, Lars P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Oppermann, Johannes UNSPECIFIED UNSPECIFIED UNSPECIFIED Unglaub, Frank UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-340581
DOI:	10.1007/s00402-020-03371-0
Journal or Publication Title:	Arch. Orthop. Trauma Surg.
Volume:	140
Number:	5
Page Range:	S. 639 - 651
Date:	2020
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1434-3916
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language TRIANGULAR FIBROCARTILAGE COMPLEX; ULNAR STYLOID FRACTURES; COMPUTED-TOMOGRAPHY; POSTTRAUMATIC INSTABILITY; ANATOMIC RECONSTRUCTION; CAPSULAR IMBRICATION; RADIUS FRACTURE; WRIST PAIN; STABILITY; DIAGNOSIS Multiple languages Orthopedics; Surgery Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/34058