Chapter

The distal radioulnar joint

Ruby Grewal, James H. Roth and G.J.W. King

in Oxford Textbook of Trauma and Orthopaedics

Second edition

Published on behalf of Oxford University Press

Published in print August 2011 | ISBN: 9780199550647
Published online April 2011 | e-ISBN: 9780199608249 | DOI: http://dx.doi.org/10.1093/med/9780199550647.003.006004

Series: Oxford Textbooks

The distal radioulnar joint

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  • Rheumatology

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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.

Chapter.  5455 words.  Illustrated.

Subjects: Trauma and Orthopaedic Surgery ; Rheumatology

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