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Distal radioulnar joint

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https://www.readbyqxmd.com/read/27932401/medium-to-long-term-outcomes-of-anatomical-reconstruction-of-the-radioulnar-ligament-to-the-ulnar-fovea
#1
T Nakamura, K Abe, M Nishiwaki, T Iwamoto, K Sato
: We examined the medium- to long-term outcome of the original reconstruction technique of the radioulnar ligament using a half-slip of the extensor carpi ulnaris tendon for chronic foveal avulsion of the triangular fibrocartilage complex. We treated 37 wrists in 36 patients with a minimum follow-up of 5 years. Of 36 patients, 12 had more than 10 years follow-up. At final follow-up, 30 patients (31 wrists) reported no pain, five patients (five wrists) reported mild occasional pain and one patient reported severe persistent pain...
December 8, 2016: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/27917687/a-long-term-20-years-follow-up-after-arthroscopically-assisted-repair-of-the-tfcc
#2
Endre Soreide, Torstein Husby, Jan Ragnar Haugstvedt
OBJECTIVE: The present study aimed to assess long-term functional outcome for patients after arthroscopic assisted suture for peripheral tears of the triangular fibrocartilage complex (TFCC). METHODS: Eleven patients, 26 (15-59) years old at time of surgery, 48 (35-78) years old at time of follow-up, were available for this 20-year follow-up. Subjective and objective outcomes, such as range of motion, grip strength, patients' satisfaction, pain, and Mayo Modified Wrist Score, were assessed, as well as asking the question if the patients would have had the surgery done again, knowing the outcome, based on a clinical examination and patient reported questionnaires...
December 5, 2016: Journal of Plastic Surgery and Hand Surgery
https://www.readbyqxmd.com/read/27909756/-ligament-injuries-of-the-wrist
#3
R Schmitt
The distal radioulnar joint, the triangular fibrocartilage complex (TFCC) and the wrist are stabilized by many ligaments allowing not only a wide range of motion but also providing sufficient stability. The complex arrangement of carpal ligaments and prosupination around the forearm joint enables multiaxial motion patterns. In the wrist, intra-articular ligaments can be differentiated from extra-articular capsular ligaments as well as intrinsic and extrinsic ligament courses. Imaging is essential for classification of dynamic and static instability patterns...
December 1, 2016: Der Radiologe
https://www.readbyqxmd.com/read/27890221/-treatment-of-distal-radius-extra-articular-malunion-in-young-active-patients
#4
N Pauchard, S Huguet, F Dap, G Dautel
Malunion is a common complication of distal radius fractures despite new fixation devices. The authors discuss the surgical indications, preoperative management and the various surgical techniques used to treat distal radius extra-articular malunion, specifically in active young subjects. The treatment goals in this population group are anatomical restoration of the distal radius and distal radioulnar joint, short immobilization period, quick functional recovery and stable results over time, consistent with high functional demands...
December 2016: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/27890200/-are-there-any-indications-for-surgery-of-distal-radius-malunion-in-elderly-patients
#5
M Rongières
Malunions of the distal radius are associated most of the time with disturbances of the distal radioulnar (DRU) joint. While a corrective osteotomy of the distal radius is a well-known procedure in younger patients, manual workers and active patients, is it justified in independent elderly patients above 70 years of age? These techniques improve function, reorient the articular surfaces, protect against complications such as degenerative osteoarthritis and stiffness of the wrist, and they improve DRU balance...
December 2016: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/27824735/surgical-treatment-of-chronic-essex-lopresti-lesion-interosseous-membrane-reconstruction-and-radial-head-prosthesis
#6
Prospero Bigazzi, Letizia Marenghi, Marco Biondi, Maura Zucchini, Massimo Ceruso
The Essex-Lopresti lesion, or radioulnar longitudinal dissociation, results from an axial load to the forearm with lesion to the radial head, interosseous membrane and distal radioulnar joint. The lesion is rarely diagnosed early, therefore treatment is often subacute or chronic. In these cases, procedures such as radial head replacement, ulnar shortening and/or wafer procedures should be combined with reconstruction of the interosseous membrane central band to restore longitudinal stability of the forearm...
November 7, 2016: Techniques in Hand & Upper Extremity Surgery
https://www.readbyqxmd.com/read/27823874/ipsilateral-plastic-deformation-monteggia-and-galeazzi-type-fracture-in-a-child-a-case-report
#7
Andrew Greer, Christopher John Lowry, Shammi Ramlakhan
A 7-year-old boy attended the emergency department after falling from a climbing frame onto his outstretched left wrist. On examination, there was mild swelling to the left elbow and tenderness to the antecubital fossa. There was also tenderness diffusely to the distal ulnar and radius. There was no neurovascular deficit. Radiographs revealed a plastic deformation fracture of the left radius and ulna, with dislocations of the ipsilateral radiocapitellar joint and distal radioulnar joint. A diagnosis of combined Monteggia and Galeazzi-type fractures of the left forearm was made...
November 4, 2016: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/27777820/midterm-results-of-semiconstrained-distal-radioulnar-joint-arthroplasty-and-analysis-of-complications
#8
L Reissner, K Böttger, H J Klein, M Calcagni, T Giesen
Range of motion and stability are important outcome parameters to assess function of the distal radioulnar joint (DRUJ), in particular pronation, supination, and weight-lifting capacity. The DRUJ semiconstrained implant developed by Scheker et al is intended to reproduce all the functions of the triangular fibrocartilage complex and the DRUJ. The aim of the study was to investigate the subjective, clinical, and radiographic results in 10 patients after primary implantation of the semiconstrained DRUJ arthroplasty following DRUJ derangement and painful instability, with an average follow-up of 3 years with a special focus on the complications...
November 2016: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/27682290/evaluation-of-the-metaphyseal-ulnar-shortening-technique-according-to-sennwald
#9
J Beckers, B The, I Degreef, L De Smet
: The outcome of a metaphyseal ulnar shortening osteotomy, reported by Sennwald as an alternative option for ulnar abutment syndrome, was evaluated with -regard to the functional results, pain relief and incidence of complications. METHOD: We conducted a review of 12 patients ; measured parameters were DASH score, PRWE, VAS for pain, grip force and wrist motion. RESULTS: Only disability improved significantly with a DASH score of 42 (p = 0...
August 2016: Acta Orthopaedica Belgica
https://www.readbyqxmd.com/read/27663055/effects-on-the-distal-radioulnar-joint-of-ablation-of%C3%A2-triangular-fibrocartilage-complex-tears-with-radiofrequency-energy
#10
Michaela Huber, Markus Loibl, Christoph Eder, Richard Kujat, Michael Nerlich, Sebastian Gehmert
PURPOSE: This cadaver study investigated the temperature profile in the wrist joint and distal radioulnar joint (DRUJ) during radiofrequency energy (RFE) application for triangular fibrocartilage complex resection. METHODS: An arthroscopic partial resection of the triangular fibrocartilage complex using monopolar and bipolar RFE was simulated in 14 cadaver limbs. The temperature was recorded simultaneously in the DRUJ and at 6 other anatomic locations of the wrist during RFE application...
September 20, 2016: Journal of Hand Surgery
https://www.readbyqxmd.com/read/27663051/osseous-anatomy-of-the-distal-radioulnar-joint-an-assessment-using-3-dimensional-modeling-and-clinical-implications
#11
Parham Daneshvar, Ryan Willing, Markian Pahuta, Ruby Grewal, Graham J W King
PURPOSE: Using a novel technique, we assess and describe the distal radioulnar joint (DRUJ) anatomy. The purpose of this study was to provide the anatomic dimensions of the DRUJ and to evaluate contralateral symmetry. METHODS: Computed tomography images of 100 cadaveric forearms were obtained. Three-dimensional models of the radius and ulna were generated and evaluated using 3-dimensional modeling software. Measurements of the radius of curvature of the sigmoid notch (SN) and ulnar head (UH), as well as the length of the SN and volar and dorsal lips were performed in the axial and coronal sequences...
November 2016: Journal of Hand Surgery
https://www.readbyqxmd.com/read/27648575/comparison-of-median-nerve-cross-sectional-area-on-3-t-mri-in-patients-with-carpal-tunnel-syndrome
#12
Mikinori Ikeda, Mitsuhiro Okada, Masahiko Toyama, Takuya Uemura, Kiyohito Takamatsu, Hiroaki Nakamura
This study correlated morphologic abnormalities of idiopathic carpal tunnel syndrome (CTS) with the severity of CTS using 3-T magnetic resonance imaging (MRI). The relationship of the severity of CTS and the cross-sectional area of the median nerve (CSA) was assessed at several levels. Seventy wrists of 35 patients (27 women and 8 men) with unilateral idiopathic CTS underwent nerve conduction study and 3-T MRI of the wrist. The CSA at 4 levels (distal radioulnar joint, body of scaphoid, tubercule of scaphoid, and hook of hamate) and the thickness of the transverse carpal ligament at 3 levels in both affected and unaffected hands were measured using 3-T MRI and correlated with the severity of CTS assessed with distal motor latency...
September 19, 2016: Orthopedics
https://www.readbyqxmd.com/read/27595945/arthroscopic-trans-osseous-suture-of-peripheral-triangular-fibrocartilage-complex-tear
#13
Midum Jegal, Kang Heo, Jong Pil Kim
The importance of foveal repair of the triangular fibrocartilage complex (TFCC) on stability of the distal radioulnar joint (DRUJ) has been emphasized with increasing knowledge of the anatomy and biomechanics of the TFCC and DRUJ. Although both open and arthroscopic techniques have been described for improving DRUJ stability, there has been a marked evolution of arthroscopic TFCC repair technique with successful clinical outcome. Recently, an arthroscopic trans-osseous technique has been described to repair foveal tears of the TFCC...
October 2016: J Hand Surg Asian Pac Vol
https://www.readbyqxmd.com/read/27554667/computed-tomography-for-the-detection-of-distal-radioulnar-joint-instability-normal-variation-and-reliability-of-four-ct-scoring-systems-in-46-patients
#14
Mathieu Wijffels, Wouter Stomp, Pieta Krijnen, Monique Reijnierse, Inger Schipper
OBJECTIVES: The diagnosis of distal radioulnar joint (DRUJ) instability is clinically challenging. Computed tomography (CT) may aid in the diagnosis, but the reliability and normal variation for DRUJ translation on CT have not been established in detail. The aim of this study was to evaluate inter- and intraobserver agreement and normal ranges of CT scoring methods for determination of DRUJ translation in both posttraumatic and uninjured wrists. MATERIALS AND METHODS: Patients with a conservatively treated, unilateral distal radius fracture were included...
November 2016: Skeletal Radiology
https://www.readbyqxmd.com/read/27525497/conservative-treatment-is-sufficient-for-acute-distal-radioulnar-joint-instability-with-distal-radius-fracture
#15
Sang Ki Lee, Kap Jung Kim, Yong Han Cha, Won Sik Choy
Treatments for acute distal radioulnar joint (DRUJ) instability with distal radius fracture vary from conservative to operative treatment, although it seems to be no consensus regarding which treatment is optimal. This prospective randomized study was designed to compare the clinical outcomes for operative and conservative treatment of acute DRUJ instability with distal radius fracture, according to the presence or absence and type of ulnar styloid process fracture and the degree of its displacement. Between July 2008 and February 2013, we enrolled 157 patients who exhibited an unstable DRUJ during intraoperative manual stress testing (via the ballottement test) after fixation of the distal radius...
September 2016: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/27499325/open-galeazzi-fracture-with-ipsilateral-elbow-dislocation
#16
Oktay Adanır, Serdar Yüksel, Ozan Beytemur, M Akif Güleç
Combination of the Galeazzi fracture and dislocation of the elbow joint in same extremity is very rare. In this article, we report a 26-year-old male patient with a posterolateral dislocation of the elbow and ipsilateral volar type Galeazzi fracture. We performed closed reduction for the elbow dislocation during admission to the emergency department. Patient was taken to the operating room in the sixth hour of his application to emergency department and open wound on the ulnovolar region of the wrist was closed primarily after irrigation and debridement...
August 2016: Eklem Hastalıkları Ve Cerrahisi, Joint Diseases & related Surgery
https://www.readbyqxmd.com/read/27499320/effect-of-ulnar-styloid-fracture-on-outcomes-after-conservative-treatment-of-distal-radius-fracture
#17
Sualp Turan, Deniz Çankaya, Serdar Yılmaz, Dilek Karakuş, Abdurrahim Dündar, Güzelali Özdemir
OBJECTIVES: This study aims to investigate the effect of accompanying ulnar styloid fracture (USF) on clinical outcomes and hand-wrist muscle strength in conservatively treated active patients after displaced distal radius fracture (DRF). PATIENTS AND METHODS: The retrospective study, which was conducted November 2012 and September 2016, included 56 patients (34 males, 22 females; mean age 28.8 years; range 20 to 40 years) with displaced DRF treated with closed reduction and casting...
August 2016: Eklem Hastalıkları Ve Cerrahisi, Joint Diseases & related Surgery
https://www.readbyqxmd.com/read/27491857/-arthroscopically-assisted-transcapsular-refixation-of-the-triangular-fibrocartilage-complex-of-the-wrist
#18
T Pillukat, R A Fuhrmann, J Windolf, J van Schoonhoven
OBJECTIVE: Refixation of the triangular fibrocartilage complex (TFCC) to the ulnar capsule of the wrist. INDICATIONS: Distal TFCC tears without instability, proximal TFCC intact. Loose ulnar TFCC attachment without tear or instability. CONTRAINDICATIONS: Peripheral TFCC tears with instability of the distal radioulnar joint (DRUJ). Complex or proximal tears of the TFCC. Isolated, central degenerative tears without healing potential. SURGICAL TECHNIQUE: Arthroscopically guided, minimally invasive suture of the TFCC to the base of the sixth extensor compartment...
August 2016: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/27478686/interosseous-membrane-and-its-effect-on-the-distal-radioulnar-joint
#19
David J Slutsky
No abstract text is available yet for this article.
August 2016: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/27468849/neglected-epiphyseal-injuries-of-the-distal-end-of-the-radius-with-ulnar-impaction-analysis-of-distal-osteotomy-of-both-bones-using-a-dorsal-midline-approach
#20
Paritosh Gogna, Sahil Gaba, Reetadyuti Mukhopadhyay, Rajesh Rohilla, Amanpreet Singh
BACKGROUND: To evaluate results of a technique for treating neglected epiphyseal injuries of the distal radius with ulnar impaction. MATERIALS AND METHODS: This retrospective study involved six cases (four males; two females), all of whom sustained the primary injury during childhood (range 9-12 years of age). All presented with wrist deformity and ulnar-sided wrist pain. They were managed with osteotomy of the distal radius, osteotomy and shortening of the ulna, harvesting the bone grafts, and distal radioulnar joint (DRUJ) reduction performed simultaneously through a dorsal midline approach...
July 28, 2016: Journal of Orthopaedics and Traumatology: Official Journal of the Italian Society of Orthopaedics and Traumatology
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