Reconstruction for DRUJ Instability

Lawler, Ericka A.; Adams, Brian D.

doi:10.1007/s11552-007-9034-6

Cited by 61 publications

(44 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…groups have their upper arm immobilized in mild supination, depending on the most stable position that was determined during the manual stress test. 20 During the immobilization period, all patients began finger motion exercises to control edema. Active wrist supination and pronation exercises were initiated after splint removal, and the patients were followed-up at 1, 3, 6, and 12 months.…”

Section: Rehabilitationmentioning

confidence: 99%

Conservative Treatment Is Sufficient for Acute Distal Radioulnar Joint Instability With Distal Radius Fracture

Lee

Kim²,

Han³

et al. 2016

Annals of Plastic Surgery

View full text Add to dashboard Cite

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. Patients were classified according to the type of the ulnar styloid process fracture, using preoperative wrist radiography, and each group was divided into subgroups, according to their treatment method. We then compared the clinical outcomes between the conservative and operative treatments, using their range of motion; Disabilities of the Arm, Shoulder, and Hand score; modified Mayo wrist score; and grip strength. At 3 months after surgery, among patients without ulnar styloid process fracture, the flexion-extension range was 79 ± 15° after supination sugar-tong splinting (group A-1), 91 ± 14° after DRUJ transfixation (group A-2), and 89 ± 10° after arthroscopic triangular fibrocartilage complex repair (group A-3); the operative treatments provided greater joint motion ranges than conservative treatment. The groups with ulnar styloid process fractures at the tip (group B) or base (group C) also exhibited better clinical outcomes after the operative treatments, compared with after the conservative treatment. However, at the final follow-up, groups A-1, A-2, and A-3 exhibited similar flexion-extension ranges (122 ± 25°, 119° ± 18°, and 120° ± 16°, respectively) and modified Mayo wrist scores (87 ± 7, 89 ± 8, and 85 ± 9). Thus, the conservative and operative treatments provided similar long-term outcomes, and similar results were observed for patients with ulnar styloid process fracture at the tip or base. The average splint application period for patients who underwent conservative treatment was 6.6 weeks (range, 4-9 weeks). In our practice, conservative treatment (supination sugar-tong splinting) and surgical treatments provided similar long-term outcomes for acute DRUJ instability with distal radius fracture.

show abstract

Section: Rehabilitationmentioning

confidence: 99%

Conservative Treatment Is Sufficient for Acute Distal Radioulnar Joint Instability With Distal Radius Fracture

Lee

Kim²,

Han³

et al. 2016

Annals of Plastic Surgery

View full text Add to dashboard Cite

show abstract

“…Most investigators agree that the TFCC is the primary stabilizer of the distal radioulnar joint. 22,30,31 With the TFCC intact, 2 forces are registered at the load cell: DRUJ contact force and tension in the TFCC. When the TFCC is divided, this 1 component of force is removed, causing a decrease in the load at the distal ulna.…”

Section: Discussionmentioning

confidence: 99%

Load Transfer at the Distal Ulna Following Simulated Distal Radius Fracture Malalignment

Ferreira¹,

Greeley²,

Johnson³

et al. 2015

The Journal of Hand Surgery

View full text Add to dashboard Cite

“…[13][14][15] MRG incelemesinde DRUE'de artmış sıvı ile birlikte volar veya dorsal ligaman hasarlanmaları tespiti DRUE instabilite tanısında faydalıdır.…”

Section: Discussionunclassified

Results of arthroscopic repair of triangular fibrocartilage complex peripheral tears (Palmer type 1B)

Kabakas¹,

Özçelık²,

Uğurlar³

et al. 2014

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

SONUÇ:Artroskopik teknikle minimal hasarlanma ile TFKK tamiri yapılabilmekte, eklemin tüm yapılarının daha iyi görüntülenmesi ve değerlendirilmesi sağlanabilmektedir. 6R portalin 1 cm altından açılan portalden uygulanan dışarıdan içeriye dikiş tekniği ulnar sinir yüzeyel dalının etkilenme olasılığının olmadığı minimal travmatik yöntemdir. Bu yöntem ile ameliyat öncesi ağrı şikayetlerinin anlamlı olarak giderilmesi mümkündür.Anahtar sözcükler: Artroskopi; el bileği eklemi; el bileği yaralanmaları; triangular fibrokartilaj kompleks.

show abstract

Reconstruction for DRUJ Instability

Cited by 61 publications

References 14 publications

Conservative Treatment Is Sufficient for Acute Distal Radioulnar Joint Instability With Distal Radius Fracture

Conservative Treatment Is Sufficient for Acute Distal Radioulnar Joint Instability With Distal Radius Fracture

Load Transfer at the Distal Ulna Following Simulated Distal Radius Fracture Malalignment

Results of arthroscopic repair of triangular fibrocartilage complex peripheral tears (Palmer type 1B)

Contact Info

Product

Resources

About