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Distal Radioulnar Joint: Resection Arthroplasty or Prosthetic Arthroplasty

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Controversies in Orthopedic Surgery of The Upper Limb

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Abstract

The distal radioulnar joint (DRUJ) is a complex articulation with interplay between bony and soft tissue components. Pathological processes of the DRUJ can result in pain, instability and limitation of forearm rotation. The best method for managing this pathology is uncertain. Resection arthroplasty has been performed for many years; however, outcomes are moderate. Newer implants have sought to address the complex anatomy of the DRUJ in providing symptomatic relief and improving function. Unfortunately, studies relating to the outcomes of these prostheses are limited in both size and longevity. Pathology affecting the DRUJ in isolation is still a relatively uncommon finding. With limited long-term robust studies on the results of these operations, the best management options for DRUJ arthritis and instability remain controversial.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Connolly Hospital, Blanchardstown, Dublin, Ireland

    Ciara Fox & Patrick Groarke

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  1. Ciara Fox
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  1. Department of Orthopedic Surgery, La Paz University Hospital-IdiPaz, Madrid, Spain

    E Carlos Rodríguez-Merchán

  2. Department of Orthopedic Surgery, La Paz University Hospital-IdiPaz, Madrid, Spain

    Alonso Moreno-Garcìa

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Fox, C., Groarke, P. (2022). Distal Radioulnar Joint: Resection Arthroplasty or Prosthetic Arthroplasty. In: Rodríguez-Merchán, E.C., Moreno-Garcìa, A. (eds) Controversies in Orthopedic Surgery of The Upper Limb . Springer, Cham. https://doi.org/10.1007/978-3-031-04907-1_18

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