Skeletal Radiology

, Volume 48, Issue 3, pp 331–348 | Cite as

Current perspectives in conventional and advanced imaging of the distal radioulnar joint dysfunction: review for the musculoskeletal radiologist

  • Aishwarya Gulati
  • Vibhor Wadhwa
  • Oganes Ashikyan
  • Luis Cerezal
  • Avneesh ChhabraEmail author
Review Article


Distal radioulnar joint (DRUJ) dysfunction is a common cause of ulnar sided wrist pain. Physical examination yields only subtle clues towards the underlying etiology. Thus, imaging is commonly obtained towards an improved characterization of DRUJ pathology, especially multimodality imaging, which is frequently resorted to arrive at an accurate diagnosis. With increasing use of advanced MRI and CT techniques, DRUJ imaging has become an important part of a musculoskeletal radiologist’s practice. This article discusses the normal anatomy and biomechanics of the DRUJ, illustrates common clinical abnormalities, and provides a comprehensive overview of the imaging evaluation with an insight into the role of advanced cross-sectional modalities in this domain.


Distal radioulnar joint DRUJ Instability CT  MRI  Dynamic imaging 



The authors acknowledge Ms. Erin Moore and Mr. Jon Garinn for their contribution to the illustrations.

Compliance with ethical standards


AC: Consultant ICON Medical, Royalties: Jaypee, Wolters.

Conflict of interest


Supplementary material

256_2018_3042_MOESM1_ESM.mp4 (294 kb)
Video 1 4DCT of the wrist in a 56-year-old man with wrist and DRUJ pain and subjective feeling of instability. The kinematic images (video link) show arthrosis changes without instability on real time pronation and supination of the wrist. (MP4 294 kb)


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Copyright information

© ISS 2018

Authors and Affiliations

  • Aishwarya Gulati
    • 1
  • Vibhor Wadhwa
    • 2
  • Oganes Ashikyan
    • 3
  • Luis Cerezal
    • 4
  • Avneesh Chhabra
    • 3
    • 5
    • 6
    Email author
  1. 1.Dr. Gulati Imaging InstituteNew DelhiIndia
  2. 2.RadiologyUniversity of Arkansas for Medical SciencesLittle RockUSA
  3. 3.RadiologyUT Southwestern Medical CenterDallasUSA
  4. 4.RadiologyDiagnóstico Médico CantabriaSantanderSpain
  5. 5.Orthopaedic SurgeryUT Southwestern Medical CenterDallasUSA
  6. 6.Johns Hopkins UniversityBaltimoreUSA

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