Advertisement

Archives of Orthopaedic and Trauma Surgery

, Volume 133, Issue 10, pp 1459–1461 | Cite as

Bilateral test for potential subluxation of the DRUJ

  • P. HahnEmail author
  • M. B. Wolf
  • F. Unglaub
Handsurgery

Abstract

Untreated distal radioulnar joint (DRUJ) instability can lead to arthritis of the DRUJ. To date, however, the clinical determination of DRUJ instability still represents a challenge. We developed a new clinical test to determine its stability. This works by directly observing the ulnar head’s dynamic behavior during active pro-supination or testing the DRUJ’s static stability at different grades of rotation. With the test results, the examiner gains a better understanding of the ulna head’s behavior during rotational movements and how that compares to that of the uninjured side.

Keywords

DRUJ instability Clinical test Wrist DRUJ 

Notes

Conflict of interest

All named authors hereby declare that they have no conflicts of interest to disclose.

Supplementary material

Supplementary material 1 (MOV 14947 kb)

References

  1. 1.
    Iida A, Omokawa S, Akahane M, Kawamura K, Takayama K, Tanaka Y (2012) Distal radioulnar stress radiography for detecting radioulnar ligament injury. J Hand Surg Am 37:968–974PubMedCrossRefGoogle Scholar
  2. 2.
    Kim JP, Park MJ (2008) Assessment of distal radioulnar joint instability after distal radius fracture: comparison of computed tomography and clinical examination results. J Hand Surg Am 33:1486–1494PubMedCrossRefGoogle Scholar
  3. 3.
    Ehman EC, Hayes ML, Berger RA, Felmle JP, Amrami KK (2011) Subluxation of the distal radioulnar joint as a predictor of foveal triangular fibrocartilage complex tear. J Hand Surg Am 36:1780–1784PubMedCrossRefGoogle Scholar
  4. 4.
    Jupiter JB (2009) Commentary: the effect of ulnar styloid fractures on patient-rated outcomes after volar locking plating of distal radius fractures. J Hand Surg Am 34:1603PubMedCrossRefGoogle Scholar
  5. 5.
    Wijffels MME, Brink PRG, Schipper IB (2012) Clinical and non-clinical aspects of distal radioulnar joint instability. Open Orthop J 6:204–210PubMedCrossRefGoogle Scholar
  6. 6.
    Manz S, Wolf MB, Leclère FM, Hahn P, Bruckner T, Unglaub F (2011) Capsular imbrication for posttraumatic instability of the distal radioulnar joint. J Hand Surg Am 36:1170–1175PubMedCrossRefGoogle Scholar
  7. 7.
    Fujitani R, Omokawa S, Akahane M, Iida A, Ono H, Tanaka Y (2011) Predictors of distal radioulnar joint instability in distal radius fractures. J Hand Surg Am 36:1919–1925PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  1. 1.Department of Hand SurgeryVulpius KlinikBad RappenauGermany
  2. 2.Department of Diagnostic and Interventional RadiologyUniversity Hospital of HeidelbergHeidelbergGermany
  3. 3.Department of RadiologyGerman Cancer Research Center (DKFZ)HeidelbergGermany

Personalised recommendations