Abstract
Diagnosis of subluxation and dislocation of the distal radioulnar joint (DRUJ) is difficult. In order to measure the shift between radius and ulna, we evaluate a method with a custom platform in this study. Cadaver specimen was fixed on a custom platform, and the volar and dorsal translation of the ulnar head was measured under different stress forces. We built a subluxation model via a surgical procedure that removed components of the radioulnar joint, and the translation at varying stress levels was measured again. We find at the same stress level, the normal model results in significantly less translation than the subluxation model at the majority of the stress forces, and particularly with volar forces. Our results indicate that this measurement is a potential method to evaluate the stability of the DRUJ.
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References
Shaaban, H., Giakas, G., Bolton, M., et al. (2004). The distal radioulnar joint as a load-bearing mechanism—a biomechanical study. Journal of Hand Surgery (America), 29, 85–95.
Pirela-Cruz, M. A., Goll, S. R., Klug, M., et al. (1991). Stress computed tomography analysis of the distal radioulnar joint: A diagnostic tool for determining translational motion. Journal of Hand Surgery (America), 16, 75–82.
Tolat, A. R., Stanley, J. K., & Trail, I. A. (1996). A cadaveric study of the anatomy and stability of the distal radioulnar joint in the coronal and transverse planes. Journal of Hand Surgery (British and European Volume), 21, 587–594.
Palmer, A. K., & Werner, F. W. (1981). The triangular fibrocartilage complex of the wrist—anatomy and function. Journal of Hand Surgery (America), 6, 153–162.
Watanabe, H., Berger, R. A., An, K. N., et al. (2004). Stability of the distal radioulnar joint contributed by the joint capsule. Journal of Hand Surgery (America), 29, 1114–1120.
Kihara, H., Short, W. H., Werner, F. W., et al. (1995). The stabilizing mechanism of the distal radioulnar joint during pronation and supination. Journal of Hand Surgery (America), 20, 930–936.
Johnson, R. K., & Shrewsbury, M. M. (1976). The pronator quadratus in motions and in stabilization of the radius and ulna at the distal radioulnar joint. Journal of Hand Surgery (America), 1, 205–209.
Stuart, P. R., Berger, R. A., Linscheid, R. L., et al. (2000). The dorsopalmar stability of the distal radioulnar joint. Journal of Hand Surgery (America), 25A, 689–699.
Shen, J., Papadonikolakis, A., Garrett, J. P., et al. (2005). Ulnar-positive variance as a predictor of distal radioulnar joint ligament disruption. Journal of Hand Surgery (America), 30, 1172–1177.
Gofton, W. T., Gordon, K. D., Dunning, C. E., et al. (2005). Comparison of distal radioulnar joint reconstructions using an active joint motion simulator. Journal of Hand Surgery (America), 30, 733–742.
Gofton, W. T., Gordon, K. D., Dunning, C. E., et al. (2004). Soft-tissue stabilizers of the distal radioulnar joint: An in vitro kinematic study. Journal of Hand Surgery (America), 29A, 423–431.
Szabo, R. M. (2006). Distal radioulnar joint instability. The Journal of Bone & Joint Surgery (America), 88, 884–894.
Rasker, J. J., Veldhuis, E. F., Huffstadt, A. J., et al. (1980). Excision of the ulnar head in patients with rheumatoid arthritis. Annals of the Rheumatic Diseases, 39, 270–274.
Tay, S. C., Tomita, K., & Berger, R. A. (2007). The “ulnar fovea sign” for defining ulnar wrist pain: An analysis of sensitivity and specificity. Journal of Hand Surgery (America), 32, 438–444.
Nakamura, R., Horii, E., Imaeda, T., et al. (1997). The ulnocarpal stress test in the diagnosis of ulnar-sided wrist pain. Journal of Hand Surgery (British and European Volume), 22, 719–723.
Moriya, T., Aoki, M., Iba, K., et al. (2009). Effect of triangular ligament tears on distal radioulnar joint instability and evaluation of three clinical tests: A biomechanical study. Journal of Hand Surgery (European Volume), 34, 219–223.
Ward, L. D., Ambrose, C. G., Masson, M. V., et al. (2000). The role of the distal radioulnar ligaments, interosseous membrane, and joint capsule in distal radioulnar joint stability. Journal of Hand Surgery (America), 25, 341–351.
Huang, J., & Hanel, D. (2012). Anatomy and biomechanics of the distal radioulnar joint. Hand Clinics, 28, 125–127.
Kitamura, T., Moritomo, H., Arimitsu, S., et al. (2011). The biomechanical effect of the distal interosseous membrane on distal radioulnar joint stability: A preliminary anatomic study. Journal of Hand Surgery (America), 36, 1626–1630.
Mulford, J. S., & Axelrod, T. S. (2010). Traumatic injuries of the distal radioulnar joint. Hand Clinics, 26, 155–163.
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Deng, J., Tian, G. & Wang, L. Measurement of the Shift in the Distal Radioulnar Joint Using a Custom Platform. Cell Biochem Biophys 73, 413–416 (2015). https://doi.org/10.1007/s12013-015-0653-1
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DOI: https://doi.org/10.1007/s12013-015-0653-1