Adams, J Hand Surg Am 2002 - An Anatomic Reconstruction of the Distal Radioulnar Ligaments for Posttraumatic Distal Radioulnar Joint Instability

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An Anatomic Reconstruction of the Distal Radioulnar Ligaments for Posttraumatic Distal Radioulnar Joint Instability

Adams, Berger·J Hand Surg Am·2002·313 citations·Case series

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14 patients with posttraumatic distal radioulnar joint instability were treated with a reconstruction of the distal radioulnar ligaments. The technique is anatomically accurate, is reproducible, and requires less dissection than previously described techniques. Candidates for the procedure had joint instability and an irreparable triangular fibrocartilage complex. 10 patients had bidirectional instability. 2 patients had a concurrent corrective osteotomy of the distal radius for a malunion. The procedure restored stability and relieved symptoms in 12 of 14 patients at 1 to 4 years' follow-up evaluation. One patient with a deficient sigmoid notch and one with ulnocarpal ligament injury did not achieve full stability. All patients attained near full pronation and supination. The procedure is an effective treatment for an unstable distal radioulnar joint when its articular surfaces are intact and the other wrist ligaments are functional, and it can be used in combination with a distal radius corrective osteotomy.

Copyright remains with the authors and publisher.

An Anatomic Reconstruction of the Distal Radioulnar Ligaments for Posttraumatic Distal Radioulnar Joint Instability

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An Anatomic Reconstruction of the Distal Radioulnar Ligaments for Posttraumatic Distal Radioulnar Joint Instability

Adams, Berger·J Hand Surg Am·2002·313 citations·Case series

|

14 patients with posttraumatic distal radioulnar joint instability were treated with a reconstruction of the distal radioulnar ligaments. The technique is anatomically accurate, is reproducible, and requires less dissection than previously described techniques. Candidates for the procedure had joint instability and an irreparable triangular fibrocartilage complex. 10 patients had bidirectional instability. 2 patients had a concurrent corrective osteotomy of the distal radius for a malunion. The procedure restored stability and relieved symptoms in 12 of 14 patients at 1 to 4 years' follow-up evaluation. One patient with a deficient sigmoid notch and one with ulnocarpal ligament injury did not achieve full stability. All patients attained near full pronation and supination. The procedure is an effective treatment for an unstable distal radioulnar joint when its articular surfaces are intact and the other wrist ligaments are functional, and it can be used in combination with a distal radius corrective osteotomy.

Copyright remains with the authors and publisher.

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