The management of chronic distal radioulnar instability.
The stabilizing constraints of the distal radioulnar joint (DRUJ) include its bony geometry and the surrounding soft tissue support. Given the shallow nature of the sigmoid notch, reconstruction of the palmar and dorsal ligamentous sleeve provides the best solution for restoring stability in cases of chronic DRUJ instability. The pertinent anatomy, indications, contraindications, soft tissue stabilizing procedures, and rehabilitation for the management of chronic DRUJ instability are highlighted in this review.
Division of Hand Surgery, Department of Orthopaedic Surgery, Mayo Clinic, 200 1st Street SW, Rochester, MN 55905, USA.
Sanjeev
S
Kakar
Brian T
BT
Carlsen
Steven L
SL
Moran
Richard A
RA
Berger
D001915:Braces; D002908:Chronic Disease; D006801:Humans; D007593:Joint Instability / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D008023:Ligaments, Articular / Q000601:surgery; D008487:Medical History Taking; D019637:Orthopedic Procedures; D010808:Physical Examination; D016896:Treatment Outcome; D014955:Wrist Joint / Q000503:physiopathology / Q000601:surgery*