A Biomechanical Perspective on Distal Radioulnar Joint Instability

Shohei Omokawa; Akio Iida; Kenji Kawamura; Yasuaki Nakanishi; Takamasa Shimizu; Tsutomu Kira; Tadanobu Onishi; Naoki Hayami; Yasuhito Tanaka

doi:10.1055/s-0037-1601367

Journal of Wrist Surgery, Inhaltsverzeichnis

J Wrist Surg 2017; 06(02): 088-096
DOI: 10.1055/s-0037-1601367

Special Review: Biomechanics of DRUJ Instability

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

A Biomechanical Perspective on Distal Radioulnar Joint Instability

Autor*innen

Shohei Omokawa

¹Department of Hand Surgery, Nara Medical University, Kashihara, Nara, Japan
Akio Iida

²Department of Orthopedic Surgery, Nara Medical University, Kashihara, Nara, Japan
Kenji Kawamura

²Department of Orthopedic Surgery, Nara Medical University, Kashihara, Nara, Japan
Yasuaki Nakanishi

²Department of Orthopedic Surgery, Nara Medical University, Kashihara, Nara, Japan
Takamasa Shimizu

²Department of Orthopedic Surgery, Nara Medical University, Kashihara, Nara, Japan
Tsutomu Kira

²Department of Orthopedic Surgery, Nara Medical University, Kashihara, Nara, Japan
Tadanobu Onishi

²Department of Orthopedic Surgery, Nara Medical University, Kashihara, Nara, Japan
Naoki Hayami

²Department of Orthopedic Surgery, Nara Medical University, Kashihara, Nara, Japan
Yasuhito Tanaka

²Department of Orthopedic Surgery, Nara Medical University, Kashihara, Nara, Japan

Abstract

Background The purpose of this article was to review the anatomy, kinematics of the distal radioulnar joint (DRUJ), and to discuss definition, classification, and diagnosis of DRUJ instability.

Methods A biomechanical perspective on physical examination of DRUJ ballottement test was documented. Physiological dynamic DRUJ translation and differences of the translation following sequential ligament sectioning and changes in different forearm and wrist positions were demonstrated. The clinical significance of each ligament's contribution to joint stability in specific wrist positions was addressed.

Conclusion Each ligament stabilizing the DRUJ contributed to joint stability depending on the direction (palmer or dorsal) and different positions of the wrist and forearm. DRUJ ballottement test in each wrist and forearm position may detect tears of specific ligament stabilizing the DRUJ.

Keywords

DRUJ - TFCC - biomechanics - anatomy - function

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Referenzen

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