Ulnar-Side Wrist Pain Management Guidelines: All That Hurts is Not the TFCC!

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Abstract

Conflict of interest statement: Conflict of interestThe authors declare that they have no conflict of interest. 15. Hand Clin. 2020 Nov;36(4):429-441. doi: 10.1016/j.hcl.2020.07.005. Epub 2020 Sep 2. Acute Distal Radioulnar Joint Instability: Evaluation and Treatment. Poppler LH(1), Moran SL(2). Author information: (1)Department of Plastic & Reconstructive Surgery, St. Luke's Health System, Boise, ID, USA. (2)Department of Plastic & Reconstructive Surgery, Mayo Clinic, Rochester, MN, USA; Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA. Electronic address: Moran.steven@mayo.edu. This article reviews the anatomy and mechanics of pronation and supination (axial rotation) of the forearm through the distal radioulnar joint (DRUJ), and the proximal radioulnar joint (PRUJ). Injuries to the bones and/or ligaments of the forearm, wrist, or elbow can result in instability, pain, and limited rotation. Acute dislocations of the DRUJ commonly occur along with a fracture to the distal radius, radial metadiaphysis, or radial head. These injuries are all caused by high-energy trauma. Outcomes are predicated on anatomic reduction and restoration of stability to the DRUJ and PRUJ with or without ligamentous repair or reconstruction. Copyright © 2020 Elsevier Inc. All rights reserved. DOI: 10.1016/j.hcl.2020.07.005