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ORIGINAL ARTICLES
Year : 2021  |  Volume : 29  |  Issue : 2  |  Page : 53-57

Clinical assessment for distal radioulnar joint instability in patients with distal end radius fracture


Department of Orthopaedics, Government Medical College and Hospital, Nagpur, Maharashtra, India

Correspondence Address:
Vinay Kakkar
Department of Orthopaedics, Government Medical College and Hospital, Nagpur 440003, Maharashtra.
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijors.ijors_14_20

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Background: Distal radioulnar joint (DRUJ) instability is an important cause of ulnar-sided wrist pain in distal radius fractures. By this study, it was tried to identify clinical factors associated with DRUJ instability in distal radius fractures. Materials and Methods: We prospectively reviewed all 87 patients who underwent surgery for unstable, unilateral distal radius fractures in a tertiary trauma center. Assessment of DRUJ instability was examined preoperatively, during surgery, and immediate postoperatively. Patients with clinical DRUJ instability were followed up at 6 weeks, 3 months, and 6 months, with clinical assessment of the DRUJ instability whether symptomatic or not. Results: Preoperative DRUJ instability was found in 23 patients as checked by the distal ulna ballottement test. Of these 23 patients, postoperative DRUJ instability was found in 9 patients and persisted as symptomatic DRUJ instability with ulnar-sided wrist pain till the last follow-up. Conclusion: Every distal radius fracture should be seen with the suspicion of associated DRUJ instability and the stability of DRUJ be thoroughly checked intraoperatively and postoperatively for better wrist function and better outcome after the union of distal radius fracture.


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