Advancements in the Management and Treatment of Distal Radioulnar Joint Dislocation
Journal: Journal of Clinical Medicine Research DOI: 10.32629/jcmr.v6i1.3718
Abstract
Distal radioulnar joint dislocation (DRUJ) is a prevalent clinical condition often resulting from wrist trauma or forearm fractures. A variety of treatment modalities are available, each with distinct advantages and limitations. Selecting an appropriate treatment strategy based on the patient's specific condition and functional requirements is crucial. Appropriate management significantly influences prognosis and can effectively mitigate complications such as local pain and joint instability. This review synthesizes extensive literature to provide an overview of DRUJ treatment approaches.
Keywords
Distal radioulnar joint; Dislocation of joints; Conservative treatment; Surgical treatment
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[2]O'Malley O, Brown OC, Duncan L, Cheung G, et al. Isolated volar dislocation of the distal radioulnar joint: a case series and systematic review[J]. Ann R Coll Surg Engl, 2023, 105(3): 196-202.
[3]Wang Kai, Zheng Yi, Zhou Lihui. Research progress of ulnar impaction syndrome [J]. Journal of Shenyang Medical College, 2024, 26(02): 200-203.
[4]Rodríguez-Merchán EC, Shojaie B, Kachooei AR. Distal Radioulnar Joint Instability: Diagnosis and Treatment[J]. Arch Bone Jt Surg, 2022, 10(1): 3-16.
[5]Jawed A, Ansari MT, Gupta V. TFCC injuries: How we treat[J]. J Clin Orthop Trauma, 2020,11(4): 570-579.
[6]Herzberg G, Burnier M, Nakamura T. Arthroscopic Anatomy of the TFCC with Relevance to Function and Pathology[J]. J Wrist Surg, 2021,10(6): 558-564.
[7]Flores DV, Umpire DF, Rakhra KS, et al. Distal Radioulnar Joint: Normal Anatomy, Imaging of Common Disorders, and Injury Classification[J]. Radiographics, 2023, 43(1): e220109.
[8]Dai Jianhua, Jin Yongxiang, Wang Hanyu et al. Treatment of distal radioulnar joint dislocation with Dai's manual reduction and "sandwich" therapy with crescent-shaped small splints and paper pads [J]. Chinese Folk Therapy, 2023, 31(24): 62-65.
[9]Dai Gorong, Huo Liwei, Chen Chuncheng et al. Experience of manual reduction and small splint fixation in the treatment of distal radioulnar joint dislocation [J]. Inner Mongolia Traditional Chinese Medicine, 2016, 35(08): 118-119.
[10]Matonis D, Wittel K, Wray A. Case Report of Distal Radioulnar Joint and Posterior Elbow Dislocation[J]. J Educ Teach Emerg Med, 2020, 5(4): V12-V14.
[11]Darrach W, Nolan W B, Eaton R G. Partial excision of lower shaft of ulna for deformity following Colles's fracture. 1913.[J]. Clinical Orthopaedics & Related Research, 1992, 57(275): 3.
[12]Yayac M, Padua FG, Banner L, et al. Treatment Outcomes in Patients Undergoing Surgical Treatment for Arthritis of the Distal Radioulnar Joint[J]. J Wrist Surg, 2020, 9(3): 230-234.
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[14]Poujade T, Balagué N, Beaulieu JY. Unipolar ulnar head replacement for treatment of post-Darrach procedure instability[J]. Hand Surg Rehabil, 2018, 37(4): 225-230.
[15]Munaretto N, Aibinder W, Moran S, et al. Sauve-Kapandji Remains a Viable Option for Distal Radioulnar Joint Dysfunction[J]. J Hand, 2022, 17(5): 963-968.
[16]Minami A, Iwasaki N, Ishikawa J, et al. Treatments of osteoarthritis of the distal radioulnar joint: long-term results of three procedures[J]. Hand Surg, 2005, 10(2-3): 243-248.
[17]Deneuville M, Germon C, Sturbois-Nachef N, et al. The Sauvé-Kapandji procedure for post-traumatic distal radio-ulnar arthrosis: Long-term results and analysis of risks factors for revision surgery[J]. Orthop Traumatol Surg Res, 2024, 110(2): 103562.
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[19]Sakamoto K. Treatment of Proximal Ulnar Stump after Darrach or Sauvé-Kapandji Procedure by Transfer of Insertion-Released Pronator Quadratus Pedicle[J]. Hand Surg Asian Pac Vol, 2021, 26(1): 70-76.
[20]Li Jianqiang, Xiao Peng. Modified Sauve-kapandji procedure combined with flexor carpi ulnosus fixation for distal radioulnar joint dislocation [J]. Chin J Orthopedics, 2019, 27(17): 1609-1611.
[21]Fang Yiyi, Zhao Wenzhi, Pan Deyue et al. Treatment of chronic dislocation of distal radioulnar joint with modified Sauve-Kapandji procedure: a case report [J]. J Practical Orthopedics, 2019, 25(12): 1147-1148.
[22]Chen Baicheng. Current status and prospect of clinical application of arthroscopy. China Bone Injuries, 2014, 27(08), 621-624.
[23]Herzberg G, Burnier M, Nakamura T. Arthroscopic Anatomy of the TFCC with Relevance to Function and Pathology[J]. J Wrist Surg, 2021, 10(6): 558-564.
[24]Palmer AK. Triangular fibrocartilage complex lesions: A classification[J]. The Journal of Hand Surgery, 1989, 14(4): 594-606.
[25]Cerezal L, Del Piñal F, Atzei A, et al. Interdisciplinary consensus statements on imaging of DRUJ instability and TFCC injuries[J]. Eur Radiol, 2023, 33(9): 6322-6338.
[26]Liang Kaixin, Gao Ze, Wang Junxuan, et al. Research progress of triangular fibrocartilage complex injury [J]. Chin J Orthopedics, 2023, 44(06): 345-348+357.
[27].Lu Chengyin, ZHANG Hailong, Zhang Laifu, et al. Anatomical repair of Atzei-EWAS type 2 triangular fibrocartilage complex injury under wrist arthroscopy [J]. Chin J Prosthetics and Reconstructive Surgery, 2021, 35(11): 1417-1421.
[28]Tsai M, Lin YH, Chiu CH, et al. All-arthroscopic repair of Atzei class II and III triangular fibrocartilage complex tears using the FasT-Fix suture device[J]. J Orthop Surg Res, 2021, 16(1): 210.
[29]Atzei A, Luchetti R, Garagnani L. Classification of ulnar triangular fibrocartilage complex tears. A treatment algorithm for Palmer type IB tears[J]. J Hand Surg Eur Vol, 2017, 42(4): 405-414.
[30]Abe Y, Takahashi Y, Fujii K. Preliminary Report of Arthroscopically Assisted Sauvé-Kapandji Procedure for Distal Radioulnar Joint Arthritis[J]. J Wrist Surg, 2021, 10(3): 262-267.
[31]Kakar S, Carlsen BT, Moran SL, et al. The management of chronic distal radioulnar instability[J]. Hand Clin, 2010, 26(4): 517-528.
[32]Bai Wei-fei, YU Qian-qian, Jiang Yu-Chen, et al. A retrospective analysis of two surgical procedures for delayed dislocation of the distal radioulnar joint [J]. Chinese Journal of Bone and Joint Injury, 2018, 33(07): 766-768.
[33]Tang Zhao, BAO Ni-rong, WANG Bei-yue et al. Comparison of the early effect of loop plate and hollow screw fixation in the treatment of distal radioulnar joint dislocation [J]. Chin J Med Postgraduate, 2022, 35(04): 383-387.
[34]Adams BD, Lawler E. Chronic instability of the distal radioulnar joint[J]. J Am Acad Orthop Surg, 2007, 15(9): 571-575.
[35]Scheker LR, Scheker JM. The distal radio ulnar joint: a journey of discovery and invention of the Aptis prosthesis[J]. J Hand Surg Eur Vol, 2023, 48(6): 505-513.
[36]Scheker LR, Babb BA, Killion PE. Distal ulnar prosthetic replacement[J]. Orthop Clin North Am, 2001, 32(2): 365-x.
[37]Brannan PS, Ward WA, Gaston RG, et al. Two-Year Clinical and Radiographic Evaluation of Scheker Prosthesis (Aptis) Distal Radioulnar Joint Arthroplasty[J]. J Hand Surg Am, 2022, 47(3): 290.e1-290.e11.
[38]Levina Y, Mesa L, Hannon PJ, et al. Retrospective and Prospective Outcomes of Distal Radioulnar Joint Prosthesis Arthroplasty at a Single Center[J]. J Hand Surg Glob Online, 2023, 5(5): 620-623.
[39]Nguyen MH, Lipari N, O'Brien AL,et al. Darrach vs. Sauve-Kapandji: A Comprehensive Meta-Analysis of Surgical Outcomes in Distal Radioulnar Joint (DRUJ) Dysfunction[J]. Indian J Orthop, 2023, 57(4): 565-570.
[40]Mak MCK, Ho PC. Complications after arthroscopic triangular fibrocartilage complex (TFCC) surgery[J]. J Hand Surg Eur Vol, 2024, 49(2): 149-157.
[2]O'Malley O, Brown OC, Duncan L, Cheung G, et al. Isolated volar dislocation of the distal radioulnar joint: a case series and systematic review[J]. Ann R Coll Surg Engl, 2023, 105(3): 196-202.
[3]Wang Kai, Zheng Yi, Zhou Lihui. Research progress of ulnar impaction syndrome [J]. Journal of Shenyang Medical College, 2024, 26(02): 200-203.
[4]Rodríguez-Merchán EC, Shojaie B, Kachooei AR. Distal Radioulnar Joint Instability: Diagnosis and Treatment[J]. Arch Bone Jt Surg, 2022, 10(1): 3-16.
[5]Jawed A, Ansari MT, Gupta V. TFCC injuries: How we treat[J]. J Clin Orthop Trauma, 2020,11(4): 570-579.
[6]Herzberg G, Burnier M, Nakamura T. Arthroscopic Anatomy of the TFCC with Relevance to Function and Pathology[J]. J Wrist Surg, 2021,10(6): 558-564.
[7]Flores DV, Umpire DF, Rakhra KS, et al. Distal Radioulnar Joint: Normal Anatomy, Imaging of Common Disorders, and Injury Classification[J]. Radiographics, 2023, 43(1): e220109.
[8]Dai Jianhua, Jin Yongxiang, Wang Hanyu et al. Treatment of distal radioulnar joint dislocation with Dai's manual reduction and "sandwich" therapy with crescent-shaped small splints and paper pads [J]. Chinese Folk Therapy, 2023, 31(24): 62-65.
[9]Dai Gorong, Huo Liwei, Chen Chuncheng et al. Experience of manual reduction and small splint fixation in the treatment of distal radioulnar joint dislocation [J]. Inner Mongolia Traditional Chinese Medicine, 2016, 35(08): 118-119.
[10]Matonis D, Wittel K, Wray A. Case Report of Distal Radioulnar Joint and Posterior Elbow Dislocation[J]. J Educ Teach Emerg Med, 2020, 5(4): V12-V14.
[11]Darrach W, Nolan W B, Eaton R G. Partial excision of lower shaft of ulna for deformity following Colles's fracture. 1913.[J]. Clinical Orthopaedics & Related Research, 1992, 57(275): 3.
[12]Yayac M, Padua FG, Banner L, et al. Treatment Outcomes in Patients Undergoing Surgical Treatment for Arthritis of the Distal Radioulnar Joint[J]. J Wrist Surg, 2020, 9(3): 230-234.
[13]Bell M J, Hill R J, Mcmurtry R Y. Ulnar impingement syndrome[J]. The Bone & Joint Journal, 1985, 67(1): 126-129.
[14]Poujade T, Balagué N, Beaulieu JY. Unipolar ulnar head replacement for treatment of post-Darrach procedure instability[J]. Hand Surg Rehabil, 2018, 37(4): 225-230.
[15]Munaretto N, Aibinder W, Moran S, et al. Sauve-Kapandji Remains a Viable Option for Distal Radioulnar Joint Dysfunction[J]. J Hand, 2022, 17(5): 963-968.
[16]Minami A, Iwasaki N, Ishikawa J, et al. Treatments of osteoarthritis of the distal radioulnar joint: long-term results of three procedures[J]. Hand Surg, 2005, 10(2-3): 243-248.
[17]Deneuville M, Germon C, Sturbois-Nachef N, et al. The Sauvé-Kapandji procedure for post-traumatic distal radio-ulnar arthrosis: Long-term results and analysis of risks factors for revision surgery[J]. Orthop Traumatol Surg Res, 2024, 110(2): 103562.
[18]Brunet P, Moineau G, Liot M, et al. Etude radioclinique de l'instabilité du moignon proximal de l'ulna après l'intervention de Sauvé-Kapandji pour séquelles post-traumatiques [Radiological and clinical study of the ulna's end instability after Sauvé-Kapandji procedure][J]. Chir Main, 2004, 23(4): 178-183.
[19]Sakamoto K. Treatment of Proximal Ulnar Stump after Darrach or Sauvé-Kapandji Procedure by Transfer of Insertion-Released Pronator Quadratus Pedicle[J]. Hand Surg Asian Pac Vol, 2021, 26(1): 70-76.
[20]Li Jianqiang, Xiao Peng. Modified Sauve-kapandji procedure combined with flexor carpi ulnosus fixation for distal radioulnar joint dislocation [J]. Chin J Orthopedics, 2019, 27(17): 1609-1611.
[21]Fang Yiyi, Zhao Wenzhi, Pan Deyue et al. Treatment of chronic dislocation of distal radioulnar joint with modified Sauve-Kapandji procedure: a case report [J]. J Practical Orthopedics, 2019, 25(12): 1147-1148.
[22]Chen Baicheng. Current status and prospect of clinical application of arthroscopy. China Bone Injuries, 2014, 27(08), 621-624.
[23]Herzberg G, Burnier M, Nakamura T. Arthroscopic Anatomy of the TFCC with Relevance to Function and Pathology[J]. J Wrist Surg, 2021, 10(6): 558-564.
[24]Palmer AK. Triangular fibrocartilage complex lesions: A classification[J]. The Journal of Hand Surgery, 1989, 14(4): 594-606.
[25]Cerezal L, Del Piñal F, Atzei A, et al. Interdisciplinary consensus statements on imaging of DRUJ instability and TFCC injuries[J]. Eur Radiol, 2023, 33(9): 6322-6338.
[26]Liang Kaixin, Gao Ze, Wang Junxuan, et al. Research progress of triangular fibrocartilage complex injury [J]. Chin J Orthopedics, 2023, 44(06): 345-348+357.
[27].Lu Chengyin, ZHANG Hailong, Zhang Laifu, et al. Anatomical repair of Atzei-EWAS type 2 triangular fibrocartilage complex injury under wrist arthroscopy [J]. Chin J Prosthetics and Reconstructive Surgery, 2021, 35(11): 1417-1421.
[28]Tsai M, Lin YH, Chiu CH, et al. All-arthroscopic repair of Atzei class II and III triangular fibrocartilage complex tears using the FasT-Fix suture device[J]. J Orthop Surg Res, 2021, 16(1): 210.
[29]Atzei A, Luchetti R, Garagnani L. Classification of ulnar triangular fibrocartilage complex tears. A treatment algorithm for Palmer type IB tears[J]. J Hand Surg Eur Vol, 2017, 42(4): 405-414.
[30]Abe Y, Takahashi Y, Fujii K. Preliminary Report of Arthroscopically Assisted Sauvé-Kapandji Procedure for Distal Radioulnar Joint Arthritis[J]. J Wrist Surg, 2021, 10(3): 262-267.
[31]Kakar S, Carlsen BT, Moran SL, et al. The management of chronic distal radioulnar instability[J]. Hand Clin, 2010, 26(4): 517-528.
[32]Bai Wei-fei, YU Qian-qian, Jiang Yu-Chen, et al. A retrospective analysis of two surgical procedures for delayed dislocation of the distal radioulnar joint [J]. Chinese Journal of Bone and Joint Injury, 2018, 33(07): 766-768.
[33]Tang Zhao, BAO Ni-rong, WANG Bei-yue et al. Comparison of the early effect of loop plate and hollow screw fixation in the treatment of distal radioulnar joint dislocation [J]. Chin J Med Postgraduate, 2022, 35(04): 383-387.
[34]Adams BD, Lawler E. Chronic instability of the distal radioulnar joint[J]. J Am Acad Orthop Surg, 2007, 15(9): 571-575.
[35]Scheker LR, Scheker JM. The distal radio ulnar joint: a journey of discovery and invention of the Aptis prosthesis[J]. J Hand Surg Eur Vol, 2023, 48(6): 505-513.
[36]Scheker LR, Babb BA, Killion PE. Distal ulnar prosthetic replacement[J]. Orthop Clin North Am, 2001, 32(2): 365-x.
[37]Brannan PS, Ward WA, Gaston RG, et al. Two-Year Clinical and Radiographic Evaluation of Scheker Prosthesis (Aptis) Distal Radioulnar Joint Arthroplasty[J]. J Hand Surg Am, 2022, 47(3): 290.e1-290.e11.
[38]Levina Y, Mesa L, Hannon PJ, et al. Retrospective and Prospective Outcomes of Distal Radioulnar Joint Prosthesis Arthroplasty at a Single Center[J]. J Hand Surg Glob Online, 2023, 5(5): 620-623.
[39]Nguyen MH, Lipari N, O'Brien AL,et al. Darrach vs. Sauve-Kapandji: A Comprehensive Meta-Analysis of Surgical Outcomes in Distal Radioulnar Joint (DRUJ) Dysfunction[J]. Indian J Orthop, 2023, 57(4): 565-570.
[40]Mak MCK, Ho PC. Complications after arthroscopic triangular fibrocartilage complex (TFCC) surgery[J]. J Hand Surg Eur Vol, 2024, 49(2): 149-157.
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