Indian Journal of Physical Medicine and Rehabilitation

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VOLUME 24 , ISSUE 2 ( June, 2013 ) > List of Articles

CASE REPORT

Anatomic Reconstruction of the Distal Radio-ulnar Ligament for Distal Radio-ulnar Joint Instability : A Case Report

Jagannatha Sahoo

Citation Information : Sahoo J. Anatomic Reconstruction of the Distal Radio-ulnar Ligament for Distal Radio-ulnar Joint Instability : A Case Report. Indian J Phy Med Rehab 2013; 24 (2):48-50.

DOI: 10.5005/ijopmr-24-2-48

Published Online: 00-06-2013

Copyright Statement:  Copyright © 2013; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Stability of the distal radio-ulnar joint (DRUJ) is provided by bony architecture and by soft tissues such as the triangular fibrocartilage complex (TFCC), the joint capsule, and surrounding muscles. Many authors have made various attempts to restore DRUJ stability surgically following trauma. The objective of this study was to analyse clinical outcomes after anatomic reconstruction of the distal radio-ulnar ligaments in a 26 years male with post-traumatic chronic instability of the DRUJ. Anatomic reconstruction of the major structures responsible for joint stability is the most important principle for the treatment of instability of an injured joint with an intact articular surface by using a palmaris longus tendon graft whose ends were anchored in pre-drilled holes in the radius and the ulna. Anatomical reconstruction of the distal radioulnar ligaments is thought to be an effective procedure for treating post-traumatic DRUJ instability.


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