DRUJ Instability

Distal radio-ulnar joint is supported by a ligamentous complex and injury is most commonly missed at primary presentation. Usually the patients have pain and may also complain of instability while lifting loads or playing sports. The two most commonly involved structures include a triangular fibro-cartilagenous complex(TFCC) and the meniscal homologue.

Most cases will present with a history of traumatic episode or sudden loading of the wrist joint with associated tortional force. This leads to a distal radius and or an ulnar styloid fracture in most cases. Most patients following a sedentary lifestyle, do well with conservative management but patients belonging to high demand group need a surgical intervention for restoration of joint kinematics.

The procedure yields good results in expert hands. Physiotherapy and rehabilitation plays essential role in functional recovery.

Rehabilitation exercises for DRUJ injury start after the period of rest decreases pain and swelling. Exercises in a graded manner help prevent recurrence of symptoms.

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