Eur J Plast Surg (2004) 27:42–43 DOI 10.1007/s00238-004-0613-2 ID EA S A ND IN NO VATIO NS L. R. Scheker · K. Ozer A simple method of physical examination for the diagnosis of distal radioulnar joint incongruity Received: 28 November 2003 / Accepted: 27 January 2004 / Published online: 13 March 2004 Springer-Verlag 2004 struct or pivot of the forearm and the radius revolves Introduction around the ulna. Distal radioulnar articulation is one of the most complex The patient is asked to stand with both elbows flexed structures in the wrist. The normal relationship between at a 90 angle. The examiner applies downward pressure the radius and the ulna relies on a delicate balance to both mid-forearms while the patient is asked to al- between the two articular surfaces. When diagnosing the ternately supinate and pronate the forearm. This manoeu- cause of ulnar-sided wrist pain, assessing the congruency vre loads the DRUJ through its range of motion and also of the articulation presents a challenge for the physician. allows translational motion between the radius and the The clinical examination of the distal radioulnar joint ulna (Fig. 1). If incongruity of the DRUJ is present, the (DRUJ) usually includes direct
European Journal of Plastic Surgery – Springer Journals
Published: Apr 1, 2004
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