@article { author = {RODRIGUEZ-MERCHAN, E. Carlos and Shojaei, Babak and Kachooei, Amir R.}, title = {Distal Radioulnar Joint Instability: Diagnosis and Treatment}, journal = {The Archives of Bone and Joint Surgery}, volume = {10}, number = {1}, pages = {3-16}, year = {2022}, publisher = {Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association}, issn = {2345-4644}, eissn = {2345-461X}, doi = {10.22038/abjs.2021.57194.2833}, abstract = {Distal radioulnar joint (DRUJ) instability and triangular fibrocartilage complex (TFCC) tears are more usual than estimated and are frequently overlooked. Diagnosis is often clinical, which can be confirmed using computed tomography (CT) scan and magnetic resonance imaging (MRI). In doubtful cases, bilateral computed tomography in neutral forearm rotation, supination, and pronation should also be performed. Wrist arthroscopy can be diagnostic and therapeutic for ulnar-sided wrist pain. Two systematic reviews showed equivalent outcomes between open and arthroscopic repair of the TFCC. There is scant proof to advise one technique over the other in clinical practice. TFCC repair and reconstruction are contraindicated when there is a bony deformation of the radius or ulna or osteoarthritis of the DRUJ. With the advancement of implant arthroplasty, salvage procedures are less desirable. Constrained distal radioulnar arthroplasty is stable, and the longevity is encouraging. Level of evidence: III}, keywords = {Distal radioulnar joint,Instability,Triangular fibrocartilage complex,Treatment}, url = {https://abjs.mums.ac.ir/article_18367.html}, eprint = {https://abjs.mums.ac.ir/article_18367_dce10fa7c630bfebcd6b7f079c65672e.pdf} }