Mirghasemi Ali R, Lee Daniel J, Rahimi Narges, Rashidinia Shervin, Elfar John C
Department of Orthopaedic Surgery, Sina Hospital, School of Medicine, University of Tehran, Tehran, Iran.
Department of Orthopaedic Surgery, University of Rochester Medical Center, Rochester, NY, USA.
Geriatr Orthop Surg Rehabil. 2015 Sep;6(3):225-9. doi: 10.1177/2151458515584050.
Distal radioulnar joint (DRUJ) instability is a common clinical condition but a frequently missed diagnosis. Both surgical and nonsurgical treatments are possible for chronic cases of DRUJ instability. Nonsurgical treatment can be considered as the primary therapy in less active patients, while surgery should be considered to recover bone and ligament injuries if nonsurgical treatment fails to restore forearm stability and function. The appropriate choice of treatment depends on the individual patient and specific derangement of the DRUJ.
桡尺远侧关节（DRUJ）不稳定是一种常见的临床病症，但常被漏诊。对于DRUJ不稳定的慢性病例，手术和非手术治疗都是可行的。非手术治疗可被视为活动较少患者的主要治疗方法，而如果非手术治疗未能恢复前臂稳定性和功能，则应考虑手术以修复骨骼和韧带损伤。治疗方法的恰当选择取决于个体患者以及DRUJ的具体紊乱情况。
