Department of Orthopaedic Surgery, University of Pennsylvania, 3737 Market Street, Philadelphia, PA 19104, USA.
Department of Orthopaedic Surgery, University of Pennsylvania, Penn Presbyterian Medical Center, 3737 Market Street, Philadelphia, PA 19104, USA.
Hand Clin. 2021 May;37(2):293-307. doi: 10.1016/j.hcl.2021.02.011.
In this article, we discuss the incidence and types of injuries to the distal radioulnar joint (DRUJ) that occur in the setting of a distal radius fracture. We review the anatomy of the distal radioulnar joint, which is critical to understanding its biomechanics, and how injury could cause symptomatic incongruency and instability. We highlight how patients with an injury to the distal radioulnar joint might present both at the time of injury and after treatment of a distal radius fracture, the appropriate workup, the available treatment options, and the evidence-based literature.
在本文中，我们讨论了在桡骨远端骨折的情况下发生的下尺桡关节（DRUJ）损伤的发生率和类型。我们回顾了下尺桡关节的解剖结构，这对于理解其生物力学至关重要，以及损伤如何导致症状性不和谐和不稳定。我们强调了下尺桡关节损伤的患者在受伤时和桡骨远端骨折治疗后可能出现的情况，适当的检查，可用的治疗选择以及基于证据的文献。
