Hunt T R, Hastings H, Graham T J
Department of Orthopaedic Surgery, University of Washington, Seattle, USA.
Hand Clin. 1998 May;14(2):239-49.
The distal radio-ulnar joint (DRUJ) is often the site of persistent symptoms after malunion of distal radius fractures. These malunions alter load transfer across the ulnocarpal joint, disturb DRUJ kinematics, and result in joint incongruity at the sigmoid notch. Treatment of distal radius malunions must not only correct position of the radial platform and joint incongruity but also restore anatomic relationship at the DRUJ. A systematic approach to the surgical reconstruction of these multiplanar deformities using clinical and radiographic parameters is outlined.
桡骨远端尺骨关节（DRUJ）常常是桡骨远端骨折畸形愈合后持续出现症状的部位。这些畸形愈合会改变经尺腕关节的负荷传递，扰乱DRUJ的运动学，并导致乙状切迹处关节不匹配。桡骨远端畸形愈合的治疗不仅要纠正桡骨平台的位置和关节不匹配，还要恢复DRUJ处的解剖关系。本文概述了一种使用临床和影像学参数对这些多平面畸形进行手术重建的系统方法。
