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Year 2011 Vol. 19 No 3

LECTURES, REVIEWS

MAGDIEV D.A., EGIZARYAN K.A.

TREATMENT OF DISTAL RADIOULNAR JOINT INJURIES

On the basis of both native and foreign literature studying, the data concerning the urgency of the problem of the ligament apparatus of the distal radioulnar joint (DRUJ) are presented in the review. In 51-65% of cases the fractures of the distal epimetafis of the radius with displacement of the bone fragments are the reasons of the DRUJ ligament apparatus injuries. The main mechanism of the isolated DRUI injury is falling down on the outstretched hand or forearm bones injury caused by the excessive rotation.
The fractures of the radius penetrating into DRUI remand a thorough reposition. Insignificant displacement left is known to result in deforming arthritis within 5 years in 100% of patients.
Up to present the indications to the conservative or operative treatment havent been completely determined. The operative techniques, used at the given injuries, are described in details in the review as well as the operation technology; the advantages and disadvantages of each method are studied.

Keywords: distal radioulnar joint, triangular fibro-cartilage complex, treatment
p. 111 – 117 of the original issue
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