Advancements in Diagnosis and Management of Distal Radioulnar Joint Instability: A Comprehensive Review Including a New Classification for DRUJ Injuries.

Autor:	Dmour A; Department of Orthopedics and Traumatology, Faculty of Medicine, 'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania., Tirnovanu SD; Department of Orthopedics and Traumatology, Faculty of Medicine, 'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania.; Department of Orthopaedics and Traumatology, 'Sf. Spiridon' Emergency Universitary Hospital, 700115 Iasi, Romania., Popescu DC; Department of Orthopedics and Traumatology, Faculty of Medicine, 'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania.; Department of Orthopaedics and Traumatology, 'Sf. Spiridon' Emergency Universitary Hospital, 700115 Iasi, Romania., Forna N; Department of Orthopedics and Traumatology, Faculty of Medicine, 'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania.; Department Orthopedics and Traumatology, Clinical Rehabilitation Hospital, 700661 Iasi, Romania., Pinteala T; Department of Orthopedics and Traumatology, Faculty of Medicine, 'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania.; Department Orthopedics and Traumatology, Clinical Rehabilitation Hospital, 700661 Iasi, Romania., Dmour BA; Department of Internal Medicine, 'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania.; Department of III Internal Medicine Clinic, 'St. Spiridon' County Clinical Emergency Hospital, 700111 Iasi, Romania., Savin L; Department of Orthopedics and Traumatology, Faculty of Medicine, 'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania.; Department Orthopedics and Traumatology, Clinical Rehabilitation Hospital, 700661 Iasi, Romania., Veliceasa B; Department of Orthopedics and Traumatology, Faculty of Medicine, 'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania.; Department of Orthopaedics and Traumatology, 'Sf. Spiridon' Emergency Universitary Hospital, 700115 Iasi, Romania., Filip A; Department of Orthopedics and Traumatology, Faculty of Medicine, 'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania.; Department of Orthopaedics and Traumatology, 'Sf. Spiridon' Emergency Universitary Hospital, 700115 Iasi, Romania., Carp AC; Department of Orthopedics and Traumatology, Faculty of Medicine, 'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania.; Department of Orthopaedics and Traumatology, 'Sf. Spiridon' Emergency Universitary Hospital, 700115 Iasi, Romania., Sirbu PD; Department of Orthopedics and Traumatology, Faculty of Medicine, 'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania.; Department Orthopedics and Traumatology, Clinical Rehabilitation Hospital, 700661 Iasi, Romania., Alexa O; Department of Orthopedics and Traumatology, Faculty of Medicine, 'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania.; Department of Orthopaedics and Traumatology, 'Sf. Spiridon' Emergency Universitary Hospital, 700115 Iasi, Romania.
Jazyk:	angličtina
Zdroj:	Journal of personalized medicine [J Pers Med] 2024 Sep 05; Vol. 14 (9). Date of Electronic Publication: 2024 Sep 05.
DOI:	10.3390/jpm14090943
Abstrakt:	Distal radioulnar joint (DRUJ) instability is a complex condition that can severely affect forearm function, causing pain, limited range of motion, and reduced strength. This review aims to consolidate current knowledge on the diagnosis and management of DRUJ instability, emphasizing a new classification system that we propose. The review synthesizes anatomical and biomechanical factors essential for DRUJ stability, focusing on the interrelationship between the bones and surrounding soft tissues. Our methodology involved a thorough examination of recent studies, incorporating clinical assessments and advanced imaging techniques such as MRI, ultrasound, and dynamic CT. This approach allowed us to develop a classification system that categorizes DRUJ injuries into three distinct grades. This system is intended to be practical for both clinical and radiological evaluations, offering clear guidance for treatment based on injury severity. The review discusses a range of treatment options, from conservative measures like splinting and physiotherapy to surgical procedures, including arthroscopy and DRUJ arthroplasty. The proposed classification system enhances the accuracy of diagnosis and supports more effective decision making in clinical practice. In summary, our findings suggest that the integration of advanced imaging techniques with minimally invasive surgical interventions can lead to better outcomes for patients. This review serves as a valuable resource for clinicians, providing a structured approach to managing DRUJ instability and improving patient care through the implementation of our new classification system.
Databáze:	MEDLINE
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