Residual stability of the distal radioulnar joint following ulnar styloid fracture: influence of the remnant distal radioulnar ligaments.

Maniglio, Mauro; Park, Il Jung; Kuenzler, Michael; Zumstein, Matthias A; McGarry, Michelle H; Lee, Thay Q (2022). Residual stability of the distal radioulnar joint following ulnar styloid fracture: influence of the remnant distal radioulnar ligaments. Journal of hand surgery. European volume, 47(9), pp. 944-951. Sage 10.1177/17531934221088508

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Clinical studies suggest that even untreated basal ulnar styloid fractures may not affect patient outcomes. This may be due to the remaining parts of the distal radioulnar ligament still attached providing sufficient residual stability of the distal radioulnar joint. We tested this hypothesis in a biomechanical cadaveric model. Dorsopalmar translation of the distal radioulnar joint and forearm rotation were measured. Seventeen specimens were tested after a simulated ulnar styloid fracture including the fovea, followed by transection of the remaining palmar (n = 9) or dorsal (n = 8) portions of the distal radioulnar ligament and finally with all remnants transected. Rotation and translation both increased significantly after the final transection compared with the foveal fracture. The increase in translation was larger after transection of the dorsal remnants. We conclude that in an ulnar styloid fracture including the fovea, some ligament components are still attached to the ulnar head, giving residual stability to the distal radioulnar joint.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Orthopaedic Surgery

UniBE Contributor:

Maniglio, Mauro, Künzler, Michael, Zumstein, Matthias

Subjects:

600 Technology > 610 Medicine & health

ISSN:

2043-6289

Publisher:

Sage

Language:

English

Submitter:

Pubmed Import

Date Deposited:

04 Apr 2022 11:26

Last Modified:

05 Dec 2022 16:18

Publisher DOI:

10.1177/17531934221088508

PubMed ID:

35360977

Uncontrolled Keywords:

Distal radioulnar joint distal radioulnar ligaments distal radius fracture dorsal accessory ligament ulnar styloid fracture

URI:

https://boris.unibe.ch/id/eprint/168945

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