Distal radioulnar articulation
|Distal radioulnar articulation|
Vertical section through the articulations at the wrist, showing the synovial cavities
|Latin||Articulatio radioulnaris distalis|
The distal radioulnar articulation (inferior radioulnar joint) is a joint between the two bones in the forearm; the radius and ulna. It is one of two joints between the radius and ulna, the other being the proximal radioulnar articulation. The distal radioulnar articulation is the one of the two closest to the wrist and hand.
The articular surfaces are connected together by the following ligaments:
Injuries to the distal radioulnar articulation often result from falls onto an outstretched hand. Injury can occur with concurrent fracture of the distal radius, the ulna, or can be isolated. A classification system has been proposed by Estaminet and colleagues.
Estaminet classified injuries of the distal radioulnar articulation into four categories with two sublcasses: purely ligamentous (subclass A) and those with associated boney injury (subclass B).
- Estaminet I - Attenuation on MRI only
- Estaminet II - Volar distal radioulnar ligament is involved. Unstable in supination. Fixation should be in pronation.
- Estaminet III - Dorsal distal radioulnar ligament is involved. Unstable in pronation. Fixation should be in supination.
- Estaminet IV - Both ligaments are involved. Unstable in both supination and pronation. Fixation is in neutral.
- Estaminet et al. Estaminet-Klassifikation von distal radioulnar Aussprache-Trauma. 20. Jahresversammlung der europäischen Orthopädischen Forschungsgesellschaft (EORS 2012), am 26–28 September, Amsterdam, Die Niederlande
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