Effect of decrease in radial inclination of distal radius fractures on distal radioulnar joint stability

a biomechanical study

Yuki Bessho, Toshiyasu Nakamura, Masao Nishiwaki, Takeo Nagura, Morio Matsumoto, Masaya Nakamura, Kazuki Satou

Research output: Contribution to journal › Article

Abstract

We investigated the relationship between the radial inclination of the distal radius and distal radioulnar joint stability. Six fresh-frozen upper extremities were used. Radial inclination was decreased by 10° and 20° and increased by 10° from the original radial inclination. Distal radioulnar joint stiffness was assessed with an intact radioulnar ligament and after partial and then complete sectioning of the radioulnar ligament. Radial angulation deformities significantly increased distal radioulnar joint stiffness when the radioulnar ligament is totally or partially attached to the ulnar fovea. After complete sectioning of the radioulnar ligament, distal radioulnar joint stiffness decreased significantly; additional radial angulation deformity slightly increased distal radioulnar joint stiffness, but the distal radioulnar joint never recovered to the original stiffness. Based on the results, radial angulation deformities of the distal radius should be corrected within 10° when the radioulnar ligament is intact, to reduce the risk of symptomatic distal radioulnar joint instability. Level of evidence: V

Original languageEnglish
JournalJournal of Hand Surgery: European Volume
DOIs
Publication statusAccepted/In press - 2018 Jan 1

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Radius Fractures
Ligaments
Joints
Joint Instability
Upper Extremity

Keywords

  • biomechanical study
  • distal radioulnar joint
  • distal radius fracture
  • radial inclination
  • stability

ASJC Scopus subject areas

  • Surgery

Cite this

Effect of decrease in radial inclination of distal radius fractures on distal radioulnar joint stability : a biomechanical study. / Bessho, Yuki; Nakamura, Toshiyasu; Nishiwaki, Masao; Nagura, Takeo; Matsumoto, Morio; Nakamura, Masaya; Satou, Kazuki.

In: Journal of Hand Surgery: European Volume, 01.01.2018.

Research output: Contribution to journal › Article

Bessho, Y, Nakamura, T, Nishiwaki, M, Nagura, T, Matsumoto, M, Nakamura, M & Satou, K 2018, 'Effect of decrease in radial inclination of distal radius fractures on distal radioulnar joint stability: a biomechanical study', Journal of Hand Surgery: European Volume. https://doi.org/10.1177/1753193418761266
Bessho Y, Nakamura T, Nishiwaki M, Nagura T, Matsumoto M, Nakamura M et al. Effect of decrease in radial inclination of distal radius fractures on distal radioulnar joint stability: a biomechanical study. Journal of Hand Surgery: European Volume. 2018 Jan 1. https://doi.org/10.1177/1753193418761266
Bessho, Yuki ; Nakamura, Toshiyasu ; Nishiwaki, Masao ; Nagura, Takeo ; Matsumoto, Morio ; Nakamura, Masaya ; Satou, Kazuki. / Effect of decrease in radial inclination of distal radius fractures on distal radioulnar joint stability : a biomechanical study. In: Journal of Hand Surgery: European Volume. 2018.
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AU - Satou, Kazuki

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AB - We investigated the relationship between the radial inclination of the distal radius and distal radioulnar joint stability. Six fresh-frozen upper extremities were used. Radial inclination was decreased by 10° and 20° and increased by 10° from the original radial inclination. Distal radioulnar joint stiffness was assessed with an intact radioulnar ligament and after partial and then complete sectioning of the radioulnar ligament. Radial angulation deformities significantly increased distal radioulnar joint stiffness when the radioulnar ligament is totally or partially attached to the ulnar fovea. After complete sectioning of the radioulnar ligament, distal radioulnar joint stiffness decreased significantly; additional radial angulation deformity slightly increased distal radioulnar joint stiffness, but the distal radioulnar joint never recovered to the original stiffness. Based on the results, radial angulation deformities of the distal radius should be corrected within 10° when the radioulnar ligament is intact, to reduce the risk of symptomatic distal radioulnar joint instability. Level of evidence: V

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