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 journalArticle

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

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title = "Effect of decrease in radial inclination of distal radius fractures on distal radioulnar joint stability: a biomechanical study",
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",
keywords = "biomechanical study, distal radioulnar joint, distal radius fracture, radial inclination, stability",
author = "Yuki Bessho and Toshiyasu Nakamura and Masao Nishiwaki and Takeo Nagura and Morio Matsumoto and Masaya Nakamura and Kazuki Satou",
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T1 - Effect of decrease in radial inclination of distal radius fractures on distal radioulnar joint stability

T2 - a biomechanical study

AU - Bessho, Yuki

AU - Nakamura, Toshiyasu

AU - Nishiwaki, Masao

AU - Nagura, Takeo

AU - Matsumoto, Morio

AU - Nakamura, Masaya

AU - Satou, Kazuki

PY - 2018/1/1

Y1 - 2018/1/1

N2 - 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

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

KW - biomechanical study

KW - distal radioulnar joint

KW - distal radius fracture

KW - radial inclination

KW - stability

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