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Journal of Hand Surgery (British and European Volume)
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Articles

The Effect of Forearm Bracing on Radioulnar Impingement

J. F. BOYNTON
J. E. BUDOFF
J. W. CLIFFORD

From the Department of Orthopaedic Surgery, Baylor College of Medicine, Houston, TX, the Houston VAMC, and the Kaiser Permanente, San Diego, USA

Correspondence: Dr J.E. Budoff, MD, Department of Orthopaedic Surgery, Baylor College of Medicine, 6550 Fannin, Houston, TX 2525, USA. Tel.: +1 713 986 5454; fax: +1 713 986 5451. E-mail: jbudoff{at}houston.rr.com

The purpose of this clinical study was to compare patients’ symptoms and radioulnar convergence following distal radioulnar reconstruction with and without a functional brace on. Standardized radiographs were taken of the involved wrist at rest, while holding a weight, and during maximum power grip. All radiographs were then repeated while wearing a prefabricated functional brace (Maramed, Miami, FL). The functional brace did not decrease radioulnar convergence and, at rest, the brace actually increased radioulnar convergence. Despite this, all patients who experienced pain without the brace were pain free with the brace on. We conclude that forearm bracing may be a useful nonoperative treatment for residual pain following DRUJ salvage surgery, though its mechanism of action is unclear.

Key Words: distal radioulnar joint • functional bracing • radioulnar impingement • distal ulna resection • wrist

Journal of Hand Surgery (British and European Volume), Vol. 30, No. 2, 157-161 (2005)
DOI: 10.1016/J.JHSB.2004.10.002
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