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Journal of Hand Surgery (European Volume)
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Articles

Corrective Osteotomy for Volar Instability of the Distal Radioulnar Joint Associated with Radial Shaft Malunion

T. ODA
T. WADA
S. ISOGAI
K. IBA
M. AOKI
T. YAMASHITA

From the Departments of Orthopedic Surgery and Physiotherapy, Sapporo Medical University, Sapporo, Japan

Correspondence: Dr Takashi Oda MD, Departments of Orthopedic Surgery and Physiotherapy, Sapporo Medical University, Sapporo, Japan. E-mail:oda{at}sapmed.ac.jp

Volar instability of the distal radioulnar joint is an uncommon wrist disorder. We report three cases of recurrent volar instability of the distal radioulnar joint secondary to fracture of the radial shaft. In all cases, X-rays showed a volar apex deformity of the radial shaft. Opening wedge osteotomy and iliac bone grafting was performed on the distal diaphysis of the radius instead of on the radial shaft, in order to adjust the distal radioulnar joint more easily. Pre-operative dislocations and painful clunks disappeared in all three patients. However, slight instability of the distal radioulnar joint remained in all cases. Osteoarthritis of the distal radioulnar joint was noted in one patient 31 months after the operation. All of the patients were satisfied with the results and did not desire further operations.

Key Words: distal radioulnar joint • volar instability • corrective osteotomy • malunion

Journal of Hand Surgery (European Volume), Vol. 32, No. 5, 573-577 (2007)
DOI: 10.1016/J.JHSE.2007.04.018
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