지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2024.9
- 수록면
- 146 - 153 (8page)
- DOI
- 10.12790/ahm.24.0029
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초록· 키워드
오류제보하기
Purpose: The distal radioulnar joint (DRUJ) at the wrist facilitates pronation and supination, and both bone structure and soft tissues contribute to its stability. This study analyzed the characteristics of patients with traumatic posterior DRUJ injuries and examined the clinical outcomes of open or arthroscopic treatment methods for these patients. Methods: A retrospective cohort study was conducted on 14 patients with traumatic posterior DRUJ instability, excluding those with associated radius fractures. The study evaluated patient demographics, injury mechanisms, radiologic findings (DRUJ relationship in the coronal plane, sigmoid notch in the axial plane, the presence and location of an accompanying distal ulnar fracture, and ulnar variance in the opposite wrist), and clinical outcomes (visual analog scale, Disability of Arm, Shoulder, and Hand [DASH] score, and range of motion [ROM]). Patients were treated with either open repair or arthroscopic methods, and postoperative results were monitored over an average of 8.8 months. Results: Ten patients had ulnar styloid fractures, with most occurring at the base or more proximally. The sigmoid notch was classified as the flat-face type in nine cases (64.3%) and the ski-slope type in five cases (35.7%). The clinical outcomes were favorable, with no significant differences between the open and arthroscopic groups regarding pain levels, DASH scores, and ROM. Conclusion: Both treatment methods can achieve favorable clinical outcomes in managing traumatic posterior DRUJ instability.
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