{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T18:14:47Z","timestamp":1778696087244,"version":"3.51.4"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T00:00:00Z","timestamp":1701388800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T00:00:00Z","timestamp":1701388800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,11,12]],"date-time":"2023-11-12T00:00:00Z","timestamp":1699747200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>The chronic instability of the DRUJ should be appropriately treated. Ligament reconstruction in the original technique needs an adequate length of the graft, which needs to be modified in such a case.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>A 27-year-old male presented with right wrist pain accompanied by limited movement that has been felt for the last two months. There was an obvious deformity with tenderness. Palpation revealed a positive ballottement and piano-key sign test. An X-ray examination revealed a union fracture one-third distally on the right radius bone with dorsal dislocation of the right distal radioulnar joint. The result of an MRI confirmed a triangular fibrocartilage complex tear. The patient was diagnosed with chronic DRUJ instability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>We performed a chronic DRUJ reconstruction using the harvesting palmaris longus tendon. However, the length of the graft is too short. Further, we performed a modified technique with suture anchor fixation for this patient. This technique could be a helpful alternative if the length of the graft is insufficient. As a result, there was an improvement in the DASH score and EQ5D questionnaires.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Chronic DRUJ instability could be treated by ligament reconstruction with modified suture anchors fixation in the inadequate length of the graft situation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2023.109059","type":"journal-article","created":{"date-parts":[[2023,11,13]],"date-time":"2023-11-13T11:56:37Z","timestamp":1699876597000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Ligament reconstruction with modified suture anchor fixation technique for chronic distal radioulnar joint instability"],"prefix":"10.1097","volume":"113","author":[{"given":"Romy","family":"Deviandri","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dhandia","family":"Rifardi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-41-20260316","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1177\/2151458515584050","article-title":"Distal radioulnar joint instability","volume":"6","author":"Mirghasemi,","year":"2015","journal-title":"Geriatr. Orthop. Surg. Rehabil"},{"key":"R2-41-20260316","first-page":"3","article-title":"Distal radioulnar joint instability: diagnosis and treatment","volume":"10","author":"Rodr\u00edguez-Merch\u00e1n,","year":"2022","journal-title":"Arch. Bone Jt. Surg"},{"key":"R3-41-20260316","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1016\/j.hcl.2020.07.004","article-title":"Chronic distal radioulnar joint instability","volume":"36","author":"Carr,","year":"2020","journal-title":"Hand Clin. [Internet"},{"key":"R4-41-20260316","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1007\/s11552-007-9034-6","article-title":"Reconstruction for DRUJ instability","volume":"2","author":"Lawler,","year":"2007","journal-title":"Hand"},{"key":"R5-41-20260316","first-page":"319","article-title":"The unpredictable palmaris longus tendon variation in distal radio-ulnar joint reconstruction: a technical consideration for undersized graft","volume":"14","author":"Hidajat,","year":"2022","journal-title":"Orthop. Res. Rev"},{"key":"R6-41-20260316","doi-asserted-by":"crossref","first-page":"2027","DOI":"10.1016\/j.jhsa.2014.07.020","article-title":"Selection of tendon grafts for distal radioulnar ligament reconstruction and report of a modified technique","volume":"39","author":"Jang,","year":"2014","journal-title":"J. Hand Surg. Am"},{"key":"R7-41-20260316","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/j.ijsu.2020.10.034","article-title":"The SCARE 2020 guideline: updating consensus Surgical Case Report (SCARE) guidelines","volume":"84","author":"Agha,","year":"2020","journal-title":"Int. J. Surg"},{"key":"R8-41-20260316","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1055\/s-0038-1629911","article-title":"TFCC injuries: meta-analysis and comparison of diagnostic imaging modalities","volume":"7","author":"Treiser,","year":"2018","journal-title":"J. Wrist Surg"},{"key":"R9-41-20260316","doi-asserted-by":"crossref","first-page":"639","DOI":"10.1007\/s00402-020-03371-0","article-title":"Distal radioulnar joint instability: current concepts of treatment","volume":"140","author":"Spies,","year":"2020","journal-title":"Arch. Orthop. Trauma Surg"},{"key":"R10-41-20260316","doi-asserted-by":"crossref","first-page":"287","DOI":"10.4055\/cios20317","article-title":"Biomaterials used for suture anchors in orthopedic surgery","volume":"13","author":"Cho,","year":"2021","journal-title":"Clin. Orthop. Surg"},{"key":"R11-41-20260316","doi-asserted-by":"crossref","first-page":"2111","DOI":"10.1007\/s00402-022-04432-2","article-title":"Biomechanical evaluation of interference screw fixation techniques for distal radioulnar ligament reconstruction: a cadaveric experimental study","volume":"142","author":"Gu,","year":"2022","journal-title":"Arch. Orthop. Trauma Surg"},{"key":"R12-41-20260316","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1055\/s-0035-1571167","article-title":"Ulna rotation osteotomy in complete dislocation of the distal radioulnar joint","volume":"6","author":"Gabl,","year":"2017","journal-title":"J. Wrist Surg"},{"key":"R13-41-20260316","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1177\/1558944719855447","article-title":"A comparative study between darrach and sauv\u00e9-kapandji procedures for post-traumatic distal radioulnar joint dysfunction","volume":"16","author":"Verhiel,","year":"2021","journal-title":"Hand (N Y"},{"key":"R14-41-20260316","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1016\/j.hcl.2020.07.004","article-title":"Chronic distal radioulnar joint instability","volume":"36","author":"Carr,","year":"2020","journal-title":"Hand Clin"},{"key":"R15-41-20260316","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1177\/1558944716648313","article-title":"Iatrogenic injury to the median nerve during palmaris longus harvest: an overview of safe harvesting techniques","volume":"12","author":"Choo,","year":"2017","journal-title":"Hand (N Y"},{"key":"R16-41-20260316","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1055\/s-0039-1685235","article-title":"Outcomes of the Adams-Berger ligament reconstruction for the distal radioulnar joint instability in 95 consecutive cases","volume":"8","author":"Gillis,","year":"2019","journal-title":"J. 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