{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T13:00:06Z","timestamp":1777381206281,"version":"3.51.4"},"reference-count":42,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Purpose\u2003Management of acute distal radioulnar joint (DRUJ) instability is complex and controversial. Common treatment options include prolonged immobilization, stabilization with wires, and acute triangular fibrocartilage complex repair. However, none of these permits an early range of motion. The purpose of this study is to investigate the feasibility of a suture-based stabilization (SBS) technique for acute DRUJ instability to permit early active motion.<\/jats:p><jats:p>\n          Materials and Methods\u2003A biomechanical study utilizing eight cadaveric arms was performed. All specimens were tested in the intact state prior to the creation of bidirectional DRUJ instability. For the SBS group, 2-mm suture tapes with suture button fixation were utilized to recreate the respective contributions of distal oblique bundle and volar and dorsal radioulnar ligaments to DRUJ stability. All specimens were cyclically loaded with a simulated ballottement stress of 20N in forearm positions of neutral, 60\u2009degrees of pronation and 60\u2009degrees of supination. Range of motion and total translation were measured and then compared between the two groups.<\/jats:p><jats:p>\n          Results\u2003The average range of motion in the intact and SBS specimens was 174 and 175\u2009degrees, respectively. There were no significant differences in displacement between the intact and SBS group in neutral and in supination. However, the SBS group had less translation than the intact group in pronation.<\/jats:p><jats:p>\n          Conclusion\u2003For acute DRUJ instability, the described SBS technique provides similar stability to the native intact DRUJ without compromising the range of motion in a cadaveric model. Future comparative studies are warranted prior to translation into the clinical arena.<\/jats:p><jats:p>\n          Clinical Relevance\u2003This is a biomechanical study investigating a treatment technique for acute DRUJ instability that would allow an early range of motion.<\/jats:p>","DOI":"10.1055\/s-0043-1778095","type":"journal-article","created":{"date-parts":[[2024,1,23]],"date-time":"2024-01-23T00:12:10Z","timestamp":1705968730000},"page":"114-120","source":"Crossref","is-referenced-by-count":1,"title":["Suture-Based Distal Radioulnar Joint Stabilization: A Biomechanical Evaluation in a Cadaveric Model"],"prefix":"10.1055","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0187-6541","authenticated-orcid":false,"given":"Alexander R.","family":"Graf","sequence":"additional","affiliation":[{"name":"Division of Hand and Upper Extremity, Department of Orthopedic Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adil S.","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Division of Hand and Upper Extremity, Department of Orthopedic Surgery, Emory University, Atlanta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dan","family":"Thompson","sequence":"additional","affiliation":[{"name":"Division of Hand and Upper Extremity, Department of Orthopedic Surgery, Emory University, Atlanta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael B.","family":"Gottschalk","sequence":"additional","affiliation":[{"name":"Division of Hand and Upper Extremity, Department of Orthopedic Surgery, Emory University, Atlanta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric R.","family":"Wagner","sequence":"additional","affiliation":[{"name":"Division of Hand and Upper Extremity, Department of Orthopedic Surgery, Emory University, Atlanta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nina","family":"Suh","sequence":"additional","affiliation":[{"name":"Division of Hand and Upper Extremity, Department of Orthopedic Surgery, Emory University, Atlanta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,1,22]]},"reference":[{"issue":"06","key":"ref1","doi-asserted-by":"crossref","first-page":"965","DOI":"10.1053\/jhsu.2002.36525","article-title":"Ulnar styloid fractures associated with distal radius fractures: incidence and implications for distal radioulnar joint instability","volume":"27","author":"M M May","year":"2002","journal-title":"J Hand Surg Am"},{"issue":"02","key":"ref2","doi-asserted-by":"publisher","first-page":"293","DOI":"10.1016\/j.hcl.2021.02.011","article-title":"Distal radius fracture and the distal radioulnar joint","volume":"37","author":"C Nypaver","year":"2021","journal-title":"Hand 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