{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T20:40:49Z","timestamp":1784234449092,"version":"3.55.0"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:title>Summary:<\/jats:title>\n          <jats:p>Injuries to the distal aspect of the ulna and the distal radioulnar joint (DRUJ) commonly occur concurrently with distal radius fractures. These fractures may also involve the sigmoid notch of the lunate facet of the radius. Each of these structures merits consideration when managing ulnar-sided injuries associated with distal radius fractures. Improper management of distal radioulnar complex injuries may result in limited wrist motion, persistent DRUJ instability, and pain despite successful fracture union. The distal ulna is the keystone of the distal radioulnar articulation. An understanding of the components of the distal radioulnar complex and methods to manage injuries of each of these components contributes to improved functional outcomes by restoring this keystone effect. The classification of distal radioulnar injuries discussed herein provides a framework for understanding the disruption of the ligamentous stabilizers of the DRUJ and identifying residual distal radioulnar instability after fracture fixation. Proper treatment of residual DRUJ instability will restore stability and minimize persistent functional impairment.<\/jats:p>","DOI":"10.1097\/bot.0000000000002202","type":"journal-article","created":{"date-parts":[[2021,8,20]],"date-time":"2021-08-20T21:00:34Z","timestamp":1629493234000},"page":"s11-s16","source":"Crossref","is-referenced-by-count":4,"title":["Distal Radioulnar Joint, Distal Ulna Injury, and Lunate Facet Considerations in Distal Radius Fractures"],"prefix":"10.1097","volume":"35","author":[{"given":"Francisco","family":"Rubio","sequence":"first","affiliation":[{"name":"Miami Hand and Upper Extremity Institute, Miami, FL."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R2-20230828","doi-asserted-by":"crossref","first-page":"930","DOI":"10.1016\/S0363-5023(05)80139-X","article-title":"The stabilizing mechanism of the distal radioulnar joint during pronation and supination","volume":"20","author":"Kihara","year":"1995","journal-title":"J Hand Surg Am"},{"key":"R3-20230828","doi-asserted-by":"crossref","first-page":"1501","DOI":"10.1016\/j.jhsa.2012.04.037","article-title":"The distal interosseous membrane: current concepts in wrist anatomy and biomechanics","volume":"37","author":"Moritomo","year":"2012","journal-title":"J Hand Surg Am"},{"key":"R4-20230828","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1016\/j.injury.2005.08.019","article-title":"Distal radioulnar joint instability in distal radius fractures: the role of sigmoid notch and triangular fibrocartilage complex revisited","volume":"37","author":"Cole","year":"2006","journal-title":"Injury"},{"key":"R5-20230828","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1016\/j.jhsa.2019.01.002","article-title":"The effect of distal radius fracture location on distal radioulnar joint stability: a cadaveric study","volume":"44","author":"Trehan","year":"2019","journal-title":"J Hand Surg Am"},{"key":"R6-20230828","doi-asserted-by":"crossref","first-page":"1038.e1","DOI":"10.1016\/j.jhsa.2018.03.016","article-title":"The sigmoid notch view for distal radius fractures","volume":"43","author":"Kamal","year":"2018","journal-title":"J Hand Surg Am"},{"key":"R7-20230828","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1055\/s-0033-1355440","article-title":"Ligament origins are preserved in distal radial intraarticular two-part fractures: a computed tomography-based study","volume":"2","author":"Bain","year":"2013","journal-title":"J Wrist Surg"},{"key":"R8-20230828","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1186\/s13018-020-01795-3","article-title":"Surgical management of ulnar styloid fractures: comparison of fixation with anchor suture and tension band wire","volume":"15","author":"Chen","year":"2020","journal-title":"J Orthop Surg Res"},{"key":"R9-20230828","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1177\/1753193413504160","article-title":"Primary excision of the ulna head for fractures of the distal ulna associated with fractures of the distal radius in severe osteoporotic patients","volume":"39","author":"Yoneda","year":"2013","journal-title":"J Hand Surg Eur"},{"key":"R10-20230828","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1097\/00003086-199202000-00009","article-title":"The distal radioulnar joint in relation to the whole forearm","volume":"275","author":"Hagert","year":"1992","journal-title":"Clin Orthop Relat Res"},{"key":"R11-20230828","doi-asserted-by":"crossref","first-page":"719","DOI":"10.1016\/j.jhsa.2005.04.015","article-title":"Ulnar shortening effect on distal radioulnar joint stability: a biomechanical study","volume":"30","author":"Nishiwaki","year":"2005","journal-title":"J Hand Surg Am"},{"key":"R12-20230828","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1016\/j.hcl.2020.06.001","article-title":"Biomechanical factors in stability of the forearm","volume":"36","author":"Orbay","year":"2020","journal-title":"Hand Clin"}],"container-title":["Journal of Orthopaedic Trauma"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/BOT.0000000000002202","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T19:00:40Z","timestamp":1693249240000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/BOT.0000000000002202"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9]]},"references-count":11,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.1097\/bot.0000000000002202","relation":{},"ISSN":["0890-5339"],"issn-type":[{"value":"0890-5339","type":"print"}],"subject":[],"published":{"date-parts":[[2021,9]]}}}