{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:18:33Z","timestamp":1787753913093,"version":"build-2784847793"},"reference-count":50,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBJS Rev"],"published-print":{"date-parts":[[2016,12,20]]},"abstract":"<jats:p>\n                    <jats:list list-type=\"plain\">\n                      <jats:list-item>\n                        <jats:p>\u27a2 Arthritis and instability represent 2 of the most common pathological processes affecting the distal radioulnar joint (DRUJ). These conditions can present in isolation or as components of a multifactorial process.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a2 Nonoperative treatment is indicated for most acute injuries to the DRUJ. The joint should be immobilized in a position of stability to allow for ligament healing. Likewise, early arthritis responds favorably to rest, immobilization, corticosteroids, and nonsteroidal anti-inflammatory drugs (NSAIDs).<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a2 When DRUJ instability is refractory to nonoperative measures, native ligament repair is the preferable method of treatment. When this method is not possible, anatomical reconstruction of the distal radioulnar ligaments should be performed.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a2 For advanced DRUJ arthritis Darrach resection should be reserved for the elderly, low-demand patient. The Sauv\u00e9-Kapandji procedure allows for arthrodesis of the DRUJ while maintaining forearm rotation and a stable base for the ulnar carpus.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a2 DRUJ hemiarthroplasty procedures have been associated with favorable preliminary results. These implants attempt to reproduce native biomechanics and may be used in lieu of or as a salvage procedure after resection arthroplasty. DRUJ arthroplasty should be used as a salvage procedure.<\/jats:p>\n                      <\/jats:list-item>\n                    <\/jats:list>\n                  <\/jats:p>","DOI":"10.2106\/jbjs.rvw.16.00005","type":"journal-article","created":{"date-parts":[[2017,1,4]],"date-time":"2017-01-04T11:58:52Z","timestamp":1483531132000},"source":"Crossref","is-referenced-by-count":28,"title":["Instability and Arthritis of the Distal Radioulnar Joint"],"prefix":"10.2106","volume":"4","author":[{"given":"Gregory K.","family":"Faucher","sequence":"first","affiliation":[{"name":"Curtis National Hand Center, MedStar Union Memorial Hospital, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan M.","family":"Zimmerman","sequence":"additional","affiliation":[{"name":"Curtis National Hand Center, MedStar Union Memorial Hospital, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neal B.","family":"Zimmerman","sequence":"additional","affiliation":[{"name":"Curtis National Hand Center, MedStar Union Memorial Hospital, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"r1-20230812","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1097\/00003086-199202000-00004","article-title":"Anatomy of the distal radioulnar joint","volume":"275","author":"af Ekenstam","year":"1992","journal-title":"Clin Orthop Relat Res."},{"issue":"4","key":"r2-20230812","doi-asserted-by":"crossref","first-page":"689","DOI":"10.1053\/jhsu.2000.9418","article-title":"The dorsopalmar stability of the distal radioulnar joint","volume":"25","author":"Stuart","year":"2000","journal-title":"J Hand Surg Am."},{"issue":"2","key":"r3-20230812","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1016\/S0363-5023(81)80170-0","article-title":"The triangular fibrocartilage complex of the wrist\u2014anatomy and function","volume":"6","author":"Palmer","year":"1981","journal-title":"J Hand Surg Am."},{"issue":"6","key":"r4-20230812","doi-asserted-by":"crossref","first-page":"1106","DOI":"10.1016\/S0363-5023(10)80075-9","article-title":"The distal radioulnar ligaments: a biomechanical study","volume":"16","author":"Schuind","year":"1991","journal-title":"J Hand Surg Am."},{"issue":"6","key":"r5-20230812","doi-asserted-by":"crossref","first-page":"1164","DOI":"10.1016\/j.jhsa.2005.06.013","article-title":"Contribution of the interosseous membrane to distal radioulnar joint constraint","volume":"30","author":"Watanabe","year":"2005","journal-title":"J Hand Surg Am."},{"key":"r6-20230812","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1097\/00003086-198407000-00005","article-title":"Biomechanics of the distal radioulnar joint","volume":"187","author":"Palmer","year":"1984","journal-title":"Clin Orthop Relat Res."},{"issue":"6","key":"r7-20230812","doi-asserted-by":"crossref","first-page":"724","DOI":"10.1177\/1753193409337965","article-title":"A biomechanical evaluation of the relative load change in the joints of the wrist with ulnar shortening: a \u2018handbag\u2019 model","volume":"34","author":"Nygaard","year":"2009","journal-title":"J Hand Surg Eur Vol."},{"issue":"2","key":"r8-20230812","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1016\/j.jhsa.2014.10.001","article-title":"Force variations in the distal radius and ulna: effect of ulnar variance and forearm motion","volume":"40","author":"Harley","year":"2015","journal-title":"J Hand Surg Am."},{"issue":"4","key":"r9-20230812","doi-asserted-by":"crossref","first-page":"656","DOI":"10.1016\/j.jhsa.2014.01.013","article-title":"Distal radioulnar joint kinematics in simulated dorsally angulated distal radius fractures","volume":"39","author":"Nishiwaki","year":"2014","journal-title":"J Hand Surg Am."},{"issue":"5","key":"r10-20230812","doi-asserted-by":"crossref","first-page":"739","DOI":"10.2106\/00004623-199605000-00014","article-title":"A comparison of early and late reconstruction of malunited fractures of the distal end of the radius","volume":"78","author":"Jupiter","year":"1996","journal-title":"J Bone Joint Surg Am."},{"issue":"11","key":"r11-20230812","doi-asserted-by":"crossref","first-page":"3171","DOI":"10.1007\/s11999-012-2406-4","article-title":"Clinical and radiographic factors associated with distal radioulnar joint instability in distal radius fractures","volume":"470","author":"Kwon","year":"2012","journal-title":"Clin Orthop Relat Res."},{"issue":"6","key":"r12-20230812","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":"May","year":"2002","journal-title":"J Hand Surg Am."},{"issue":"1","key":"r13-20230812","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1302\/0301-620X.91B1.21026","article-title":"The effect of an associated ulnar styloid fracture on the outcome after fixation of a fracture of the distal radius","volume":"91","author":"Zenke","year":"2009","journal-title":"J Bone Joint Surg Br."},{"issue":"2","key":"r14-20230812","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1142\/S0218810412500177","article-title":"Treatment with or without internal fixation for ulnar styloid base fractures accompanied by distal radius fractures fixed with volar locking plate","volume":"17","author":"Zenke","year":"2012","journal-title":"Hand Surg."},{"issue":"3","key":"r15-20230812","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1097\/00005131-200303000-00002","article-title":"Physeal fractures of the distal radius and ulna: long-term prognosis","volume":"17","author":"Cannata","year":"2003","journal-title":"J Orthop Trauma."},{"issue":"4","key":"r16-20230812","doi-asserted-by":"crossref","first-page":"438","DOI":"10.1016\/j.jhsa.2007.01.022","article-title":"The \u201culnar fovea sign\u201d for defining ulnar wrist pain: an analysis of sensitivity and specificity","volume":"32","author":"Tay","year":"2007","journal-title":"J Hand Surg Am."},{"issue":"1","key":"r17-20230812","first-page":"90","article-title":"The distal radioulnar joint","volume":"67","author":"Tsai","year":"2009","journal-title":"Bull NYU Hosp Jt Dis."},{"issue":"1","key":"r18-20230812","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1097\/00000637-199507000-00009","article-title":"\u201cPress test\u201d for office diagnosis of triangular fibrocartilage complex tears of the wrist","volume":"35","author":"Lester","year":"1995","journal-title":"Ann Plast Surg."},{"issue":"2","key":"r19-20230812","doi-asserted-by":"crossref","first-page":"236","DOI":"10.1053\/jhsu.2001.22908","article-title":"The radioulnar ratio: a new method of quantifying distal radioulnar joint subluxation","volume":"26","author":"Lo","year":"2001","journal-title":"J Hand Surg Am."},{"issue":"7","key":"r20-20230812","doi-asserted-by":"crossref","first-page":"649","DOI":"10.1007\/s002560050152","article-title":"Criteria for diagnosing distal radioulnar joint subluxation by computed tomography","volume":"25","author":"Nakamura","year":"1996","journal-title":"Skeletal Radiol."},{"issue":"7","key":"r21-20230812","doi-asserted-by":"crossref","first-page":"1153","DOI":"10.1016\/j.jhsa.2008.02.028","article-title":"Diagnostic comparison of 1.5 Tesla and 3.0 Tesla preoperative MRI of the wrist in patients with ulnar-sided wrist pain","volume":"33","author":"Anderson","year":"2008","journal-title":"J Hand Surg Am."},{"issue":"1","key":"r22-20230812","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1016\/j.jhsa.2011.10.006","article-title":"Prevalence of triangular fibrocartilage complex abnormalities on MRI scans of asymptomatic wrists","volume":"37","author":"Iordache","year":"2012","journal-title":"J Hand Surg Am."},{"issue":"1","key":"r23-20230812","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1016\/S0363-5023(96)80152-3","article-title":"The effect of dorsally angulated distal radius fractures on distal radioulnar joint congruency and forearm rotation","volume":"21","author":"Kihara","year":"1996","journal-title":"J Hand Surg Am."},{"issue":"2","key":"r24-20230812","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1053\/jhsu.2002.31731","article-title":"An anatomic reconstruction of the distal radioulnar ligaments for posttraumatic distal radioulnar joint instability","volume":"27","author":"Adams","year":"2002","journal-title":"J Hand Surg Am."},{"issue":"3","key":"r25-20230812","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1016\/j.jhsa.2011.12.006","article-title":"Sigmoid notch reconstruction and limited carpal arthrodesis for a severely comminuted distal radius malunion: case report","volume":"37","author":"Del Pi\u00f1al","year":"2012","journal-title":"J Hand Surg Am."},{"issue":"6","key":"r26-20230812","doi-asserted-by":"crossref","first-page":"e984","DOI":"10.3928\/01477447-20120525-49","article-title":"Distal radioulnar joint volar instability after ligament reconstruction failure treated with sigmoid notch osteotomy","volume":"35","author":"Kim","year":"2012","journal-title":"Orthopedics."},{"issue":"3","key":"r27-20230812","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1016\/0266-7681(84)90045-7","article-title":"Repair of chronic subluxation of the distal radioulnar joint (ulnar dorsal) using flexor carpi ulnaris tendon","volume":"9","author":"Tsai","year":"1984","journal-title":"J Hand Surg Br."},{"issue":"3","key":"r28-20230812","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1016\/S0363-5023(82)80171-8","article-title":"Ulnotriquetral augmentation tenodesis: a reconstructive procedure for dorsal subluxation of the distal radioulnar joint","volume":"7","author":"Hui","year":"1982","journal-title":"J Hand Surg Am."},{"issue":"4","key":"r29-20230812","doi-asserted-by":"crossref","first-page":"612","DOI":"10.1016\/0363-5023(89)90176-7","article-title":"Extensor carpi ulnaris and flexor carpi ulnaris tenodesis of the unstable distal ulna","volume":"14","author":"Breen","year":"1989","journal-title":"J Hand Surg Am."},{"issue":"4","key":"r30-20230812","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1007\/s11552-012-9456-7","article-title":"Anatomic reconstruction of the radioulnar ligament","volume":"7","author":"Henry","year":"2012","journal-title":"Hand (N Y)."},{"issue":"3","key":"r31-20230812","doi-asserted-by":"crossref","first-page":"438","DOI":"10.1016\/0363-5023(91)90010-9","article-title":"The Darrach procedure defended: technique redefined and long-term follow-up","volume":"16","author":"Tulipan","year":"1991","journal-title":"J Hand Surg Am."},{"issue":"1","key":"r32-20230812","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1302\/0301-620X.67B1.3968131","article-title":"Ulnar impingement syndrome","volume":"67","author":"Bell","year":"1985","journal-title":"J Bone Joint Surg Br."},{"issue":"12","key":"r33-20230812","doi-asserted-by":"crossref","first-page":"2475","DOI":"10.1016\/j.jhsa.2012.08.044","article-title":"Functional results of the Darrach procedure: a long-term outcome study","volume":"37","author":"Grawe","year":"2012","journal-title":"J Hand Surg Am."},{"issue":"5","key":"r34-20230812","first-page":"1038","article-title":"Development of the QuickDASH: comparison of three item-reduction approaches","volume":"87","author":"Beaton","year":"2005","journal-title":"J Bone Joint Surg Am."},{"issue":"2","key":"r35-20230812","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1016\/S0363-5023(88)80047-9","article-title":"Failed distal ulna resections","volume":"13","author":"Bieber","year":"1988","journal-title":"J Hand Surg Am."},{"issue":"6","key":"r36-20230812","doi-asserted-by":"crossref","first-page":"1109","DOI":"10.1016\/S0363-5023(09)91076-0","article-title":"Rheumatoid wrists treated with synovectomy of the extensor tendons and the wrist joint combined with a Darrach procedure","volume":"17","author":"Ishikawa","year":"1992","journal-title":"J Hand Surg Am."},{"issue":"2","key":"r37-20230812","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1016\/S0363-5023(85)80100-3","article-title":"Distal radioulnar joint arthroplasty: the hemiresection-interposition technique","volume":"10","author":"Bowers","year":"1985","journal-title":"J Hand Surg Am."},{"issue":"4","key":"r38-20230812","doi-asserted-by":"crossref","first-page":"591","DOI":"10.1016\/j.hcl.2005.08.002","article-title":"Hemiresection arthroplasty of the distal radioulnar joint","volume":"21","author":"Glowacki","year":"2005","journal-title":"Hand Clin."},{"issue":"4","key":"r39-20230812","doi-asserted-by":"crossref","first-page":"724","DOI":"10.1016\/0363-5023(92)90324-I","article-title":"Matched distal ulna resection for posttraumatic disorders of the distal radioulnar joint","volume":"17","author":"Watson","year":"1992","journal-title":"J Hand Surg Am."},{"issue":"2","key":"r40-20230812","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1142\/S0218810411005217","article-title":"Long term results of matched hemiresection interposition arthroplasty for DRUJ arthritis in rheumatoid patients","volume":"16","author":"Ahmed","year":"2011","journal-title":"Hand Surg."},{"issue":"9","key":"r41-20230812","doi-asserted-by":"crossref","first-page":"1632","DOI":"10.1016\/j.jhsa.2008.08.011","article-title":"The Sauv\u00e9-Kapandji procedure","volume":"33","author":"Slater","year":"2008","journal-title":"J Hand Surg Am."},{"key":"r42-20230812","first-page":"589","article-title":"Nouvelle technique de traitement chirurgical des luxations r\u00e9cidivantes isol\u00e9es de l\u2019extr\u00e9mit\u00e9 inf\u00e9rieure du cubitus","volume":"47","author":"Sauv\u00e9","year":"1936","journal-title":"J Chir (Paris)."},{"issue":"6","key":"r43-20230812","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1007\/s00402-003-0529-5","article-title":"Treatment of distal radioulnar joint disorders with a modified Sauv\u00e9-Kapandji procedure: long-term outcome with special attention to the DASH questionnaire","volume":"123","author":"Zimmermann","year":"2003","journal-title":"Arch Orthop Trauma Surg."},{"issue":"2-3","key":"r44-20230812","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1142\/S0218810405002942","article-title":"Treatments of osteoarthritis of the distal radioulnar joint: long-term results of three procedures","volume":"10","author":"Minami","year":"2005","journal-title":"Hand Surg."},{"issue":"7","key":"r45-20230812","doi-asserted-by":"crossref","first-page":"615","DOI":"10.1177\/1753193411414630","article-title":"Do patients really do better after the Sauve-Kapandji procedure when compared to the Darrach procedure? A systematic review","volume":"36","author":"Nikkhah","year":"2011","journal-title":"J Hand Surg Eur Vol."},{"issue":"1","key":"r46-20230812","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1097\/BTH.0b013e31803261e2","article-title":"Eclypse: partial ulnar head replacement for the isolated distal radio-ulnar joint arthrosis","volume":"11","author":"Garcia-Elias","year":"2007","journal-title":"Tech Hand Up Extrem Surg."},{"issue":"3","key":"r47-20230812","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1097\/BTH.0b013e3181b4c52d","article-title":"Ulnar head implant arthroplasty: an intermediate term review of 1 surgeon\u2019s experience","volume":"13","author":"Yen Shipley","year":"2009","journal-title":"Tech Hand Up Extrem Surg."},{"issue":"12","key":"r48-20230812","doi-asserted-by":"crossref","first-page":"2405","DOI":"10.1016\/j.jhsa.2014.08.036","article-title":"Intermediate outcomes of ulnar head arthroplasty","volume":"39","author":"Sabo","year":"2014","journal-title":"J Hand Surg Am."},{"issue":"9","key":"r49-20230812","doi-asserted-by":"crossref","first-page":"1731","DOI":"10.1016\/j.jhsa.2015.06.100","article-title":"Ulnar head replacement: 21 cases; mean follow-up, 7.5 years","volume":"40","author":"Axelsson","year":"2015","journal-title":"J Hand Surg Am."},{"issue":"6","key":"r50-20230812","doi-asserted-by":"crossref","first-page":"1111","DOI":"10.1016\/j.jhsa.2013.03.030","article-title":"Constrained implant arthroplasty as a secondary procedure at the distal radioulnar joint: early outcomes","volume":"38","author":"Axelsson","year":"2013","journal-title":"J Hand Surg Am."}],"container-title":["JBJS Reviews"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/01874474-201612000-00003","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:21:10Z","timestamp":1787750470000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/01874474-201612000-00003"}},"subtitle":["A Critical Analysis Review"],"short-title":[],"issued":{"date-parts":[[2016,12,20]]},"references-count":50,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2016]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.rvw.16.00005","relation":{},"ISSN":["2329-9185"],"issn-type":[{"value":"2329-9185","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,12,20]]}}}