Distal radioulnar joint subluxation and dislocation diagnosed by standard roentgenography.

Abstract:

:The use of standard lateral roentgenography for diagnosing distal radioulnar joint (DRUJ) subluxation and dislocation was investigated. Using a wrist support, bilateral standard lateral roentgenograms of the wrist were obtained in 42 patients with normal wrists and in 56 patients with a unilateral wrist injury. In normal wrists the difference between the radioulnar distance in the right and the left wrist did not exceed 4 mm when the difference in the pisoscaphoid distance was less than 3 mm. Of the 36 patients with wrist injury whose difference in pisoscaphoid distance was less than 3 mm, 15 had a radioulnar distance of 5 mm or more, and computed tomography (CT) confirmed DRUJ dislocation in 14. Concordance between lateral roentgenograms and CT was present in 33 of 36 patients (92%). These results demonstrate the value of a standardized technique for bilateral lateral roentgenography in diagnosing DRUJ subluxation and dislocation.

journal_name

Skeletal Radiol

journal_title

Skeletal radiology

authors

Nakamura R,Horii E,Imaeda T,Tsunoda K,Nakao E

doi

10.1007/BF00198067

subject

Has Abstract

pub_date

1995-02-01 00:00:00

pages

91-4

issue

2

eissn

0364-2348

issn

1432-2161

journal_volume

24

pub_type

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