Definition Distal radioulnar joint (DRUJ) instability can be acute or chronic, unidirectional (volar or dorsal) or bidirectional, and isolated or associated with other injuries. Clinically significant instability is often identified by increased anteroposterior translation of the DRUJ with passive manipulation compared to the normal side. DRUJ dislocation or instability is
Definition The Triangular Fibrocartilage Complex (TFCC) is a crucial structure on the ulnar side of the wrist with several important roles: Extending the gliding surface of the radiocarpal joint Cushioning and stabilizing the ulnar carpus Stabilizing the distal radioulnar joint (DRUJ) Injuries to the TFCC can cause ulnar-sided wrist pain,
Arthroscopic and Open Triangular Fibrocartilage Complex Repair Read More »
Definition An Essex-Lopresti injury, or longitudinal radioulnar dissociation (LRUD), occurs when a violent compressive load to the wrist results in a triad of injuries: disruption of the distal radioulnar joint (DRUJ), tear of the interosseous ligament complex (IOLC), and fracture of the radial head. Anatomy Pathogenesis Natural History Patient History
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What is Ulnar Collateral Ligament (UCL) Reconstruction? UCL reconstruction is a surgical procedure to repair the ulnar collateral ligament, a key stabiliser on the inner side of the elbow. This ligament is crucial for elbow stability, particularly in athletes who perform overhead motions. The surgery primarily focuses on reconstructing the
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What are Metacarpal Fractures? Metacarpal fractures refer to breaks in the bones of the hand that form the base of the fingers. These fractures can occur at the base, shaft, neck, or head of the metacarpals, leading to issues like shortening, rotation, or angulation of the bone. Since the metacarpals
What are Radial Head and Neck Fractures? Radial head and neck fractures are the most common type of elbow fractures in adults, accounting for 33% of all elbow fractures. These fractures can happen on their own or alongside other bone, cartilage, or ligament injuries. Treatment aims to restore motion and
What Are Capitellum Fractures? Capitellum fractures are rare, making up less than 1% of all elbow fractures. These fractures often occur along with radial head fractures and elbow dislocations. The capitellum is the rounded part of the elbow joint where the humerus (upper arm bone) meets the radius (forearm bone).
Capitellum and Capitellar-Trochlear Shear Fractures Read More »
Understanding the Condition Who Gets These Fractures? Younger Patients: Typically, from high-energy injuries like car accidents or falls from significant heights. Older Patients: This is often due to weaker bones (osteopenia), which makes them more susceptible to fractures even from minor falls. Common Features Comminution: This means the bone is
Supracondylar and Intercondylar Humeral Fractures Read More »
What is Osteochondritis Dissecans (OCD)? Osteochondritis dissecans (OCD) is a condition where a part of the bone just below the joint surface loses its blood supply, causing damage to the bone and cartilage. This can happen in different parts of a growing teenager’s skeleton, with the knee being the most
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What is a Simple Elbow Dislocation? Simple Elbow Dislocation: This happens when the elbow joint (where the upper arm bone meets the forearm bones) gets dislocated without any broken bones. Complex Instability: This occurs when there are broken bones along with the dislocation. How Does the Elbow Stay Stable? The
Neurofibromatosis is a genetic disorder that affects the development and growth of nerve cell tissues, causing tumours known as neurofibromas to grow on nerves. These tumours are usually benign (noncancerous) and can appear on nerves within the body and on and under the skin. This disorder can impact various systems
Neurofibromatosis: Understanding, Managing, and Living with the Condition Read More »
What is a Terrible Triad Injury of the Elbow? A Terrible Triad Injury of the Elbow is a severe and complex injury that involves: Elbow Dislocation: The elbow bones are forced out of their normal positions. Radial Head or Neck Fracture: The radial head or neck, part of the radius bone near
