Distal Radius Instability and Stiffness: Common Complications of Distal Radius Fractures

• Published in: Hand clinics Vol. 26; no. 2; pp. 245 - 264
• Main Author: Kleinman, William B., MD
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01-05-2010
• Subjects: Algorithms; Arthritis - etiology; Arthritis - physiopathology; Arthritis - surgery; Biomechanical Phenomena; Distal radio-ulna joint; Distal radius fractures; Fracture Fixation, Internal; Fracture Healing; Fractures, Malunited - physiopathology; Humans; Instability; Joint Instability - etiology; Joint Instability - physiopathology; Joint Instability - surgery; Orthopedics; Physical Examination - methods; Pronation - physiology; Radius Fractures - complications; Radius Fractures - physiopathology; Radius Fractures - surgery; Rotation; Stiffness; Supination - physiology; Triangular Fibrocartilage - anatomy & histology; Triangular Fibrocartilage - injuries; Triangular Fibrocartilage - physiology; Wrist Joint - anatomy & histology; Wrist Joint - physiopathology; Distal radius fractures; Distal radio-ulna joint; Instability; Stiffness
• ISSN: 0749-0712; 1558-1969
• DOI: 10.1016/j.hcl.2010.01.004

Emphasis in the literature over the past hundred years regarding distal radius fracture management has been on restoration of anatomic radio-carpal alignment. Until the two most recent decades, little emphasis has been placed on the great morbidity and compromise to upper limb function associated with distal radio-ulna joint (DRUJ) pathology occurring with fractures of the distal radius. This article emphasizes that attention to restoration of anatomy of the DRUJ should be considered at least as important as that given to the radio-carpal relationship. This article also points out how stiffness of forearm rotation can result from a well-treated distal radius fracture and how this complication can be treated to restore healthy upper limb function.