The Orthobullets Podcast

Trauma | Distal Radial Ulnar Joint (DRUJ) Injuries

May 20, 2025
Dive into the intriguing world of distal radial ulnar joint injuries. Learn about their causes, anatomy, and clinical signs that can significantly impact treatment. The conversation also unveils associated injuries and cutting-edge diagnostic imaging techniques. Gain insights into effective treatment strategies designed to enhance patient outcomes in trauma cases. It's a treasure trove of knowledge for anyone interested in orthopedic challenges!
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INSIGHT

TFCC Tears Classified by Cause

  • TFCC tears arise from wrist extension and forearm pronation mechanisms.
  • Type 1 TFCC tears are traumatic; Type 2 tears are degenerative with subclasses indicating progression.
ADVICE

Manage TFCC Tears Stepwise

  • Immobilize acute TFCC tears and use NSAIDs initially.
  • For persistent symptoms, perform arthroscopic or open debridement or repair based on tear type.
INSIGHT

Ulnar Impaction Due to Radial Shortening

  • Ulnar impaction syndrome results from radial shortening causing positive ulnar variance.
  • It leads to lunate chondromalacia and degenerative TFCC tears.
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