Evidence map›Paper›PMID 41362295›Full record

ArticleJournal of hand surgery global online2026

Frequency and Outcomes of Distal Radioulnar Joint Dislocation Associated With Distal Radius Fractures in the Elderly.

Manami Ishimatsu, Takashi Oda, Yuka Yamanaka, Katsunori Takahashi, Shuto Hamada, Takuro Wada

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Article in Journal of hand surgery global online, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Manami IshimatsuDepartment of Orthopedic Surgery, Hokkaido Saiseikai Otaru Hospital, Otaru, Japan.
Takashi OdaDepartment of Orthopedic Surgery, Hokkaido Saiseikai Otaru Hospital, Otaru, Japan.
Yuka YamanakaSection of Occupational Therapy, Department of Rehabilitation, Hokkaido Saiseikai Otaru Hospital, Otaru, Japan.
Katsunori TakahashiDepartment of Orthopedic Surgery, Hokkaido Saiseikai Otaru Hospital, Otaru, Japan.
Shuto HamadaDepartment of Orthopedic Surgery, Hokkaido Saiseikai Otaru Hospital, Otaru, Japan.
Takuro WadaDepartment of Orthopedic Surgery, Hokkaido Saiseikai Otaru Hospital, Otaru, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Although dislocation or subluxation of the distal radioulnar joint (DRUJ) rarely coexists with distal radius fractures, the necessity for complementary repair of the triangular fibrocartilage complex (TFCC) in the elderly is debated. We investigated the frequency and surgical outcomes of TFCC reattachment for DRUJ dislocations with distal radius fractures in elderly patients. Methods: We retrospectively reviewed consecutive patients aged 65 years or older who underwent internal fixation of distal radius fractures. The fracture type and dislocation or subluxation of the DRUJ at the time of injury were evaluated. Pain, range of motion, grip strength, Modified Mayo Wrist Score, and Disability of the Arm, Shoulder, and Hand (DASH) scores were retrieved from medical records after 6 months. All cases were divided into three groups to compare the clinical outcomes: dislocation, subluxation, and nondislocation. Results: A total of 173 wrists (77.8 years old; 12 men and 159 women) were included. Two (1.2%) and 3 (1.7%) wrists showed dislocation and subluxation of the DRUJ, respectively, and all five wrists had Arbeitsgemeinschaft für Osteosynthesefragen (AO) type A3 distal radius fractures. Both cases of dislocation that demonstrated recurrent volar dislocation of the ulnar head after internal fixation of the radius involved repair of the TFCC using a bone anchor. Wrist extension and grip strength were worse; however, pain and DASH scores were better in the dislocation group than those in the subluxation and nondislocation groups. Conclusions: The incidence of DRUJ dislocation/subluxation associated with radius fractures is low in elderly patients. If the DRUJ remains unstable after internal fixation of the radius, good outcomes can be expected with one-stage reattachment of the TFCC, even in elderly patients. Type of study/level of evidence: Therapeutic IV.

Indexed as

DislocationDistal radioulnar jointDistal radius fractureTriangular fibrocartilage complex

Identifiers

PMID41362295
PMCPMC12681545

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.