Publication: Biomechanical invasive reconstruction of the distal oblique band of the interosseous membrane with extensor carpi radialis longus in radioulnar instability: a new clinical therapy for athletes
Authors
Giménez Ros, Alberto ; León Muñoz, Vicente J. ; Santonja Medina, Fernando ; Calvo Guirado, José Luis ; Martínez Martínez, Francisco
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Publisher
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DOI
https://doi.org//10.52768/2766-7820/2010
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info:eu-repo/semantics/article
Description
© Martínez FM (2022). This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/
This document is the Published Manuscript version of a Published Work that appeared in final form in Journal of Clinical Images and Medical Case Reports. To access the final edited and published work see https://doi.org/10.52768/2766-7820/2010
Abstract
Distal Radioulnar Joint (DRUJ) instability is a pathology without a
clear reconstructive procedure. Throughout history, numerous tech
niques have been described whose objectives have been to increase
stability as well as relieve pain. The main stabilizing element is the Tri
angular Fibrocartilage Complex (TFCC) and, there are also secondary
stabilizers among where the Distal Oblique Bundle (DOB) is consistent
ly located. We performed a biomechanical study with three cadaveric
arms to verify the influence of DOB on joint stability and performing
a new reconstruction technique with hemi tendon of carpi radialis
longus extensor to get distal radio cubital stability for fiber cartilage
repair. There are positive results in the volar and dorsal displacement
of the ulna on the radius with the reconstruction technique presented
to restore joint stability. The proposed technique is a valid and biome
chanically effective option to restore joint stability as a complement
to the repair of the TFCC or as a unique technique if the TFCC is ir
reparable. This technique became important when you cannot repair
TFCC in athletes, the recommended alternative can be done and distal
oblique soft plasty.
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Citation
Journal of Clinical Images and Medical Case Reports, 2022, Vol. 3(8) : 2010
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