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The distal radioulnar articulation [1] (also known as the distal radioulnar joint, [2] or inferior radioulnar joint [1] [3]) is a synovial pivot joint between the two bones in the forearm; the radius and ulna. It is one of two joints between the radius and ulna, the other being the proximal radioulnar articulation.
The articular surface for the ulna is called the ulnar notch (sigmoid cavity) of the radius; it is in the distal radius, and is narrow, concave, smooth, and articulates with the head of the ulna forming the distal radioulnar joint.
DRUJ stress test: With this provocation maneuver, the wrist is held in pronated or supinated position, while the physician attempts to manipulate the distal ulna in dorsal and volar direction. Painful laxity indicates DRUJ instability and suggests RUL pathology. [2] Ulnar grind test: The forearm is fixated and the wrist is held in dorsiflexion.
The distal radioulnar joint (DRUJ) is a pivot joint located between the distal ends of the radius and ulna, which make up the forearm.Formed by the head of the ulna and the ulnar notch of the radius, the DRUJ is separated from the radiocarpal (wrist) joint by an articular disk lying between the radius and the styloid process of the ulna.
The radial collateral ligament (external lateral ligament, radial carpal collateral ligament) extends from the tip of the styloid process of the radius and attaches to the radial side of the scaphoid (formerly navicular bone of the hand), immediately adjacent to its proximal articular surface and some fibres extend to the lateral side of the trapezium (greater multangular bone).
The major exception is when the joint between these bones, the distal radioulnar joint (or DRUJ), is unstable. When the DRUJ is unstable, the ulnar styloid may require independent treatment. An excessively long styloid process of the ulna can cause painful contact with the triquetral bone in the wrist, known as ulnar styloid impaction syndrome. [1]
Joints of the hand, X-ray. The bones in each carpal row interlock with each other and each row can therefore be considered a single joint. In the proximal row a limited degree of mobility is possible, but the bones of the distal row are connected to each other and to the metacarpal bones by strong ligaments that make this row and the metacarpus a functional entity.
The interosseous membrane of the forearm (rarely middle or intermediate radioulnar joint) is a fibrous sheet that connects the interosseous margins of the radius and the ulna. It is the main part of the radio-ulnar syndesmosis , a fibrous joint between the two bones.