Clinical and radiological evaluation of distal radio ulnar joint (DRUJ) in injuries around the wrist joint

Abstract

Background & Method: This prospective, non randomised cohort study was carried out in the Department of Orthopaedics, Jawaharlal Nehru Medical College & Acharya Vinoba Bhave Rural Hospital, Datta Meghe Institute Of Medical Sciences (Deemed University) Wardha, with an aim to Clinico-radiological evaluation of distal radio ulnar joint (DRUJ) in injuries around the wrist joint. All patients who presented to our hospital were included in the study, Patients with compound wrist injuries were excluded from the study. In standardised format, data concerning patient’s history and clinical examination were collected. Those patients who fulfilled the inclusion criterion and gave a valid informed written consent were recruited in the study. Result: The wrist evaluation in cases of Acute DRUJ disruption were treated primarily along with associated wrist injuries was done after 24 week of treatment. PRWE (Patient Related Wrist Evaluation) score. However in patients of Chronic DRUJ disruption they slao evaluated using Mayo Wrist Score and PRWE Score. Conclusion: In our study total 132 patients of Acute DRUJ disruption and 28 patients of Chronic DRUJ disruptions were studied clinically and radiologically. Clinical and Radiological suspicion of DRUJ disruption should always be kept in mind while dealing with wrist, hand or forearm injuries. Distal Radio Ulnar Joint injury needs to be treated primarily along with the associated wrist, hand or forearm injury to restore near normal function of the Forearm and Wrist.