Abstract
The distal radio-ulnar joint (DRUJ) is one of the most studied joints over the last few years due to its important role in wrist and upper limb function. Evaluation and management of DRUJ problems present a challenging issue for Hand Surgeons, specially DRUJ arthritis.Management of DRUJ arthritis can be non-surgical or surgical. The goal of the non-surgical management is to address pain and optimise joint function before surgery becomes unavoidable. As far as surgical management is concerned, many procedures have been described reflecting the varying spectrum of pathology that is encountered. Prosthetic replacement of the distal radioulnar joint is a recent trend for the management of arthritic distal radioulnar joints because of a better understanding of the distal radio-ulnar joint anatomy and biomechanics and technological advances.In this article we discuss the diagnostic and management options for the arthritis at the articulation of the sigmoid notch and the distal ulna based on our broad experience and the current literature review.
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