Abstract
Controversy exists regarding the best treatment for pain and instability of the distal radioulnar joint. Until recently the Darrach distal ulna resection had been the standard procedure. The Bowers hemiresection interposition arthroplasty and the Watson matched distal ulna resection were developed to preserve the styloid attachment of the triangular fibrocartilage complex. The authors present a technique for the treatment of patients with painful distal radioulnar joints. The treatment is aimed at alleviating the problems of impingement and styloid carpal abutment during grip as well as providing stabilization. The goal is improved pain-free pronation or supination, flexion or extension, and increase in grip strength.
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