DRUJ instability refers to the Distal Radio-Ulna Joint which is situated in your wrist. The two bones in your forearm, the radius and the ulna, both come together and meet at the wrist joint. In a normal wrist these two bones should fit together in a type of ball and socket joint. With DRUJ instability these two bones rub against each other and do not glide smoothly together. This causes pain and instability within the wrist joint.
DRUJ instability is most commonly caused by an injury to the wrist, but may also be caused by arthritis of the wrist. There is a group of ligaments that sit around this joint, called the Triangular Fibro-Cartilaginous Complex (TFCC) that give stability during movement of the forearm and wrist as the joints bend, flex and rotate as we move. If these ligaments become damaged, stretched or torn then the joint becomes loose and instability is likely to occur. Instability may also occur if the two forearm bones do not align correctly.
Symptoms of DRUJ instability include pain in the wrist, a loss of strength, especially when trying to grip or pick up something of any weight. Dislocation of this DRUJ joint can also occur.
DRUJ Treatment Options
Treatment of DRUJ instability generally involves a surgical procedure in order to either tighten up the TFCC ligament group or try to realign the bones of the DRUJ joint. However non-surgical treatment will often be given prior to surgery. The use of anti-inflammatory medication may help to ease the pain felt in the joint. A wrist splint may also offer relief and give the joint a chance to rest. Physical therapy exercises may be able to increase the strength of the joint and offer more stabilization.
Surgery may either involve reconstructing the ligaments in order to tighten them and give the joint more strength. Mr. Durrant may remove a small portion of the ulna bone to shorten it. Once this is removed the bones will be secured into place using plates and screws.
If you are experiencing pain, weakness, or loss of movement in your wrist, then Mr. Durrant will be able to accurately diagnose the problems and offer an effective course of treatment.
Contact Mr. Adam Durrant for more information on DRUJ instability or for additional resources on other hand and wrist related injuries.