Learning Objectives:
Upon completion of this session the attendee will be able to:
- Define the pertinent anatomy of the distal forearm, distal radioulnar joint and ulnocarpal joint
- Describe the normal mechanics of the forearm joint as it relates to the distal radioulnar and ulnocarpal regions
- Identify the major patterns of painful injury and disease affecting the distal forearm, distal radioulnar and ulnocarpal joints and how to differentiate them with physical examination and imaging techniques
- Classify the painful distal forearm and ulnar wrist joints into meaningful categories to guide treatment
- Describe the recommended treatment algorithms for each category of painful conditions of the distal forearm and ulnocarpal joints
Duration: 12:03
During this symposium, Dr. Berger will lead the audience through a fundamental review of anatomy and function of the distal forearm that contribute to the normal function of the distal radioulnar joint (DRUJ) and the ulnar aspect of the wrist. This will then build into a systematic approach for the evaluation of the patient, including specific examination maneuvers and imaging techniques. The common patterns of injury and disease that affect the DRUJ and the ulnocarpal joint will be reviewed in light of anatomy, kinematics and kinetics, including patterns of pain, pain with instability and pain with arthrosis. These diagnoses will then be approached with treatment algorithms utilizing evidence-based support when possible. Emphasis will be made on the risks, benefits and timing of treatment strategies, including conservative management, arthroscopic procedures, stabilization techniques, and the spectrum of arthroplasty options, including interposition, hemi-joint arthroplasty, and total joint arthroplasty, both unlinked and linked. Outcomes, including the management of complications, will also be reviewed in detail.