Distal radioulnar joint dislocation

Dr Craig Hacking and Dr Henry Knipe et al.

Isolated distal radioulnar joint (DRUJ) dislocations are rare and are more commonly part of complex forearm fracture-dislocations. 

Wrist pain, swelling and deformity following FOOSH or direct trauma. The patient will be unable to supinate/pronate the forearm 1,2

Distal radioulnar joint dislocation is more commonly displaced dorsally (i.e. the distal ulnar is dorsally dislocated with respect to the distal radius), but can be volarly displaced1. If more than 50% of the articular surfaces do not articulate, then the term DRUJ subluxation is used 3.

Associated injuries include 4:

  • tear of the dorsal radioulnar ligament of the TFCC
  • disruption of the dorsal DRUJ capsule

This injury is typically described by the position of the ulna compared to the radius 2

  • true lateral radiograph of the wrist is vital (as little as 10º of rotation can result in misinterpretation) 2
  • widened distal radioulnar joint space on frontal projections, with dislocation/subluxation evident on lateral projections

DRUJ dislocations are also part of Galeazzi and Essex-Lopresti injuries.

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Article information

rID: 34377
Synonyms or Alternate Spellings:
  • Distal radioulnar joint dislocations
  • Distal radioulnar joint (DRUJ) dislocation
  • DRUJ dislocation
  • DRUJ subluxation

Cases and figures

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    Case 1
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    T2* GRE
    Case 2
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    Case 3
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    Case 4: volar dislocation
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