DRUJ/TFCC Injuries and Treatment-DRUJ Arthritis

Video Transcription

Video Summary

In this video, Dr. Adams discusses the management options for distal radial ulnar joint (DRUJ) arthritis. He begins by stating that making the diagnosis of DRUJ arthritis is usually not difficult. He then presents various treatment options, including ulnar shortening osteotomy, debridement of the joint, DERA procedure, Hit procedure (hemiresection interposition arthroplasty), Savi Kaponji procedure, soft tissue interposition, and DRUJ implant arthroplasty. <br /><br />Dr. Adams provides insights, tips, and potential pitfalls for each procedure, highlighting indications, contraindications, complications, and potential benefits. He also mentions the importance of individualizing treatment based on patient needs, such as age, demand, financial considerations, and physical requirements. Dr. Adams emphasizes the need to preserve soft tissue stability and align the joint correctly before performing an implant, as well as the importance of counseling patients regarding expectations and potential residual pain. <br /><br />In conclusion, Dr. Adams suggests considering the various surgical options available and tailoring them to individual patients, resulting in a low revision rate if the correct algorithms are followed.

Keywords

DRUJ arthritis

management options

ulnar shortening osteotomy

DERA procedure

Hit procedure