Controversy and enigma surround treatment of disorders at the distal end of the ulna. A faculty of five surgeons, highly-skilled and experienced in this arena, will give guidance for a logical approach to: 1) painful DRUJ arthritis (what works and what doesn't); 2) lunato-triquetral instability (why certain options should be preferred, and why); 3) ORIF of the displaced ulna-styloid fracture (why/why not); 4) pathophysiology and indications for treating radius malunion and DRUJ instability; and 5) fundamentals for understanding DRUJ instability itself (differences in destabilizing TFC injuries). Surgical recommendations will be based on clear understanding of anatomy and pathomechanics; any and all recommendations will be subject to critical discussion by the entire panel.
Learning Objectives: - To clarify physical diagnostic techniques for various components of the triangular fibrocartilage.
- To establish a rationale for selecting certain surgical procedures over others for different degrees of lunato-triquetral instability.
- To establish whether there is logic or reason for choosing ORIF of displaced basilar ulna styloid fractures.
- To explain the rationale for corrective radius osteotomy in the face of malunion and distal radio-ulna instability.
- To compare and contrast procedures available for painful distal radio-ulna arthritis, demonstrating the inappropriateness of some and the advantages of others.
http://www.assh.org/AnnualMeeting/program/Pages/Instructional-Course-Lectures.aspx
