DRUJ Instability Syndrome. Short Ulna

Question

Asked for Male, 18 Years

I have been diagnosed with DRUJ Instability Syndrome due to Negative Variance of Ulna bone by 4.5 mm. This causes me excessive pain in right hand after even 10-15 mins of writing or small acts which stress my wrist. Even though it is in both hands(Genetic) but I have very heavy Chronic pain. The pain and irritation becomes very unbearable. Although I did consult a few doctors but the previously suggested Surgery has now been eliminated due to some medical reasons. I have tried Physiotherapy and other non surgical methods for past 1 year but no relief was received.

Answers (1)

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Dr. Kundan Kumar Jha Orthopedist 10 yrs exp Hyderabad Consult Now · Accepted Answer

Dr. Kundan Kumar Jha

Orthopedist 10 yrs exp Hyderabad

Consult Now

Negative ulnar variance can be associated with increased load on the wrist joint. The X-ray shows impingement of the ulna above the sigmoid notch of radius, which might cause pain. Also there is subluxation of ulna.

Next Steps

Since, you have severe pain and you already have exhausted the options of conservative therapy, surgery remains the only viable option- Radius shortening osteotomy followed by DRUJ fixation would be the best option. Need to rule out lunate avascular necrosis before planning surgery.

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