The Journal of hand surgery · 2026
Adams-Berger Reconstruction for Chronic Distal Radioulnar Joint Instability: Prospective 12-Month Outcomes.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Dhabal Himadri, Chandra Mainak, Mallick Sunny Kumar, Kumar Sanjay
Аннотация
PURPOSE: To prospectively evaluate stability restoration and functional outcomes following Adams-Berger ligament reconstruction for chronic distal radioulnar joint instability at 12 months.
METHODS: Thirty consecutive patients with symptomatic chronic distal radioulnar joint instability refractory to nonsurgical management underwent Adams-Berger ligament reconstruction using an autologous tendon graft. Patients with advanced arthritis, fixed bony deformity, or infection were excluded. Clinical evaluation included distal radioulnar joint stress testing, forearm pronation-supination range of motion, grip strength, Modified Mayo Wrist Score, Patient-Rated Wrist Evaluation, and Disabilities of the Arm, Shoulder and Hand score. Assessments were performed before surgery and at scheduled intervals through 12 months after surgery.
RESULTS: At 12 months, substantial improvement in distal radioulnar joint stability was observed, with restoration of a firm end point and minimal residual translation in most patients. Grip strength increased compared with preoperative values. Forearm rotation was preserved within functional limits. Patient-reported outcome measures demonstrated marked reduction in pain and disability with corresponding improvement in overall upper-extremity function. Most patients achieved good to excellent clinical outcomes. No graft failures or revision procedures were recorded during the follow-up period.
CONCLUSIONS: Adams-Berger ligament reconstruction demonstrated favorable short-term restoration of distal radioulnar joint stability with clinically meaningful improvement in strength and patient-reported outcomes at 12 months. Functional forearm rotation was preserved in this prospective cohort.
TYPE OF STUDY/LEVEL OF EVIDENCE: Prospective Cohort Study II.
METHODS: Thirty consecutive patients with symptomatic chronic distal radioulnar joint instability refractory to nonsurgical management underwent Adams-Berger ligament reconstruction using an autologous tendon graft. Patients with advanced arthritis, fixed bony deformity, or infection were excluded. Clinical evaluation included distal radioulnar joint stress testing, forearm pronation-supination range of motion, grip strength, Modified Mayo Wrist Score, Patient-Rated Wrist Evaluation, and Disabilities of the Arm, Shoulder and Hand score. Assessments were performed before surgery and at scheduled intervals through 12 months after surgery.
RESULTS: At 12 months, substantial improvement in distal radioulnar joint stability was observed, with restoration of a firm end point and minimal residual translation in most patients. Grip strength increased compared with preoperative values. Forearm rotation was preserved within functional limits. Patient-reported outcome measures demonstrated marked reduction in pain and disability with corresponding improvement in overall upper-extremity function. Most patients achieved good to excellent clinical outcomes. No graft failures or revision procedures were recorded during the follow-up period.
CONCLUSIONS: Adams-Berger ligament reconstruction demonstrated favorable short-term restoration of distal radioulnar joint stability with clinically meaningful improvement in strength and patient-reported outcomes at 12 months. Functional forearm rotation was preserved in this prospective cohort.
TYPE OF STUDY/LEVEL OF EVIDENCE: Prospective Cohort Study II.