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Updated: May 9, 2026

Testing of all Six Semicircular Canals with Video Head Impulse Test Systems
Published on: April 18, 2019
Bilateral test for potential subluxation of the DRUJ
1Department of Hand Surgery, Vulpius Klinik, Vulpiusstr. 29, 74906, Bad Rappenau, Germany, peter.hahn@vulpiusklinik.de.
Abstract:
Untreated distal radioulnar joint (DRUJ) instability can lead to arthritis of the DRUJ. To date, however, the clinical determination of DRUJ instability still represents a challenge. We developed a new clinical test to determine its stability. This works by directly observing the ulnar head's dynamic behavior during active pro-supination or testing the DRUJ's static stability at different grades of rotation. With the test results, the examiner gains a better understanding of the ulna head's behavior during rotational movements and how that compares to that of the uninjured side.
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