Distal Radioulnar Joint Instability

The articulation of the distal radioulnar joint (DRUJ) has minimal osseous constraint and relies on a number of other primary and secondary structures for stability and normal function. DRUJ instability is a challenging clinical problem, and osseous, chondral and ligamentous factors can all contribute to the pathology - often in combination. A thorough understanding of the aetiology, clinical presentation and imaging findings of DRUJ instability are important when determining the best management strategy. This review covers anatomy, kinematics, aetiology, imaging findings and surgical management of DRUJ instability for both acute and chronic presentations. Level of Evidence: Level V (Therapeutic).