الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
The anatomy of the distal radioulnar joint (DRUJ) is complex. It is
mostly described as a diarthrodial trochoid articulation composed of the
medial articular facet of the distal radius, the radial notch, and the distal
end of the ulna. The joint has to be both mobile, providing smooth and
complete forearm pronosupination, and stable to allow load and force
transmission. A functional examination of the DRUJ requires a thorough
understanding of anatomy, biomechanics and pathology. The examination
consists of an accurate history, inspection, palpation, range of motion,
grip strength, passive joint mobilization and provocative stress
maneuvers. The findings need to be compared to the unaffected contra
lateral side. One should keep in mind that the distal ulna not only
articulates with the distal radius but also with the carpus by the ulnocarpal
joint, contributing to wrist circumduction. Therefore the DRUJ should not
be assessed independently