الفهرس 
Introduction and Aim of The WorkOnly 14 pages are availabe for public view
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Abstract
Summary
In the hands of some examiners, arthrography of the distal radioulnar joint has been found to be of little similarity, computed tomography (CT) of the DURJ is highly informative; however, neither may be regarded as the first radiologic step but should be considered for the evaluation of unclear cases.
Aristotle said: “understanding the principle is more than one half the problem solved and to recognize the proper principle for effective treatment of the distal radio ulnar joint injuries, the anatomic concept, biomechanics of the DURJ and the diagnosis aids available must be concerned, and that is the purpose of this essay.
Treatment of DURJ instability is based on nature of instability either acute or chronic. Treatment of acute subluxation is usually conservative by above elbow cast and treatment of acute simple dislocation is either closed reduction or open reduction. But treatment of complex dislocation must be operative exploration and correct the cause of indelibility.
Treatment of chronic DRUJ instability is either reconstruction of T.F.C.C. tears, soft tissue reconstruction when there is stabilization of D.R.U.J with using a variety of materials for examples, fascia late, free tendon graft, flexor corpi ulnaris, transfer of pronater origin or use of a Dacron synthetic material, DURJ. Arthroplasty or arthrodesis of DURJ and pseudoarthroises of the distal ulna.