Distal Radioulnar Joint / DRUJ Test | Distal Radioulnar Joint Ligaments

Execution:

  1. The patient’s forearm is held in neutral rotation
  2. The examiner stabilizes the distal radius and hand as one unit with a firm grip
  3. The other hand grasps the distal ulna and forces it into dorsal and palmar direction relative to the radius
  4. The procedure is repeated in relative supination and pronation

Positive Outcome: The stability of the distal radioulnar joint is compared to the uninjured wrist and marked laxity as well as the reproduction of the patient’s painful symptoms indicate a positive test

 

Study Reliability Sn Sp LR+ LR-
Prosser et al. (2011) NA 84 53 1.79 0.3
Comment: When compared with arthroscopy findings, the test is at most mildly useful in excluding an injury but overall the test has a weak clinical value