The dorsal DRUJ capsular ligament is the posterior component of the distal radioulnar joint capsule, running from the dorsal rim of the sigmoid notch to the dorsal ulnar styloid base. It resists volar subluxation of the ulnar head during supination and is the primary dorsal stabiliser of the DRUJ.
Resists volar ulnar head subluxation during supination; provides posterior joint containment.
The dorsal DRUJ capsular ligament is injured in Smith fractures with dorsal DRUJ instability, allowing volar ulnar head subluxation in supination. Its integrity is assessed during DRUJ stress testing under fluoroscopy. Repair or reconstruction is required in chronic dorsal DRUJ instability. It forms the dorsal component of the TFCC structural ring.
Dorsal DRUJ capsular ligament disruption allowing volar ulnar head subluxation in supination, producing a painful clunk and instability managed by ligament repair or reconstruction.
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