{"id":11180,"date":"2022-08-02T09:07:55","date_gmt":"2022-08-02T07:07:55","guid":{"rendered":"https:\/\/www.physiotutors.com\/?post_type=wiki&p=11180"},"modified":"2022-08-02T09:07:55","modified_gmt":"2022-08-02T07:07:55","slug":"druj-test","status":"publish","type":"wiki","link":"https:\/\/www.physiotutors.com\/wiki\/druj-test\/","title":{"rendered":"DRUJ Test"},"featured_media":11181,"template":"","class_list":["post-11180","wiki","type-wiki","status-publish","has-post-thumbnail","hentry"],"acf":{"sections":[{"acf_fc_layout":"page-header-detail-page","background":{"background_image":8812,"background_image_alt_text":"DRUJ Test"},"heading":"DRUJ Test | Distal Radioulnar Joint Test","subheading":"Wrist & Hand Assessment","content_editor":"","button_type":"internal_link","button_label":"Check our shop","button_style":"button-five","button_internal_link":4646,"button_anchor":"","button_url":"","button_file":"","label":""},{"acf_fc_layout":"submenu","links":[{"button_type":"anchor","button_label":"Learn","button_internal_link":null,"button_anchor":"section-number-3","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Assessment E-Book","button_internal_link":null,"button_anchor":"section-number-4","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Reviews","button_internal_link":null,"button_anchor":"section-number-5","button_url":"","button_file":null}],"dropdown_label":"Go to","button_right":{"button_type":"internal_link","button_label":"Become a member","button_style":"button-three","button_internal_link":16662,"button_anchor":"","button_url":"","button_file":""},"button_description":"Find this wiki on the Physiotutors platform"},{"acf_fc_layout":"content-content","section_options":{"vertical_alignment":"top","column_right_box":false,"column_left_width":"col-12 col-lg-4 offset"},"column_left":{"content_editor":"

Learn<\/h4>"},"column_right":{"content_editor":"

DRUJ Test | Distal Radioulnar Joint Test | Wrist Instability Assessment<\/h2>\nThe Distal Radioulnar Joint Test abbreviated as DRUJ Test is an orthopedic test to assess for a ligament tear of the distal radioulnar joint.\n\nWhile most commonly the SL ligament and TFCC are affected in wrist ligament injuries, the wrist is a complex region and requires a thorough assessment as missed ligament injuries may result in persistent pain, instability, and reduced grip force and range of motion and could lead to early osteoarthritis. Prosser et al. in (2011)<\/a> evaluated the Lunotriquetral Ballottement Test or Shuck Test on its diagnostic accuracy and report a positive likelihood ratio of 1.79 and negative likelihood ratio of 0.3 when compared with arthroscopy findings making it at most mildly useful in excluding an injury but overall the test has a weak clinical value.\n
\n\n[embed]https:\/\/www.youtube.com\/watch?v=nz53aeq-30k[\/embed]\n\n<\/div>\nTo conduct the test, the patient\u2019s forearm is held in neutral rotation and the examiner stabilizes the distal radius and hand as one unit with a firm grip.\n\nThe other hand then grasps the distal ulna and forces it into dorsal and palmar direction relative to the radius.\n\nThis procedure is repeated in relative supination and pronation.\n\nThe stability of the distal radioulnar joint is compared to the uninjured wrist and marked laxity, as well as the reproduction of the patient\u2019s painful symptoms, indicate a positive test.\n\nOther common tests to assess instability of the wrist:\n