Video 1: Distal radioulnar joint subluxation. A luxation is a complete dislocation, a subluxation is a partial dislocation. A subluxation exists when the articular surfaces are partly displaced but retain some contact with each other.
Chronic dislocation of the distal radio-ulnar joint is usually treated conservatively or by resection of the ulnar head (the Darrach procedure). Recently there has emerged a trend towards reconstructive stabilization procedures, based on modifications of old methods.
Unspecified fracture of the lower end of left radius, initial encounter for closed fracture. S52. 502A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM S52.
Different physical tests for the diagnosis of DRUJ instability have been described, including the Ballottement test, radius pull test, clunk test, extensor carpi ulnaris (ECU) test, and press test. The Ballottement test is considered the most reliable physical examination test for DRUJ instability.
Dislocation is injury to a joint that causes adjoining bones to no longer touch each other. Subluxation is a minor or incomplete dislocation in which the joint surfaces still touch but are not in normal relation to each other.
Subluxation means that the sheath is trapped between the radius and ulna, and so any kind of traumatic injury that turns the bones in such a manner that they impinge upon the sheath can also create the condition.
S52. 135A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM S52. 135A became effective on October 1, 2021.
Other intraarticular fracture of lower end of radius The 2022 edition of ICD-10-CM S52. 57 became effective on October 1, 2021.
Finding the right fracture code ... Use 25600 for “closed treatment of distal radial fracture (e.g., Colles or Smith type) or epiphyseal separation, with or without fracture of ulnar styloid; without manipulation.”
Distal radioulnar joint instability is the abnormal orientation or movement of the radius and ulna bones at the wrist in relation to one another. Injury to the tendons, ligaments and/or muscles stabilizing the joint may cause partial or complete dislocation.
Synovial pivot jointDistal radioulnar jointTypeSynovial pivot joint; uniaxialArticular surfacesDistal head of ulna, ulnar notch of radius4 more rows
Distal radioulnar joint (DRUJ) arthritis is an inflammatory condition characterized by gradual wearing away of the cartilaginous surface of the radioulnar joint resulting in significant pain, swelling, stiffness, and interference in the functioning of the wrist and/or arm.