The distal radioulnar joint is a complex anatomic structure that allows for a combination of rotation and translation with extrinsic and intrinsic stabilizers that maintain stability through a delicate equilibrium. Traumatic, congenital, inflammatory, and degenerative processes can disturb this sensitive balance, resulting in distal radioulnar joint arthritis. We discuss the joint's anatomy and biomechanics and the clinical approach to the patient. We review the surgical treatment options, expected outcomes, and their shortcomings. Selecting the best surgical intervention often means choosing the procedure with the set of complications and limitations best suited for the specific patient.

中文翻译：

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远端桡尺关节关节炎的治疗选择：平衡功能需求和骨切除。

远端桡尺关节是一个复杂的解剖结构，允许将旋转和平移与外部和内部稳定器相结合，通过微妙的平衡来保持稳定性。创伤性、先天性、炎症性和退行性过程会扰乱这种敏感的平衡，导致远端桡尺关节关节炎。我们讨论了关节的解剖学和生物力学以及患者的临床方法。我们回顾了手术治疗方案、预期结果及其缺点。选择最佳手术干预通常意味着选择具有最适合特定患者的一系列并发症和限制的手术。