University of Groningen. Fracture of the distal radius Oskam, Jacob
|
|
- Rose Gibson
- 5 years ago
- Views:
Transcription
1 University of Groningen Fracture of the distal radius Oskam, Jacob IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from it. Please check the document version below. Document Version Publisher's PDF, also known as Version of record Publication date: 1999 Link to publication in University of Groningen/UMCG research database Citation for published version (APA): Oskam, J. (1999). Fracture of the distal radius: selected issues of epidemiology, classification and treatment Groningen: s.n. Copyright Other than for strictly personal use, it is not permitted to download or to forward/distribute the text or part of it without the consent of the author(s) and/or copyright holder(s), unless the work is under an open content license (like Creative Commons). Take-down policy If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim. Downloaded from the University of Groningen/UMCG research database (Pure): For technical reasons the number of authors shown on this cover page is limited to 10 maximum. Download date:
2 90 CHAPTER 9 CORRECTIVE OSTEOTOMY FOR MALUNION OF THE DISTAL RADIUS: THE EFFECT OF CONCOMITANT ULNAR SHORTENING OSTEOTOMY. J Oskam, K M Bongers, A J M Karthaus, A J Frima, H J Klasen. Departments of Surgery, University Hospital Groningen and Deventer Hospitals Groningen, the Netherlands Archives of Orthopaedic and Trauma Surgery 1996; 115:
3 91 Residual complaints following corrective osteotomy for malunion of the distal radius are generally localized in the distal radioulnar joint. Usually, symptoms can be attributed to a length discongruency in the distal radioulnar joint due to inadequate correction of radial shortening. To treat postoperative positive ulnar variance, additional Darrach or Bowers resection has been proposed (3,9). However, following distal ulnar resection or hemiresection, pain, loss of grip strength and ulnar subluxation often remain (4). Ulnar shortening osteotomy has been said to create a better function in the distal radioulnar joint because of a lower risk of distal radioulnar instability (9). To avoid postoperative positive ulnar variance we performed 6 ulnar shortening osteotomies concomitantly to 22 radial corrections. The idea behind this policy was to reduce the number of secondary distal ulna (hemi)resections. We will evaluate whether appropriate functional results could be achieved and how many secondary operations were ultimately performed on the ulnar side of the wrist. METHODS AND MATERIAL During the period , 22 consecutive distal radial corrective osteotomies in 21 patients were performed. The mean interval between the injury and the corrective procedure was 10 months (4-120 months). The wrist function of 12 men and 9 women, with a median age of 42 years (19-59 years) was investigated. Preoperatively, all patients complained of wrist pain, diminished wrist movement, and loss of grip strength. Moreover, serious impairment of daily activities existed in all patients. A Colles fracture was present in 20 wrists, and a distal radius with a concomitant distal ulnar fracture or an intra-articular pilon fracture was diagnosed in 2 other cases. The Colles type fractures were extra-articular in 8 cases, and intra-articular in 12 wrists. Seventeen patients were treated conservatively by means of closed reduction and a dorsal splint for six weeks. External fixation was performed in 3, and K-wire fixation in 2 wrists as primary operative treatment. The radiocarpal angle on the lateral projection, and the radial inclination angle and
4 92 relative ulnar length on the postero-anterior projection were employed as radiological parameters of wrist anatomy (6,11). Radiographs were made 6 and 12 weeks postoperatively to monitor bone healing. The anatomical end result was studied on a radiograph after one year. A radiocarpal angle ranging from 10 degrees volarly to 10 degrees dorsally, a radial inclination angle of degrees, and an ulnar variation of -2 to +4 mm were considered to be physiological (6,11). The functional end results of the wrist were judged as good when no pain with use was obtained, and fair if moderate discomfort with use was obtained, if those patients returned to normal activities completely. Surgical technique An X-ray of the opposite wrist was used as indicator of the normal anatomical situation. The surgical approach to the radius was accomplished through a longitudinal volar incision in the second compartment in 10 operations, and a dorsal incision in the third compartment in 12 operations. Depending on wether the radius should also be corrected in the saggital plane (radial inclination), the correction was performed either by an opening linear osteotomy or by an opening biplanar wedge osteotomy. A corticocancellous bone graft from the iliac crest was cut in such a shape that it restored volar and radial tilts. Internal fixation was performed with a small T-plate. Exercises were started at two weeks postoperatively. In six patients (Case no. 9,10,13,16,21,22) concomitant ulnar shortening osteotomy was performed through a separate ulnar incision as described in an earlier paper (7). The indication for this procedure was a positive relative ulnar length of minimally 6 mm. RESULTS Follow up data, after a median period of 30 months (range 12-84) could be obtained in all cases. Healing of the radial osteotomy was radiographically adequate in all 22 wrists within three months. Moreover, disturbance of bone union was not observed in any of the ulnar shortening osteotomies.
5 93 Two different radiological patterns of distal radius malunion could be distinguished: one in which a disturbance of the radiocarpal angle prevails, and one in which a combination of radial deviation with severe radial shortening is characteristic (Fig 1). Ulnar-shortenings were mostly performed in the latter group. It can be seen in Figure 1, that both dorsal and volar tilts were corrected. The radiocarpal angle could be restored adequately in all but 2 patients. In these two patients a postoperative dorsal tilt of circa 20 degrees remained. With respect to the radial inclination angle Figure 1 shows that the most common preoperative pattern was severe radial deviation of the joint surface. However, the radial inclination angle could not be corrected anatomically in all wrists. Figure 1 also shows that the relative ulnar length after correction was usually within the range of -2 to +4 mm. An ulnar variance of -3 mm was observed in Case no.14, but no residual complaints occurred. During follow up all patients reported improvement of wrist function. Good results were observed in 17 patients ( Case no. 2-6, 9-16, 18, 19, 21). A fair functional result was found in 5 patients. In the group with ulnar shortening in combination with radial correction, good results were achieved in 5 out of 6 patients. Case Localisation pain Anatomical disorder 7 Radioulnar Discongruency sigmoid notch 8 Radioulnar Positive ulnar variance 17 Ulnocarpal Chondropathy ulna head 20 Radiocarpal 22 Radioulnar Discongruency sigmoid notch Table 1. Survey of postoperative wrist pain in 5 patients with a fair functional outcome following corrective osteotomy.
6 94 The precise localisation of postoperative wrist pain in the 5 patients with a fair functional outcome are displayed in Table 1. It appears that mainly the ulnar side radiocarpal angle degrees case no. PRE POST radial inclination degrees case no. PRE POST
7 95 rel. ulnar length mm case no. PRE POST Figure 1. Pre- and post-operative measurements of radioanatomical parameters of 22 wrists corrected for a distal radial malunion. (PRE= preoperative, POST= postoperative) of the wrist was involved. Positive ulnar variance due to a failure to restore radial length was only observed in case no. 8. Furhermore, osteoarthritis in the radioulnar joint due to fracture involvement of the sigmoid notch (incisura ulnaris) of the distal radius was found in case no. 7 and 22. In order to relieve persistent pain in patient no. 7 and 8, secondary hemiresection of the ulna head was performed. This resulted in improvement of wrist function without pain. DISCUSSION This study shows that most of the corrective procedures we performed were technically and functionally adequate because wrist anatomy could be restored, and all patients reported improvement of wrist function (4,5). The postoperative disorders in our series consisted of incongruency of the radial sigmoid notch and ulnar head chondropathy, both of which have been described previously and are generally not attributed to technical failure (5). During follow up no poor functional results were observed and all patients were able to resume their normal daily
8 96 are quite acceptable. Positive ulnar variance appears to be the most common cause for residual radioulnar pain after correction of wrist deformity (3). Inadequate lengthening of the radius is the most likely cause of this postoperative complication. It has been reported that the maximum length that can be achieved by solely radial correction is circa 6-7 mm. (5). If larger length discrepancies have to be corrected single radial osteotomy may not be sufficient. Therefore, we think that if problems of restoring radial length are to be expected, an concomitant ulnar shortening osteotomy should primarily be performed. For that reason, we performed 6 concomitant ulnar shortening osteotomies, with a good functional outcome in 5 of the 6 wrists. Furthermore, a relatively too long ulna could only be observed in 1 out of 22 corrections. The first reports on failure following correction were published 50 years ago (2,10). At the time, it had already been reported that disorders in the distal radioulnar joint commonly induce pain and malfunction, and that Darrach resection may relieve these symptoms. Fernandez confirmed the drawback of residual radioulnar pain following radial corrective osteotomy in 1982, and suggested that positive ulnar variance was the most likely cause (3). Consequently, he performed additional Darrach resection in 8 of 20 patients (40%). However, Darrach resection can provoke ulnar subluxation and instability (1). Therefore, hemiresection of the ulnar head has been developed and can be considered as a better alternative in combination with radial corrective osteotomy nowadays, because stability of the distal radioulnar joint is maintained (4, 9). Stability of the distal radioulnar joint is determined by surface congruity, and condition of the ligaments (8). Since ulnar hemiresection causes pseudarthrosis, loss of distal radioulnar stability may occur. To stabilize the distal radioulnar joint in case of posttraumatic positive ulnar variance, we reported earlier that length incongruency can be meticulously corrected (7). From this point of view, we found hemiresection of the ulnar head not the optimal physiological solution, and now we prefer to perform an ulnar shortening osteotomy if we expect that radial lengthening will not restore congruency in the distal radioulnar joint. Partial resection of the ulna head has been reported to be a reasonable alternative (9).
9 97 However, it is not yet known whether the functional results of hemiresection are good in the long term. Therefore, we advocate reconstruction of the distal radioulnar joint by means of ulnar shortening osteotomy, while additional hemiresection of the ulnar head should only be performed if anatomical reconstruction is impossible. REFERENCES 1. Bieber EJ, Linscheid RL, Dobyns JH, Beckenbaugh RD. Failed distal ulnar resections. J Hand Surg 1988; 13A: Campbell WC. Malunited Colles fractures. JAMA 1937; 109: Fernandez DL. (Correction of post-traumatic wrist deformity in adults by osteotomy, bonegrafting, and internal fixation. J Bone Joint Surg 1982; 64A: Fernandez DL. Radial osteotomy and Bowers arthroplasty for malunited fractures of the distal end of the radius. J Bone Joint Surg 1988; 70A: Fernandez DL. Distal radius fractures. Reconstructive procedures for malunion and traumatic arthritis. Orthop Clin North Am 1993; 24: Friberg S, Lundstrom B. Radiographic measurements of the radio-carpal joint in normal adults. Acta Radiol Diagn 1976; 17: Oskam J, Kingma J, Klasen HJ. Ulnar-shortening osteotomy after fracture of the distal radius. Arch Orthop Trauma Surg 1993; 112: Palmer AK, Werner FW. The triangular fibrocartilage complex of the wrist-anatomy and function. J Hand Surg 1981; 6A: Posner MA, Ambrose L. Malunited Colles fractures: Correction with a biplanar closing wedge osteotomy. J Hand Surg 1991; 16A: Speed JS, Knight RA. The treatment of malunited Colles s fractures. J Bone Joint Surg 1945; 27A: Steyers CM, Blair WF. Measuring ulnar variance: a comparison of techniques. J Hand Surg 1989; 14A:
10 98
University of Groningen. Fracture of the distal radius Oskam, Jacob
University of Groningen Fracture of the distal radius Oskam, Jacob IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from it. Please check the document
More informationUniversity of Groningen. Fracture of the distal radius Oskam, Jacob
University of Groningen Fracture of the distal radius Oskam, Jacob IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from it. Please check the document
More informationUniversity of Groningen. Fracture of the distal radius Oskam, Jacob
University of Groningen Fracture of the distal radius Oskam, Jacob IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from it. Please check the document
More informationUniversity of Groningen. Fracture of the distal radius Oskam, Jacob
University of Groningen Fracture of the distal radius Oskam, Jacob IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from it. Please check the document
More informationIndex. Note: Page numbers of article titles are in boldface type. Hand Clin 21 (2005)
Hand Clin 21 (2005) 501 505 Index Note: Page numbers of article titles are in boldface type. A Antibiotics, following distal radius fracture treatment, 295, 296 Arthritis, following malunion of distal
More informationCover Page. The handle holds various files of this Leiden University dissertation.
Cover Page The handle http://hdl.handle.net/1887/35777 holds various files of this Leiden University dissertation. Author: Wijffels, Mathieu Mathilde Eugene Title: The clinical and non-clinical aspects
More informationInteresting Case Series. Ulnolunate Impaction Syndrome
Interesting Case Series Ulnolunate Impaction Syndrome Saptarshi Biswas, MD, FRCS Westchester University Medical Center, Valhalla, NY Keywords: ulnar impaction, ulnar impaction syndrome, ulnar wrist pain,
More informationDegrees Of Volar Angulation In Distal Radius Fracture Effects Distal Radioulnar Joint Stability:a Biomechanical Study
Degrees Of Volar Angulation In Distal Radius Fracture Effects Distal Radioulnar Joint Stability:a Biomechanical Study Yuki Bessho, MD, Toshiyasu Nakamura, MD PhD, Takeo Nagura, MD PhD, Yoshimori Kiriyama,
More informationjournal ORIGINAL RESEARCH
texas orthopaedic journal ORIGINAL RESEARCH Assessment of Volar Tilt Measurements with Variations in X-Ray Beam Centralization Along the Longitudinal Axis of the Radius Russell A. Wagner, MD; Will Junius,
More informationSurgical correction for supination loss following malunited radial fractures
Acta Orthop. Belg., 2012, 78, 175-182 ORIGINAL STUDY Surgical correction for supination loss following malunited radial fractures Min Jong PARK, Yong Beom LEE, Hyo Gon KIM From Sungkyunkwan University
More informationFractures of the distal end of the radius should be
FRACTURES OF THE DISTAL END OF THE RADIUS TREATED BY INTERNAL FIXATION AND EARLY FUNCTION A PRELIMINARY REPORT OF 20 CASES DANIEL A. RIKLI, PIETRO REGAZZONI From the University Hospital, Basel, Switzerland
More informationCase Report Bone Resection for Isolated Ulnar Head Fracture
Hindawi Case Reports in Orthopedics Volume 2017, Article ID 3519146, 4 pages https://doi.org/10.1155/2017/3519146 Case Report Bone Resection for Isolated Ulnar Head Fracture Hiromasa Akino, Shunpei Hama,
More informationTechnique Guide. 2.4 mm Variable Angle LCP Distal Radius System. For fragment-specific fracture fixation with variable angle locking technology.
Technique Guide 2.4 mm Variable Angle LCP Distal Radius System. For fragment-specific fracture fixation with variable angle locking technology. Table of Contents Introduction 2.4 mm Variable Angle LCP
More informationHand and wrist emergencies
Chapter1 Hand and wrist emergencies Carl A. Germann Distal radius and ulnar injuries PEARL: Fractures of the distal radius and ulna are the most common type of fractures in patients younger than 75 years.
More informationA study of the radiographic morphometry of the distal radius in a south Indian population
Original Article Hand Microsurg 2018;7:9-15 doi:10.5455/handmicrosurg.285986 A study of the radiographic morphometry of the distal radius in a south Indian population Supreeth Nekkanti, Jacqueline Shah,
More informationFactors Predicting Late Collapse of Distal Radius Fractures
http://dx.doi.org/10.5704/moj.1111.006 Factors Predicting Late Collapse of Distal Radius Fractures, MD Regional Hospital Durres, Orthopaedic Clinic, Durres, Albania ABSTRACT Background: Although fractures
More informationComparisonofUlnar-ShorteningOsteotomyWitha NewTrimedDynamicCompressionSystemVersusthe SynthesDynamicCompressionSystem:ClinicalStudy
SCIENTIFICARTICLE ComparisonofUlnar-ShorteningOsteotomyWitha NewTrimedDynamicCompressionSystemVersusthe SynthesDynamicCompressionSystem:ClinicalStudy ShaiLuria,MD,AnthonyJ.Lauder,MD,ThomasE.Trumble,MD
More informationUniversity of Groningen. Thoracolumbar spinal fractures Leferink, Vincentius Johannes Maria
University of Groningen Thoracolumbar spinal fractures Leferink, Vincentius Johannes Maria IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from
More informationComparison between Distractor Application on Both Radial & Ulnar Side and Radial Side Only for Fracture Distal Radius with Ulnar Styloid Fracture
Open Journal of Orthopedics, 2013, 3, 227-233 http://dx.doi.org/10.4236/ojo.2013.35043 Published Online September 2013 (http://www.scirp.org/journal/ojo) 227 Comparison between Distractor Application on
More informationEffects of Malunited Fractured Distal End of Radius on the Morphometric Parameters of Distal Radioulnar Joint in Old Age Group
Website: www.aijournals.com/journals/aanat/ DOI: 10.21276/aanat.2016.2.1.3 ORIGINAL ARTICLE ISSN: 2455-5274 Effects of Malunited Fractured Distal End of Radius on the Morphometric Parameters of Distal
More informationMalunited extra-articular distal radius fractures: corrective osteotomies using volar locking plate
J Orthopaed Traumatol (2014) 15:285 290 DOI 10.1007/s10195-014-0307-x ORIGINAL ARTICLE Malunited extra-articular distal radius fractures: corrective osteotomies using volar locking plate Luigi Tarallo
More informationCharacterizing scaphoid nonunion deformity using 2-D and 3-D imaging techniques ten Berg, P.W.L.
UvA-DARE (Digital Academic Repository) Characterizing scaphoid nonunion deformity using 2-D and 3-D imaging techniques ten Berg, P.W.L. Link to publication Citation for published version (APA): ten Berg,
More informationDORSAL TILT, RADIAL INCLINATION, radial translocation,
SCIENTIFIC ARTICLE Sigmoid Notch Reconstruction and Limited Carpal Arthrodesis for a Severely Comminuted Distal Radius Malunion: Case Report Francisco del Piñal, MD, PhD, Alexis Studer, MD, Carlos Thams,
More informationUlna Shortening Osteotomy Using a Compression Device
Ulna Shortening Osteotomy Using a Compression Device Neal C. Chen, MD, Boston, MA, Scott W. Wolfe, MD, New York, NY Purpose: To report the functional and radiographic outcomes of a cohort of patients treated
More informationUnion rate: Union: Stable 94% All fracture 90% Union after surgery for nonunion with surgery 80% OA in healed scaphoid: 9%
Complications Incidence of Non-union 1 cm displacement of fracture caused 55% Non-union It takes 5-20 yrs to develop SNAC. SNAC appears to be more common with waist fracture than a proximal pole. However
More informationIS CASTING AN ACCEPTABLE TREATMENT APPROACH FOR A DISTAL RADIUS FRACTURE THAT HAS UNDERGONE A SATISFACTORY CLOSED REDUCTION?
Original Article FOR A DISTAL RADIUS FRACTURE THAT HAS UNDERGONE A SATISFACTORY CLOSED REDUCTION? Khalid Masood *, Muhammad Jamil **, Farooq Ibrahim Pasha*, Khalid Zulfiqar Quresshi **, Naveed Ishaq Malik
More informationof intramedullary nailing for correction of posttraumatic
J Orthopaed Traumatol (2017) 18:37 42 DOI 10.1007/s10195-016-0422-y ORIGINAL ARTICLE Intramedullary nailing for correction of post-traumatic deformity in late-diagnosed distal radius fractures Alvin Chao-Yu
More informationComplications of Distal Radius Fractures. How to Treat a Distal Radius Fx 11/13/2017. Michael S. Bednar, M.D. Loyola University Chicago
Complications of Distal Radius Fractures Michael S. Bednar, M.D. Loyola University Chicago How to Treat a Distal Radius Fx Need to restore motion, begin with uninvolved parts Need to reduce an unreduced
More informationUniversity of Groningen. Fracture of the distal radius Oskam, Jacob
University of Groningen Fracture of the distal radius Oskam, Jacob IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from it. Please check the document
More informationInternational Journal of Orthopaedics Sciences 2017; 3(2): DOI:
2017; 3(2): 519-525 ISSN: 2395-1958 IJOS 2017; 3(2): 519-525 2017 IJOS www.orthopaper.com Received: 19-02-2017 Accepted: 20-03-2017 Dr. Kaushik Kr Dutta Registrar, Department of Orthopaedics, Gauhati edical
More informationLong-term Outcomes of Ulnar Shortening Osteotomy for Idiopathic Ulnar Impaction Syndrome: At Least 5-Years Follow-up
Original Article Clinics in Orthopedic Surgery 2011;3:295-301 http://dx.doi.org/10.4055/cios.2011.3.4.295 Long-term Outcomes of Ulnar Shortening Osteotomy for Idiopathic Ulnar Impaction Syndrome: At Least
More informationMadelung s Deformity 11/7/2016. Disclosures: Introduction:
Madelung s Deformity MICHAEL J GARCIA, MD FLORIDA ORHOPAEDIC INSTITUTE UNIVERSITY OF SOUTH FLORIDA NOVEMBER 5, 2016 Disclosures: I am a consultant for Arthrex, Inc I am on the Speaker s Bureau for Endo
More informationORIGINAL PAPER. Department of Hand Surgery, Nagoya University School of Medicine ABSTRACT
Nagoya J. Med. Sci. 74. 167 ~ 171 2012 ORIGINAL PAPER TILT OF THE RADIUS FROM FOREARM ROTATIONAL AXIS RELIABLY PREDICTS ROTATIONAL IMPROVEMENT AFTER CORRECTIVE OSTEOTOMY FOR MALUNITED FOREARM FRACTURES
More informationJMSCR Vol 05 Issue 06 Page June 2017
www.jmscr.igmpublication.org Impact Factor 5.84 Index Copernicus Value: 83.27 ISSN (e)-2347-176x ISSN (p) 2455-0450 DOI: https://dx.doi.org/10.18535/jmscr/v5i6.32 Functional & Radiological Outcome of the
More informationIndex. Springer International Publishing Switzerland 2016 J.N. Lawton (ed.), Distal Radius Fractures, DOI /
Index A AAOS. See American Academy of Orthopaedic Surgeons (AAOS) Abductor pollicis longus (APL) tendon, 34, 73 Acute carpal tunnel syndrome, 93 American Academy of Orthopaedic Surgeons (AAOS), 66, 238
More informationCarpal rows injuries!
Carpal rows injuries! Michael Papaloïzos! Center for Hand Surgery and Therapy Geneva, Switzerland no conflict of interest to declare Fractures of carpal bones! The fractured scaphoid! Fracture-dislocations
More informationOperative Indications
Distal Radius Fractures: Closed Treatment? Paul Tornetta III, MD Professor Boston Medical Center Boston Medical Center Operative Indications Age Initial films Dorsal comminution Intraarticular involvement
More informationStep-Cut Distal Ulnar Shortening Osteotomy
Step-Cut Distal Ulnar Shortening Osteotomy Nickolaos A. Darlis, MD, Italo C. Ferraz, MD, Robert W. Kaufmann, MD, Dean G. Sotereanos, MD, Pittsburgh, PA Purpose: Several techniques for ulnar-shortening
More informationUvA-DARE (Digital Academic Repository) 3D imaging in corrective osteotomy of the distal radius Vroemen, Joy. Link to publication
UvA-DARE (Digital Academic Repository) 3D imaging in corrective osteotomy of the distal radius Vroemen, Joy Link to publication Citation for published version (APA): Vroemen, J. (2013). 3D imaging in corrective
More informationNIH Public Access Author Manuscript J Hand Surg Am. Author manuscript; available in PMC 2014 January 01.
NIH Public Access Author Manuscript Published in final edited form as: J Hand Surg Am. 2013 January ; 38(1): 40 48. doi:10.1016/j.jhsa.2012.10.007. Radiographic Outcomes of Volar Locked Plating for Distal
More informationEarly outcome in Madelung s and Madelung like deformity of wrist in adolescent group
International Journal of Research in Orthopaedics Gupta SP et al. Int J Res Orthop. 2017 Jan;3(1):74-79 http://www.ijoro.org Original Research Article DOI: http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20164828
More informationJMSCR Vol 05 Issue 04 Page April 2017
www.jmscr.igmpublication.org Impact Factor 5. Index Copernicus Value: 3.7 ISSN (e)-37-17x ISSN (p) 55-5 DOI: https://dx.doi.org/1.1535/jmscr/v5i.1 Functional Outcome after Surgical Stabilization of Fractures
More informationDistal radius fracture Golden standard and breaking news
Distal radius fracture Golden standard and breaking news Copenhagen 2018 Yngvar Krukhaug MD,PhD Senior Consultant Orthopaedic Surgeon Associated Professor Orthopaedic Clinic Trauma Section Haukeland University
More informationInternational Journal of Health Sciences and Research ISSN:
International Journal of Health Sciences and Research www.ijhsr.org ISSN: 2249-9571 Original Research Article Morphometry of Head of Ulna - An Anatomical Study Vijaykishan B 1, Lakshmi TA 2, Jyotsna B
More informationDepartment of Orthopaedics, Sri Manakula Vinayagar Medical College and Hospital, Pondicherry , India
Case Reports in Orthopedics Volume 2013, Article ID 953149, 6 pages http://dx.doi.org/10.1155/2013/953149 Case Report A Newer Technique of Distal Ulna Reconstruction Using Proximal Fibula and TFCC Reconstruction
More informationCASE REPORT. Distal radius nonunion after volar locking plate fixation of a distal radius fracture: a case report
Nagoya J. Med. Sci. 79. 551 ~ 557, 2017 doi:10.18999/nagjms.79.4.551 CASE REPORT Distal radius nonunion after volar locking plate fixation of a distal radius fracture: a case report Takaaki Shinohara 1
More informationA Patient s Guide to Adult Distal Radius (Wrist) Fractures
A Patient s Guide to Adult Distal Radius (Wrist) Fractures Suite 11-13/14/15 Mount Elizabeth Medical Center 3 Mount Elizabeth Singapore, 228510 Phone: (65) 6738 2628 Fax: (65) 6738 2629 1 DISCLAIMER: The
More informationClient centered approach to distal radius fracture management. Jared Rasmussen OTR
Client centered approach to distal radius fracture management Jared Rasmussen OTR Disclosures Sadly, no financial disclosures Objectives Review of anatomy, common fractures of the distal radius, fixation
More informationDistal radius fractures are
Clin Orthop Relat Res (2015) 473:3098 3104 / DOI 10.1007/s11999-015-4335-5 Clinical Orthopaedics and Related Research A Publication of The Association of Bone and Joint Surgeons Published online: 21 May
More informationModular Ulnar Head surgical technique. Transforming Extremities
First Choice Modular Ulnar Head surgical technique Transforming Extremities instrumentation Head and Collar Trials Assembly Pad Starter Awl Trial Extractor Osteotomy Guide Stem Trials Implant Impactor
More informationUlna-shortening osteotomy : subjective appreciation and long-term functional outcome
Acta Orthop. Belg., 2012, 78, 317-323 ORIGINAL STUDY Ulna-shortening osteotomy : subjective appreciation and long-term functional outcome Alexandra CHERCHEL, Sophie VAnDEnDUnGEn, Jean-Pierre MOERMAnS,
More informationWrist Arthritis & Partial Wrist Fusion
Wrist Arthritis & Partial Wrist Fusion Mr Jason N Harvey MB.BS. FRACS (Orth) Hand,Wrist & Elbow Surgeon Clinical Symptoms Outline Physical Examination Diagnosis Differential Diagnosis Outline Non-operative
More informationChapter 12 Distal Ulnar Resection
Chapter 12 Distal Ulnar Resection Introduction Ulnar impaction syndrome is a common but often unrecognized cause of pain on the ulnar side of the wrist. Although it can be congenital (due to a long ulna),
More informationOutcome of Kienböck s Disease 22 Years after Distal Radius Shortening Osteotomy
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH Number 000, pp. 000 000 2007 Lippincott Williams & Wilkins Outcome of Kienböck s Disease 22 Years after Distal Radius Shortening Osteotomy E. E. J. Raven, MD
More informationORIGINAL ARTICLE TREATMENT DISTAL RADIUS FRACTURE WITH VOLAR BUTTRESS TECHNIQUE- A CLINICAL STUDY
TREATMENT DISTAL RADIUS FRACTURE WITH VOLAR BUTTRESS TECHNIQUE- A CLINICAL STUDY Neelanagowda V P Patil 1, Lingaraj 2, P S Kaladagi 3, Paramanda Hospeti 4, Nizamuddin 5. 1. Assistant professor, Department
More informationComplications and functional outcome following fixation of complex, intra-articular fractures of the distal radius with the AO Pi-Plate
Acta Orthop. Belg., 2005, 71, 672-677 ORIGINAL STUDY Complications and functional outcome following fixation of complex, intra-articular fractures of the distal radius with the AO Pi-Plate Vikas KHANDUJA,
More informationVascular Pedicle Pisiform Bone Grafting for Kienbocks Disease : A Case Report
Case Report Vascular Pedicle Pisiform Bone Grafting for Kienbocks Disease : A Case Report Nagamuneendrudu K 1, Valya B 2, Vishnu Vardhan M 3 1 Associate Professor Department of Orthopaedics Osmania Medical
More informationGALEAZZI FRACTURE. Galeazzi fracture-dislocations can be difficult to recognize and are often not initially appreciated.
GALEAZZI FRACTURE Introduction In the Galeazzi fracture-dislocation there is a fracture of the distal third of the shaft of the radius in association with a subluxation or dislocation of the distal radio-ulna
More informationLong term results of the Sauvé-Kapandji procedure in the rheumatoid wrist
Acta Orthop. Belg., 2013, 79, 655-659 ORIGINAL STUDY Long term results of the Sauvé-Kapandji procedure in the rheumatoid wrist Miklós Papp, Levente Papp, Balázs Lenkei, Zoltán Károlyi From Borsod County
More informationUNFAVORABLE RESULTS AND degenerative arthritis. Arthroscopically Guided Osteotomy for Management of Intra-Articular Distal Radius Malunions
SCIENTIFIC ARTICLE Arthroscopically Guided Osteotomy for Management of Intra-Articular Distal Radius Malunions Francisco del Piñal, MD, PhD, Leopoldo Cagigal, MD, Francisco J. García-Bernal, MD, PhD, Alexis
More informationCarpal Instability: Clarification of the Most Common Etiologies and Imaging Findings
Carpal Instability: Clarification of the Most Common Etiologies and Imaging Findings Corey Matthews DO, Nicholas Strle DO, Donald von Borstel DO Oklahoma State University Medical Center, Department of
More informationDynamic CT Assessment of Distal Radioulnar Instability
Dynamic CT Assessment of Distal Radioulnar Instability Poster No.: P-0114 Congress: ESSR 2016 Type: Educational Poster Authors: S. Dumonteil, M. A. Shah, A. Srikanthan, V. Ejindu, N. Papadakos; London/UK
More informationFractures of the distal radius have occupied a storied history
Distal Radius Fractures: What Cannot Be Fixed With a Volar Plate? The Role of Fragment-Specific Fixation in Modern Fracture Treatment Jonathan Lam, MD, PhD,* and Scott W. Wolfe, MD, The advent of volar
More informationTreatment of malunited fractures of the ankle
Treatment of malunited fractures of the ankle A LONG-TERM FOLLOW-UP OF RECONSTRUCTIVE SURGERY I. I. Reidsma, P. A. Nolte, R. K. Marti, E. L. F. B. Raaymakers From Academic Medical Center, Amsterdam, Netherlands
More informationThe functional importance of malunion in distal radius fractures
The functional importance of malunion in distal radius fractures Nadine HOLLEVOET, René VERDONK The purpose of our study was to investigate which radiological parameter had the maximal detrimental effect
More informationRelocation of the radial head with minimal invasive approach using the Ilizarov technique in neglected Monteggia fracture
2016; 2(2): 13-20 ISSN: 2395-1958 IJOS 2016; 2(2): 13-20 2016 IJOS www.orthopaper.com Received: 01-09-2015 Accepted: 02-03-2016 Dr. Nishant Chaudhari Postgraduate resident in orthopaedics, Surat Municipal
More informationChapter 13. Arthroscopic Lunotriquetral Arthrodesis and Head of the Hamate Resection. Introduction. Operative Technique (Fontes) Midcarpal Exploration
Chapter 13 Arthroscopic Lunotriquetral Arthrodesis and Head of the Hamate Resection Introduction Lunotriquetral arthrodesis is a controversial procedure but is sometimes proposed as a last resort for lunotriquetral
More informationObjective Outcomes Following Semi-Constrained Total Distal Radioulnar Joint Arthroplasty
Yale University EliScholar A Digital Platform for Scholarly Publishing at Yale Yale Medicine Thesis Digital Library School of Medicine January 2015 Objective Outcomes Following Semi-Constrained Total Distal
More informationOperative Treatment of Intra-articular Distal Radius Fractures Using the Small AO External Fixation Device
ORIGINAL ARTICLE Operative Treatment of Intra-articular Distal Radius Fractures Using the Small AO External Fixation Device Teng-Le Huang 1,2 *, Ching-Kuei Huang 2,3, Jung-Kuang Yu 2,3, Fang-Yao Chiu 2,3,
More informationCommon Limb Fractures. Mr Sheraz Malik MB BS MRCS Instructor Mr Paul Ofori-Atta Mb ChB FRCS President Motc Life UK April 2009
Common Limb Fractures Mr Sheraz Malik MB BS MRCS Instructor Mr Paul Ofori-Atta Mb ChB FRCS President Motc Life UK April 2009 Objectives To be able to describe all characteristics of a fracture Describe
More informationChapter 7. Anatomy of the Triangular Fibrocartilage Complex: Current Concepts. Introduction. Anatomy. Histology
Chapter 7 Anatomy of the Triangular Fibrocartilage Complex: Current Concepts Introduction The triangular fibrocartilage complex (TFCC) is one of the intrinsic ligaments of the wrist. It is often injured
More informationKienböck s disease stage II in an adolescent with benign outcome
Kienböck s disease stage II in an adolescent with benign outcome A. Schweizer¹( ), F. Denzler¹, G. Kohler² ¹University Children s Hospital Basel, Orthopaedic Department UKBB, Basel, Switzerland ²Kantonsspital
More informationRehabilitation after Total Elbow Arthroplasty
Rehabilitation after Total Elbow Arthroplasty Total Elbow Atrthroplasty Total elbow arthroplasty (TEA) Replacement of the ulnohumeral articulation with a prosthetic device. Goal of TEA is to provide pain
More informationUlnar Shortening Osteotomy for Ulnar Impaction Syndrome
The Egyptian Journal of Hospital Medicine (January 2019) Vol. 74 (1), Page 31-35 Elmenawy M., Elsherief O., Abd Elaliem M. Orthopedic Surgery Department, Faculty of Medicine (Damietta), Al-Azhar University
More informationEssential Radiographic Evaluation for Distal Radius Fractures
Hand Clin 21 (2005) 279 288 Essential Radiographic Evaluation for Distal Radius Fractures Robert J. Medoff, MD Department of Orthopaedic Surgery, University of Hawaii, 30 Aulike Street #506, Kailua, HI
More informationCase Report Correction of Length Discrepancy of Radius and Ulna with Distraction Osteogenesis: Three Cases
Hindawi Publishing Corporation Case Reports in Orthopedics Volume 2015, Article ID 656542, 6 pages http://dx.doi.org/10.1155/2015/656542 Case Report Correction of Length Discrepancy of Radius and Ulna
More informationThe Journal of the Korean Society of Fractures Vol.13, No.4, October, 2000
The Journal of the Korean Society of Fractures Vol13, No4, October, 2000,, 16, ) : 2 29-1 TEL : (02) 2210-3474 FAX : (02) 2217-1897 1004, 4 (16%), 18,, (72%), 3 ( 12 %),,, 15 1994 1 1998 1 2 - (scapholunate
More informationCitation for published version (APA): Eijkelkamp, M. F. (2002). On the development of an artificial intervertebral disc s.n.
University of Groningen On the development of an artificial intervertebral disc Eijkelkamp, Marcus Franciscus IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you
More informationPost-Traumatic Malunion of the Proximal Phalanx of the Finger. Medium- Term Results in 24 Cases Treated by In Situ Osteotomy
Send Orders of Reprints at reprints@benthamscience.org 468 The Open Orthopaedics Journal, 2012, 6, 468-472 Open Access Post-Traumatic Malunion of the Proximal Phalanx of the Finger. Medium- Term Results
More informationVolar fixed-angle plating for distal radius fractures 刀圭会協立病院 津村敬
Volar fixed-angle plating for distal radius fractures 刀圭会協立病院 津村敬 Normal distal radius anatomy Radial styloid process EPL Volar lip Lister s s tubercle Radial styloid process Sigmoid notch palmar view
More informationA N D R E W I R W I N, F R C S E D ( O R T H ) C O N S U L T A N T O R T H O P A E D I C S U R G E O N W E S T H E R T S N H S T R U S T, U K
Wrist Fractures A N D R E W I R W I N, F R C S E D ( O R T H ) C O N S U L T A N T O R T H O P A E D I C S U R G E O N W E S T H E R T S N H S T R U S T, U K St Albans Abbey, 1077 onwards Watford General
More informationA novel method of treating isolated unicondylar fracture of the head of the proximal phalanx: A case report
CASE REPORT 41 OPEN ACCESS A novel method of treating isolated unicondylar fracture of the head of the proximal phalanx: A case report Aysha Rajeev, John Harrison ABSTRACT Introduction: The phalangeal
More informationCover Page. The handle holds various files of this Leiden University dissertation.
Cover Page The handle http://hdl.handle.net/1887/35777 holds various files of this Leiden University dissertation. Author: Wijffels, Mathieu Mathilde Eugene Title: The clinical and non-clinical aspects
More informationThis article appeared in a journal published by Elsevier. The attached copy is furnished to the author for internal non-commercial research and
This article appeared in a journal published by Elsevier. The attached copy is furnished to the author for internal non-commercial research and education use, including for instruction at the authors institution
More informationTriangular Fibrocartilage Complex Repair. The triangular fibrocartilage complex (TFCC) is one of the main stabilizers of the
Michelle Brandt and Megan Passarelle Surgical Assignment Due: 11/9/14 Triangular Fibrocartilage Complex Repair Abstract The triangular fibrocartilage complex (TFCC) is one of the main stabilizers of the
More informationScaphoid Non-Union Current Treatment Options
Scaphoid Non-Union Current Treatment Options Peter J. Evans, MD, PhD, FRCSC Director Upper Extremity Center, Peripheral Nerve Center, Cleveland Combined Hand Fellowship Cleveland Clinic Outline The Basics
More information3. Ulno lunate, Ulno triquetral ligament. Poirier: Between RSC &LRL. 5. Dorsal intercarpal ligament
CARPAL INSTABILITY Ligaments Intrinsic Scapho lunate ligament: Dorsal component stronger than volar ligament Luno triquetral ligament: Volar component stronger than dorsal ligament Extrinsic Palmar 1 Radio
More informationTreatment of unstable distal radius fractures with the volar locking plate
Upsala Journal of Medical Sciences. 2011; 116: 280 284 ORIGINAL ARTICLE Treatment of unstable distal radius fractures with the volar locking plate HANAE MINEGISHI 1, OSAMU DOHI 1, SOUKAN AN 2 & HIDETSUGU
More information)451( COPYRIGHT 2017 BY THE ARCHIVES OF BONE AND JOINT SURGERY. Evaluation of Normal Ranges of Wrist Radiologic Indexes in Mashhad Population
)451( COPYRIGHT 2017 BY THE ARCHIVES OF BONE AND JOINT SURGERY SHORT COMMUNICATION Evaluation of Normal Ranges of Wrist Radiologic Indexes in Mashhad Population Tohid Vaezi, MD; Golnaz Ghayyem Hassankhani,
More informationVascularised bone graft and osteotomy of the radius in Kienböck s disease
Acta Orthop. Belg., 2005, 71, 163-168 ORIGINAL STUDY Vascularised bone graft and osteotomy of the radius in Kienböck s disease Manuel ZAFRA, Carmen CARRASCO-BECERRA, Pedro CARPINTERO From the University
More informationDepartment of Orthopedic Surgery, Konyang University Hospital, Daejeon, Korea
Original Article Clinics in Orthopedic Surgery 2012;4:83-90 http://dx.doi.org/10.4055/cios.2012.4.1.83 Evaluation of the Sigmoid Notch Involvement in the Intra-Articular Distal Radius Fractures: The Efficacy
More informationDepartment of Surgery, Medical Centre Haaglanden, The Hague, the Netherlands 2. Department of Surgery, Gelre Hospitals, Apeldoorn, the Netherlands 3
Chapter 1 F.J.P. Beeres 1 S.J. Rhemrev 1 M. Hogervorst 2 P. den Hollander 3 G.N. Jukema 4 1 Department of Surgery, Medical Centre Haaglanden, The Hague, the Netherlands 2 Department of Surgery, Gelre Hospitals,
More informationWe treated 31 intra-articular fractures of the
Anatomical reduction of intra-articular fractures of the distal radius AN ARTHROSCOPICALLY-ASSISTED APPROACH J. A. Mehta, G. I. Bain, R. J. Heptinstall From the Modbury Public Hospital, Royal Adelaide
More informationCase Report Intra-Articular Osteotomy for Distal Humerus Malunion
Volume 2009, Article ID 631306, 4 pages doi:10.1155/2009/631306 Case Report Intra-Articular Osteotomy for Distal Humerus Malunion RenéK.Marti 1 and Job Doornberg 2 1 Department of Orthopaedic Surgery,
More informationRecurrent subluxation or dislocation after surgical
)263( COPYRIGHT 2017 BY THE ARCHIVES OF BONE AND JOINT SURGERY CASE REPORT Persistent Medial Subluxation of the Ulna with Radiotrochlear Articulation Amir R. Kachooei, MD; David Ring, MD, PhD Research
More informationRadiographic indices in one hundred fifty normal Iranian wrists
Original Research Medical Journal of Islamic Republic of Iran, Vol. 26, No. 3, Aug. 2012, pp.132-139 Radiographic indices in one hundred fifty normal Iranian wrists Davood Jafari 1, Hamid Taheri 2, Hooman
More informationISSN (Online) ISSN (Print) Hospital, 7, Works Road, Chromepet, Chennai , Tamilnadu, India.
Scholars Academic Journal of Biosciences (SAJB) Sch. Acad. J. Biosci., 2016; 4(3B):237-243 Scholars Academic and Scientific Publisher (An International Publisher for Academic and Scientific Resources)
More informationSCAHPO-LUNATE DISSOCIATION
SCAHPO-LUNATE DISSOCIATION Introduction Scapho-lunate dissociation is the most common significant ligamentous injury of the wrist. The condition is also sometimes referred to as rotary subluxation of the
More informationBreakage of a volar locking plate after delayed union of a distal radius fracture
cta Orthop. elg., 2007, 73, 785-790 CSE REPORT reakage of a volar locking plate after delayed union of a distal radius fracture Tom DE ERE, Frédéric LECOUVET, Olivier RIER From Cliniques Universitaires
More informationRadiographic Evaluation and Classification of Distal Radius Fractures
Radiographic Evaluation and Classification of Distal Radius Fractures Robert J Medoff, MD Introduction X-rays are essential to the treatment of distal radius fractures. When combined with the age and baseline
More information