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Technique for ulnar inpaction syndrome correction

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4 papers 100 to 500 followers
By David Bennett Pediatric Orthopaedic Surgeon in the United States
G Sennwald, D Della Santa, J-Y Beaulieu
The aim of this retrospective study was to compare two techniques of ulna shortening for ulnocarpal abutment. The technique performed initially was diaphyseal osteotomy. Subsequently, a metaphyseal osteotomy was performed to avoid the drawbacks related to the plate. The study group consisted of 29 patients: 13 with diaphyseal and 16 with metaphyseal osteotomies. The pre-operative diagnosis was ulnocarpal abutment in all cases. The results were graded according to the scoring system of Chun and Palmer and patients' self-assessment...
June 2013: Journal of Hand Surgery, European Volume
Marybeth Ezaki, Scott N Oishi
Correction of a rigid forearm deformity in children is often desired in congenital radioulnar synostosis, brachial plexus palsy, cerebral palsy, or posttraumatic torsional deformity. Osteotomies at the diaphyseal level present difficulties with maintenance of reduction, whether or not internal or pin fixation is used. The stabilizing and healing potential of the periosteum in these cases can be used to advantage in the correction of these deformities.
November 2012: Journal of Hand Surgery
Jung Il Lee, Dong Hun Suh, Joon Sung Byun, Ji Hoon Bae, Jae Young Hong, Jung Ho Park, Jong Woong Park
PURPOSE: Radiographic carpal chondromalacia (RCC) was defined as the presence of cortical sclerosis or subchondral changes, such as a lucent defect or cystic changes in a carpal on plain radiographs. The purpose of this study was to investigate the factors associated with the occurrence of RCC in idiopathic ulnar impaction syndrome and to determine the efficacy of ulnar shortening osteotomy on patient outcome and RCC. METHODS: Thirty-nine patients (42 wrists) with idiopathic ulnar impaction syndrome were treated with either ulnar shortening osteotomy or arthroscopic wafer resection...
May 2012: Journal of Hand Surgery
Goo Hyun Baek, Moon Sang Chung, Young Ho Lee, Hyun Sik Gong, Sanglim Lee, Hyung Ho Kim
BACKGROUND: Idiopathic ulnar impaction syndrome can be defined as a degenerative condition of the ulnar aspect of the wrist in patients with congenital or dynamic positive ulnar variance without a history of fracture or premature physeal arrest. The purpose of this study was to evaluate the clinical features of idiopathic ulnar impaction syndrome and the outcomes of ulnar shortening osteotomy for this group of patients. METHODS: Thirty-one wrists in twenty-nine patients with idiopathic ulnar impaction syndrome were treated with an ulnar shortening osteotomy...
September 2006: Journal of Bone and Joint Surgery. American Volume
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