Ulnar Shortening Versus Distal Radius Corrective Osteotomy in the Management of Ulnar Impaction After Distal Radius Malunion

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Ulnar Shortening Osteotomy After Distal Radius Fracture Malunion: Review of Literature

Malunion of distal radius fracture is often complicated with shortening of the radius with disturbed radio- ulnar variance, frequently associated with lesions of triangular fibrocartilage complex and instability of the distal radioulnar joint. Positive ulnar variance may result in wrist pain located in ulnar part of the joint, limited ulnar deviation and forearm rotation with development of deg...

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Results of ulnar shortening osteotomy for ulnocarpal abutment after malunited distal radius fracture.

Surgical correction for ulnocarpal abutment syndrome after malunited distal radius fracture remains controversial. We reviewed sixteen patients (7 men, 9 women) who underwent isolated ulnar-shortening osteotomy for ulnar wrist pain as their main complaint. Mean age was 48 years. The range of flexion-extension increased from 81 degrees to 103 degrees, and range of supination-pronation from 120 d...

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Step-cut distal ulnar-shortening osteotomy.

PURPOSE Several techniques for ulnar-shortening osteotomies have been described in recent years, reflecting the difficulties that sometimes are encountered in what seems to be a relatively simple procedure. We describe the use of a simple step-cut ulnar-shortening osteotomy stabilized with a lag screw and a palmarly placed 3.5-mm neutralization plate. METHODS Twenty-nine patients had the surg...

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Ulnar shortening osteotomy in idiopathic ulnar impaction syndrome.

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 fo...

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Fixing fractures of the ulnar styloid in distal radius fractures

The majority of distal radius fractures are associated with an ulnar styloid fracture [1-3]. There is solid evidence in the literature that this association may ultimately affect the clinical outcome causing instability, disability, and pain in the distal radioulnar joint (DRUJ) [2,4-7]. The main reasons for the worse outcome are: (1) DRUJ instability, (2) impingement with the triquetrum, and (...

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ژورنال

عنوان ژورنال: HAND

سال: 2017

ISSN: 1558-9447,1558-9455

DOI: 10.1177/1558944716685831