Congenital pseudarthrosis of the ulna

Nagaraju, Kiran; Vidyadhara, S; Raja, Dhansekar; Rajasekaran, Shanmuganathan

doi:10.1097/bpb.0b013e328010b13f

Cited by 15 publications

(4 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Casting should not be attempted to achieve union, but should only be considered to reduce further bowing and prevent (sub)luxation of the radiocapitellar joint and functional loss. 20,53 Patients with a proximal deformity or pseudarthrosis are less likely to suffer from progressive bowing and therefore good candidates for nonoperative cast treatment. 17 Preliminary abnormalities (eg, dysplasia) with normal function and strength of elbow, forearm, and wrist, could initially be Because of the large heterogeneity in reporting of the elbow and forearm function, this outcome was recorded as either: full range of motion (FROM), functional with minor limitations ( > ⅔ of FROM), major functional limitations (< ⅔ of FROM).…”

Section: Clinical Presentation and Work-upmentioning

confidence: 99%

Congenital Forearm Pseudarthrosis, a Systematic Review for a Treatment Algorithm on a Rare Condition

Siebelt

Vos-Jakobs

Koenrades

et al. 2020

Journal of Pediatric Orthopaedics

View full text Add to dashboard Cite

Background: A congenital forearm pseudarthrosis is a rare condition and is strongly associated with neurofibromatosis type 1. Several surgical techniques are described in the literature, but the most optimal treatment strategy remains unclear. This systematic review aims to develop a treatment algorithm that may aid in clinical decision making. Methods: The PROSPERO registration number for this study was CRD42018099602 and adheres to the PRISMA guidelines for systematic reviews. Embase, MEDLINE, Cochrane Central, Web of Science, and Google Scholar databases were searched for published studies reporting on congenital forearm pseudarthrosis not related to other underlying pathologies like bacterial infection or fibrous dysplasia. Results were not restricted by date or study type, only English literature was allowed. Studies were assessed for quality using the critical appraisal checklist for case reports from the Joanna Briggs Institute. Patient characteristics, underlying disease, type of surgery, union rate, and functional outcome were extracted from included studies. Results: Of 829 studies identified, 47 were included in this review (17 case series and 30 case reports, a total of 84 cases). A onebone forearm procedure showed highest union rates (92%), however, it results in loss of forearm rotation. Free vascularized fibula grafting showed high union rates (87%) and was related to good functional outcome of elbow flexion and forearm rotations. Other procedures showed disappointing outcomes. Conclusions: Congenital forearm pseudarthrosis is best treated with a free vascularized fibula grafting, a one-bone forearm procedure should be used as a salvage procedure. Evidence extracted from the case reports was sufficient to generate a treatment algorithm to be used in clinical pediatric practice. Level of Evidence: Level IV-therapeutic.

show abstract

Section: Clinical Presentation and Work-upmentioning

confidence: 99%

Congenital Forearm Pseudarthrosis, a Systematic Review for a Treatment Algorithm on a Rare Condition

Siebelt

Vos-Jakobs

Koenrades

et al. 2020

Journal of Pediatric Orthopaedics

View full text Add to dashboard Cite

show abstract

“…Poor results were related to previous trauma, infection, severe nerve injury, and multiple previous surgical procedures. Recently, pediatric case reports have noted the successful use of radioulnar fusion, especially when combined with radial head dislocation, as a primary or salvage procedure in congenital pseudoarthrosis either idiopathic in nature or secondary to neurofibromatosis, as the procedure that could preserve both proximal and distal physes of the new forearm bone 12-14…”

Section: Discussionmentioning

confidence: 99%

One-Bone Forearm Procedure for Acquired Pseudoarthrosis of the Ulna Combined with Radial Head Dislocation in a Child: A Case with 20 Years Follow-Up

et al. 2011

View full text Add to dashboard Cite

This report describes a 6 year-old boy who was treated with one-bone forearm procedure for acquired pseudoarthrosis of the ulna combined with radial head dislocation after radical ulna debridement for osteomyelitis. At more than 20 years of follow-up, the patient had a nearly full range of elbow movements with a few additional surgical procedures. Pronation and supination was restricted by 45°, but the patient had near-normal elbow and hand functions without the restriction of any daily living activity. This case shows that one-bone forearm formation is a reasonable option for forearm stability in longstanding pseudoarthrosis of the ulna with radial head dislocation in a child.

show abstract

“…Allieu et al [3] observent une consolidation dès le deuxième mois. Sur 33 cas rapportés dans la littérature [2][3][4]6,9,14,15,22,25,30,[40][41][42][43], le taux de consolidation est de 100 %. Dans la série de Mathoulin et al [15], un seul cas de fracture du greffon avec pseudarthrose consécutive est retenu.…”

Section: Transfert De Fibula Vasculariséeunclassified

Pseudarthrose congénitale de l’avant-bras. À propos de deux cas et revue de la littérature

Charles¹,

Diméglio²,

Chammas³

2009

Chirurgie de la Main

View full text Add to dashboard Cite

Congenital pseudarthrosis of the ulna

Cited by 15 publications

References 6 publications

Congenital Forearm Pseudarthrosis, a Systematic Review for a Treatment Algorithm on a Rare Condition

Congenital Forearm Pseudarthrosis, a Systematic Review for a Treatment Algorithm on a Rare Condition

One-Bone Forearm Procedure for Acquired Pseudoarthrosis of the Ulna Combined with Radial Head Dislocation in a Child: A Case with 20 Years Follow-Up

Pseudarthrose congénitale de l’avant-bras. À propos de deux cas et revue de la littérature

Contact Info

Product

Resources

About