Congenital radio-ulnar synostosis

Green, W T; Mital, Mohinder A.

doi:10.2106/00004623-197961050-00015

Cited by 101 publications

(55 citation statements)

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“…No other complications were noted in this group of 66 patients. The neurovascular injuries reported with other techniques including radial and ulnar nerve injury, ischemic contracture, and circulatory embarrassment 3,6,21,22 were not seen in this patient population.…”

Section: Discussionmentioning

confidence: 60%

“…1,2 Although a variety of other procedures have been describedincluding osteotomy of only the radius, 3 resection of the proximal radioulnar synostosis, 4,5 osteoclasis through the radioulnar synostosis, 3,6 or radius and ulna osteotomy with internal fixation 7 -surgeons use osteoclasis because of its surgical simplicity and the previously reported outstanding results. 1,2 For more than 40 years we have used 2-stage osteoclasis to correct marked rotational abnormalities of the forearm.…”

mentioning

confidence: 99%

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Ulnar Nonunion After Osteoclasis for Rotational Deformities of the Forearm

Dalton

Manske

Walker

et al. 2006

The Journal of Hand Surgery

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Section: Discussionmentioning

confidence: 60%

mentioning

confidence: 99%

Ulnar Nonunion After Osteoclasis for Rotational Deformities of the Forearm

Dalton

Manske

Walker

et al. 2006

The Journal of Hand Surgery

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“…Green, M.A. Mital (1979) -2 : 1 [9]. Из дру-гой ортопедической патологии, сочетающейся с ВРУС, встречаются сколиозы [5], синдактилии, гипоплазия 1-го пальца [3,6], врожденный вы-вих бедра, аномалии коленного сустава, косола-пость, полидактилия, конкресценция костей запя-стья, гипермобильность суставов, такие синдромы, как Апера, Карпентера, Вильяма, Кляйнфельтера, Холт -Орама, акроцефалосиндактилии, артрогри-поза, челюстно-лицевого дизостоза, микроцефа-лии, множественные экзостозы, а также сердечные почечные, неврологические аномалии [7].…”

Section: Introductionunclassified

“…W.T. Green (1979) предлагает от-ложить решение о необходимости оперативного лечения, когда у человека сформируется пред-ставление о характере будущей профессии [9]. T. Ogino, K. Hikino (1987), обследовав 40 пациен-тов с ВРУС, показали, что при деформации более 60° пациенты предъявляли жалобы на неудобства в повседневной жизни; при пронационном поло-жении до 20° -жалоб не было [12].…”

Section: Introductionunclassified

“…При недостатке деротационного эффекта предлага-ется остеотомия лучевой кости на двух уровнях [13]. Используют также остеотомию двух костей на разных уровнях [6,18,19] и деротационную остео томию на уровне синостоза [7,9,12,20].…”

Section: Introductionunclassified

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Congenital radioulnar synostosis: symptom complex and surgical treatment

Prokopovich

Konev

Afonichev

et al. 2016

Pediatr Traum Orthop Reconstr Surg

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Background. Congenital radioulnar synostosis (CRUS) is a rare musculoskeletal disease with a wide-ranging symptom complex. Attitudes toward surgical treatment of the disease is very diverse, ranging from complete negation to acceptance. When choosing a treatment method, high recurrence and complication rates should be taken into account.Aims. To analyze the clinical implications of CRUS and to identify optimal treatment options.Materials and methods. From 2008 to 2015, 54 patients (31 boys and 23 girls; aged 1–14 years) with CRUS were examined and treated. Presenting complaints and the possible factors leading to disease development were investigated; orthopedic examination, roentgenography, electromyography, and computed tomography were performed. The treatment approach was determined on the basis of the clinicoroentgenological presentation.Results. All cases of CRUS were sporadic. In 43.7% patients, risk factors resulting in disease development were detected. Unilateral lesions were observed in 30 patients, whereas bilateral lesions were observed in 24 patients. According to the Cleary and Omer classification, the first type is the rarest; it is distinguished by the absence of bony fusion and close to average forearm positioning. In such cases, operative treatment is not necessary. For the second and third types, pronounced pronation forearm realignment requiring corrective derotational osteotomy of the radial bone is the main factor. For the fourth type, the main functional disorder is the restriction of the forearm flexion; treatment for this type involves resection of the radius head. We attempted to divide the synostosis (to achieve active movements) in five patients; however, we were unsuccessful. In three patients, synostosis recurrence occurred; and in two patients, active movements were not obtained after surgery. In four patients, radial nerve neuropathy was detected in the postoperative period after conservative therapy. In two patients, ulnar fractures occurred as a result of a fall; in one of these patients, fragment apposition was required.Conclusions. Clinicoroentgenological manifestations of CRUS determine the treatment options. The most typical and important of these manifestations is the pronation positioning of the forearm. In such cases, it is reasonable to start operative CRUS treatment after 3 years. All variants of deformation are indicators for operation, and treatment options are determined by the degree of severity of the deformation. Attempts to form the forearm bone neoarthrosis in order to get rotational movements is not effective and can result in deformation recurrence.

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Developmental Anomalies of the Hand

Burge¹

2011

Children's Upper and Lower Limb Orthopaedic Disorders

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Congenital radio-ulnar synostosis

Cited by 101 publications

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Ulnar Nonunion After Osteoclasis for Rotational Deformities of the Forearm

Ulnar Nonunion After Osteoclasis for Rotational Deformities of the Forearm

Congenital radioulnar synostosis: symptom complex and surgical treatment

Developmental Anomalies of the Hand

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