Radiological degenerative changes in the distal radioulnar joint after ulnar shortening osteotomy in patients with idiopathic ulnar impaction syndrome

Min, Soo; Choi, Byong San; Shin, Hyun Dae

doi:10.1016/j.jos.2017.06.010

Cited by 7 publications

(3 citation statements)

References 25 publications

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“…(2016) reported that 29 wrists of 46 patients showed worsened or new-onset arthritis, and the type I wrist was predominant in the arthritis group. In another study, the DRUJ morphologic type was not a significant factor for the progression of radiological degenerative changes in the DRUJ after ulnar-shortening osteotomy (Cha et al., 2017). These results are not in accord with Tolat’s report that the configuration of the DRUJ in type III wrists could be disturbed after ulnar-shortening osteotomy (Tolat et al., 1992).…”

Section: Discussionmentioning

confidence: 94%

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Distal radioulnar joint configurations in three-dimensional computed tomography in patients with idiopathic ulnar impaction syndrome

Kim

Cho

Lee

et al. 2019

J Hand Surg Eur Vol

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We retrospectively reviewed 26 patients diagnosed with idiopathic ulnar impaction syndrome and measured the slopes of the sigmoid notch and ulnar head at their centre using their preoperative three-dimensional computed tomography. We found that the slope of the sigmoid notch and that of the ulnar head were not parallel to each other. There was a significant linear relation between the slope of the ulnar head and the changes in the closest joint space of the distal radioulnar joint at the centre of the sigmoid notch after ulnar shortening. We conclude that the slope of the ulnar head is more strongly correlated with changes in the closest joint space in the distal radioulnar joint than that of the sigmoid notch. Our findings suggest that slope of the ulnar head might be as important a predisposing factor as that of the sigmoid notch for the progression of distal radioulnar joint arthritis after ulnar-shortening osteotomy. We should consider the slopes of both the sigmoid notch and ulnar head before the osteotomy. Level of evidence: IV

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Section: Discussionmentioning

confidence: 94%

“…Several studies have evaluated the effect of DRUJ morphology on the progression of DRUJ arthritis after ulnar-shortening osteotomy (Cha et al., 2017; de Runz et al., 2016). de Runz et al.…”

Section: Discussionmentioning

confidence: 99%

Distal radioulnar joint configurations in three-dimensional computed tomography in patients with idiopathic ulnar impaction syndrome

Kim

Cho

Lee

et al. 2019

J Hand Surg Eur Vol

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“…However, some surgical procedures report good short-term efficacy, such as ulnar shortening osteotomy, partial capitate shortening osteotomy, and arthroscopic debridement of triangular fibrocartilage complex (TFCC) tear (9)(10)(11)(12). There remain many unsolved problems including poor long-term outcome, delayed or nonunion of the fracture, traumatic arthritis, and chronic Department of Orthopedics, The 980th Hospital of PLA Joint Logistics Support Forces, Shijiazhuang, PR China pain (13)(14)(15)(16)(17). Probing the anatomical etiologies may contribute to solving these problems.…”

Section: Introductionmentioning

confidence: 99%

The association of three anatomical factors with ulnar-sided wrist pain: a radiological study

et al. 2022

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Background Ulnar-sided wrist pain is associated with the development of multiple wrist pathologies. But the anatomical etiologies have not been fully understood. Purpose To determine the association of three anatomical factors with ulnar-sided wrist pain, including ulnar variance (UV), distal ulnar volar angle (DUVA), and pisiform-ulnar distance (PUD). Material and Methods A total of 64 patients who had ulnar-sided wrist pain associated with training injuries were retrospectively studied. A control group included 64 healthy athletes from the same unit. The UV, DUVA, and PUD of each individual was measured on radiographs. Results The average UV and DUVA of those in the ulnar-sided pain group were 0.84 mm and 174.65°, respectively; the control group values were 0.39 mm and 175.11°. The differences between the two groups had no statistical significance ( P > 0.05). The average PUD of the ulnar-sided wrist pain group was shorter than that of the control group (2.37 cm vs. 2.65 cm); the difference had statistical significance ( P < 0.05). PUD had a negative correlation with ulnar-sided pain; it was an anatomical protective factor (odds ratio = 0.01; P < 0.00; 95% confidence interval=0.00–0.05). Both UV and DUVA had no significant correlations with ulnar-sided wrist pain ( P > 0.05). Conclusion PUD has a significant correlation with ulnar-sided wrist pain. It is the anatomical protective factor. Both the UV and DUVA have no statistical association with ulnar-sided wrist pain, but we cannot ignore their potential pathogenic effects on wrists, and further studies are needed to confirm the results.

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Non-vascularised corticocancellous (tricortical) iliac bone graft longer than 3 cm for non-union after failed surgical treatment

Cha,

Pai,

Lee

et al. 2024

Journal of Plastic, Reconstructive & Aesthetic Surgery

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Radiological degenerative changes in the distal radioulnar joint after ulnar shortening osteotomy in patients with idiopathic ulnar impaction syndrome

Cited by 7 publications

References 25 publications

Distal radioulnar joint configurations in three-dimensional computed tomography in patients with idiopathic ulnar impaction syndrome

Distal radioulnar joint configurations in three-dimensional computed tomography in patients with idiopathic ulnar impaction syndrome

The association of three anatomical factors with ulnar-sided wrist pain: a radiological study

Non-vascularised corticocancellous (tricortical) iliac bone graft longer than 3 cm for non-union after failed surgical treatment

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