Union of the ulnar styloid fracture as a function of fracture morphology on conventional radiographs

Meyer, Hans; Kramer, Stephen A.; O’Loughlin, Padhraig F.; Vaske, Bernhard; Krettek, Christian; Gaulke, Ralph

doi:10.1007/s00256-013-1642-3

Cited by 13 publications

(8 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…1B–C ) between the radial sigmoid notch and ulnar head and rotation (Fig. 1D–G ) between the radius and ulna [ 2 , 3 ]. The longitudinal axis of forearm rotation is passing through the center of the head of the radius proximally and the foveal sulcus at the base of the ulnar styloid distally [ 44 ].…”

Section: Anatomy and Biomechanicsmentioning

confidence: 99%

See 1 more Smart Citation

Imaging Findings of the Distal Radio-Ulnar Joint in Trauma

Mespreuve¹,

Vanhoenacker²,

Verstraete

2015

Journal of the Belgian Society of Radiology

View full text Add to dashboard Cite

Traumatic lesions of the distal radio-ulnar joint (DRUJ) occur frequently in conjunction with fractures of the distal radius. They are a common cause of pain and limited range of motion after distal radial fractures. Due to the complex anatomy they are however often ignored or underappreciated. Distal radial fractures and luxations of the DRUJ often disturb the normal curvature of the radial notch and cause damage to the cartilage of this joint. The growth of the radius may be disrupted, resulting in a positive ulnar variance, and possibly give rise to complications such as ulnar abutment and motion restriction.Ulnar styloid fractures – sometimes barely visible on plain film – may give rise to symptomatic bony pseudarthrosis, dislocation and laceration of the tendon of the m. extensor carpi ulnaris and a rare posttraumatic deformity of the ulnar epiphysis. Also the possibility of lesions at the adjacent triangular fibrocartilage complex and the joint capsule should be kept in mind.This paper presents a pictorial review of the complex functional anatomy and pathologic conditions of this joint and emphasises why the DRUJ should be evaluated independently and thoroughly. The merit of each imaging modality is mentioned.A correction article relating to Fig. 2 and Fig. 27 can be found here:

show abstract

Section: Anatomy and Biomechanicsmentioning

confidence: 99%

“…12 ). Recent fractures have irregular or ragged margins [ 2 ]. The borders of ossicles however are smooth and corticated.…”

Section: (Sub)luxation Of the Drujmentioning

confidence: 99%

Imaging Findings of the Distal Radio-Ulnar Joint in Trauma

Mespreuve¹,

Vanhoenacker²,

Verstraete

2015

Journal of the Belgian Society of Radiology

View full text Add to dashboard Cite

show abstract

“…Being a morphological categorization, Gaulke classi cation was proposed to further divide the ulnar styloid fractures according to fracture location and orientation [12].…”

Section: Discussionmentioning

confidence: 99%

Surgical management of ulnar styloid fractures: comparison of fixation with anchor suture and tension band wire

Chen

Lin

Weng

et al. 2020

Preprint

View full text Add to dashboard Cite

Background Limited reference is available regarding surgical management in symptomatic ulnar styloid fractures with small bony avulsion. The study goal is to report the surgical outcomes using anchor suture fixation with comparison to traditional tension band wire fixation. Methods We retrospectively reviewed the medical records in patients who underwent surgical repair for unilateral ulnar styloid fractures with distal radioulnar instability between 2004 and 2017. A total of 31 patients were enrolled including two kinds of fixation methods. Anchor suture fixation plus distal radioulnar joint pinning was performed in ten patients with tiny avulsion bony fragments (group A); tension band wire fixation was performed in 21 patients with big styloid fracture fragments (group B). Patient characteristics and 2-year treatment outcomes were compared between two groups based on Mayo Modified Wrist Score (MMWS), Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH), visual analog scale (VAS) and surgical complication. Descriptive statistics were used for calculation of key variables; a p-value of < 0.05 was considered statistically significant. Results Based on Gaulke classification, there were five subtypes in group A and three subtypes in group B. Incidence of concomitant distal radius fractures was significantly higher in group B; other patient characteristics including age, sex, injury side, and time to surgery showed no significant difference. Outcome assessment regarding MMWS, QuickDASH and VAS was comparable between two groups. Bone-related complications including nonunion, DRUJ subluxation and styloid resorption were analyzed; the difference was not significant. Incidence of implant-related complications including migration and secondary removal surgery was significantly higher in group B (p = 0.021). Conclusion Surgical fixation in symptomatic ulnar styloid fractures yields comparable treatment outcomes in both fracture patterns. Implant-related complication with secondary removal surgery is more common in tension band wire group. Anchor suture fixation is a feasible option for tiny styloid avulsion fragments with limited surgical complication.

show abstract

“…[2,6,14,16] Lindau et al [16] found higher TFCC injuries arthroscopically in accompanied USF. Symptomatic USF was suggested to be associated with TFCC tears and the importance of treatment after diagnostic arthroscopy was emphasized.…”

Section: Discussionmentioning

confidence: 99%

“…[2,3,8] In contrast, some other studies have demonstrated that accompanying USF was a predictor of poor results after DRF. [6,14] In these studies, the authors generally thought that the poor outcomes of USF were caused by DRUJ injury. Actions that stress the DRUJ, such as forearm rotation, ulnar deviation, or DRUJ translation can cause pain in cases of TFCC injury and soft tissue damage after DRF.…”

Section: Discussionmentioning

confidence: 99%