Display Settings:

Format

Send to:

Choose Destination
See comment in PubMed Commons below
J Hand Surg Am. 2012 Aug;37(8):1574-9. doi: 10.1016/j.jhsa.2012.04.034. Epub 2012 Jun 23.

Metaphyseal ulnar shortening osteotomy for the treatment of ulnocarpal abutment syndrome using distal ulna hook plate: case series.

Author information

  • 1Hand and Upper Extremity Service, Centro Medico Guerra Mendez, Valencia, Venezuela. fnunez@wakehealth.edu

Abstract

PURPOSE:

To determine the efficacy of a transverse ulnar-shortening osteotomy at the metaphysis in combination with osteosynthesis using a low-profile, 2.0-mm, locking compression distal ulna plate for the treatment of ulnocarpal abutment syndrome.

METHODS:

We enrolled into this prospective case series 6 patients with symptomatic ulnocarpal abutment syndrome without distal radioulnar joint ligamentous instability, who had previously failed conservative treatment. We recorded Quick Disability of Arm, Shoulder, and Hand score; wrist range of motion; and visual analog scale score for pain before and after surgery for statistical comparisons.

RESULTS:

All parameters improved after the surgery. The Quick Disabilities of the Arm, Shoulder, and Hand improved from a mean of 65 to 17, and the visual analog score improved from a mean of 7 to 2. No hardware removal was required and no complications were reported.

CONCLUSIONS:

Metaphyseal ulnar-shortening osteotomy provided the functional advantages of a midshaft ulnar-shortening osteotomy with the potential for improved bone healing and the reduced risk for complications. This technique was a useful alternative for treatment of ulnocarpal abutment syndrome, especially in patients with more than 2 mm ulnar positive variance.

TYPE OF STUDY/LEVEL OF EVIDENCE:

Therapeutic IV.

Copyright © 2012 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

PMID:
22727923
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science
    Loading ...
    Write to the Help Desk