Surgical Treatment of Posttraumatic Radioulnar Synostosis
Radioulnar synostosis is a rare complication of forearm fractures. The formation of a bony bridge induces functional disability due to limitation of the pronosupination. Although the etiology of posttraumatic synostosis is unknown, it seems that the incidence is higher in patients who have suffered...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2016-01-01
|
| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2016/5956304 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832553748809908224 |
|---|---|
| author | S. Pfanner P. Bigazzi C. Casini C. De Angelis M. Ceruso |
| author_facet | S. Pfanner P. Bigazzi C. Casini C. De Angelis M. Ceruso |
| author_sort | S. Pfanner |
| collection | DOAJ |
| description | Radioulnar synostosis is a rare complication of forearm fractures. The formation of a bony bridge induces functional disability due to limitation of the pronosupination. Although the etiology of posttraumatic synostosis is unknown, it seems that the incidence is higher in patients who have suffered a concomitant neurological or burn trauma, and extensive soft tissue injury, mainly due to high-energy impact. Surgical treatment, such as reinsertion of distal biceps tendon into the radius, seems to be another possible factor. The aim of the surgical treatment is to remove the bony bridge and restore complete range of movement (ROM), thus preventing recurrence. Literature does not indicate a preferred type of surgical procedure for the aforementioned complication; however, it has been shown that surgical interposition of inert material reduces the formation rate of recurrent bony bridge. We describe a surgical technique in two cases in which the radius and ulna were wrapped with allogenic, cadaver fascia lata graft to prevent bony bridge formation. The data from 2 years of follow-up are reported, indicating full restoration of ROM and no recurrence of synostosis. |
| format | Article |
| id | doaj-art-638737d81d2946feb8bd795c9d64b4d3 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-638737d81d2946feb8bd795c9d64b4d32025-02-03T05:53:20ZengWileyCase Reports in Orthopedics2090-67492090-67572016-01-01201610.1155/2016/59563045956304Surgical Treatment of Posttraumatic Radioulnar SynostosisS. Pfanner0P. Bigazzi1C. Casini2C. De Angelis3M. Ceruso4Hand Surgery and Reconstructive Microsurgery Unit, AOU Careggi, 50139 Florence, ItalyHand Surgery and Reconstructive Microsurgery Unit, AOU Careggi, 50139 Florence, ItalyHand Surgery and Reconstructive Microsurgery Unit, AOU Careggi, 50139 Florence, ItalyHand Surgery and Reconstructive Microsurgery Unit, AOU Careggi, 50139 Florence, ItalyHand Surgery and Reconstructive Microsurgery Unit, AOU Careggi, 50139 Florence, ItalyRadioulnar synostosis is a rare complication of forearm fractures. The formation of a bony bridge induces functional disability due to limitation of the pronosupination. Although the etiology of posttraumatic synostosis is unknown, it seems that the incidence is higher in patients who have suffered a concomitant neurological or burn trauma, and extensive soft tissue injury, mainly due to high-energy impact. Surgical treatment, such as reinsertion of distal biceps tendon into the radius, seems to be another possible factor. The aim of the surgical treatment is to remove the bony bridge and restore complete range of movement (ROM), thus preventing recurrence. Literature does not indicate a preferred type of surgical procedure for the aforementioned complication; however, it has been shown that surgical interposition of inert material reduces the formation rate of recurrent bony bridge. We describe a surgical technique in two cases in which the radius and ulna were wrapped with allogenic, cadaver fascia lata graft to prevent bony bridge formation. The data from 2 years of follow-up are reported, indicating full restoration of ROM and no recurrence of synostosis.http://dx.doi.org/10.1155/2016/5956304 |
| spellingShingle | S. Pfanner P. Bigazzi C. Casini C. De Angelis M. Ceruso Surgical Treatment of Posttraumatic Radioulnar Synostosis Case Reports in Orthopedics |
| title | Surgical Treatment of Posttraumatic Radioulnar Synostosis |
| title_full | Surgical Treatment of Posttraumatic Radioulnar Synostosis |
| title_fullStr | Surgical Treatment of Posttraumatic Radioulnar Synostosis |
| title_full_unstemmed | Surgical Treatment of Posttraumatic Radioulnar Synostosis |
| title_short | Surgical Treatment of Posttraumatic Radioulnar Synostosis |
| title_sort | surgical treatment of posttraumatic radioulnar synostosis |
| url | http://dx.doi.org/10.1155/2016/5956304 |
| work_keys_str_mv | AT spfanner surgicaltreatmentofposttraumaticradioulnarsynostosis AT pbigazzi surgicaltreatmentofposttraumaticradioulnarsynostosis AT ccasini surgicaltreatmentofposttraumaticradioulnarsynostosis AT cdeangelis surgicaltreatmentofposttraumaticradioulnarsynostosis AT mceruso surgicaltreatmentofposttraumaticradioulnarsynostosis |