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1. Biomedical articles (top 25; 2009 to 2014)
1. |||||..... 50%  Ruchelsman DE, Raskin KB, Rettig ME: Outcome following acute primary distal ulna resection for comminuted distal ulna fractures at the time of operative fixation of unstable fractures of the distal radius. Hand (N Y); 2009 Dec;4(4):391-6
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Outcome following acute primary distal ulna resection for comminuted distal ulna fractures at the time of operative fixation of unstable fractures of the distal radius.
  • Optimal acute management of the highly comminuted distal ulna head/neck fracture sustained in conjunction with an unstable distal radius fracture requiring operative fixation is not well established.
  • The purpose of the present study was to determine the clinical, radiographic, and functional outcomes following acute primary distal ulna resection for comminuted distal ulna fractures performed in conjunction with the operative fixation of unstable distal radius fractures.
  • Between 2000 and 2007, 11 consecutive patients, mean age 62 years (range, 30-75) were treated for concomitant closed, comminuted, unstable fractures of the distal radius and ulna metaphysis.
  • All 11 patients underwent distal ulna resection through a separate dorsal ulnar incision with ECU tenodesis following surgical fixation of the distal radius fracture.
  • Operative fixation of the distal radius fracture included volar plate fixation in four patients and spanning external fixation with supplemental percutaneous Kirschner wires in seven patients.
  • No patient had distal ulna instability.
  • Final radiographic assessment demonstrated restoration of distal radius articular alignment.
  • Acute primary distal ulna resection yields satisfactory clinical, radiographic, and functional results in appropriately selected patients and represents a reliable alternative to open reduction and internal fixation when anatomic restoration of the distal ulna/sigmoid notch cannot be achieved.
  • Primary distal ulna resection with distal radius fracture fixation may help avoid secondary procedures related to distal ulna fixation or symptomatic post-traumatic distal radioulnar joint arthrosis.

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  • (PMID = 19241113.001).
  • [ISSN] 1558-9455
  • [Journal-full-title] Hand (New York, N.Y.)
  • [ISO-abbreviation] Hand (N Y)
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
  • [Other-IDs] NLM/ PMC2787210
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2. ||||...... 44%  Eranki V, Blakeney W, Smith S: Kirschner wire migration into intramedullary canal of ulna during open reduction and internal fixation. J Surg Case Rep; 2013;2013(5)
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Kirschner wire migration into intramedullary canal of ulna during open reduction and internal fixation.
  • At Bunbury Regional Hospital, we recently saw a case where Kirschner wires (K-wires), used during open reduction and internal fixation of olecranon, were propelled down the intramedullary canal intraoperatively.
  • First, where the wires are being used as part of a tension band wire construct, we suggest drilling the distal hole prior to the placement of the K-wires and, secondly, where K-wires are being used to secure the fracture fragment, the K-wires can be secured with artery clips to ensure that the wires remain in position.

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  • [Copyright] Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author 2013.
  • (PMID = 24964438.001).
  • [ISSN] 2042-8812
  • [Journal-full-title] Journal of surgical case reports
  • [ISO-abbreviation] J Surg Case Rep
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] England
  • [Other-IDs] NLM/ PMC3813624
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3. ||||...... 39%  Jones C, Li H, Ellahee N: An anomalous bifid distal ulna: A case report. Int J Surg Case Rep; 2013;4(11):939-41
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] An anomalous bifid distal ulna: A case report.
  • INTRODUCTION: We report a case of an osteochondroma in the form of an anomalous bifid distal ulna following mal-union of an epiphyseal injury.
  • PRESENTATION OF CASE: A 19-year-old man presented with wrist stiffness and complete loss of pronation and supination twelve months after having undergone open reduction and internal fixation for a volarly displaced distal radius fracture.
  • Further investigation with a CT scan showed a bifid distal ulna.
  • As this was not present on plain radiographs one year prior, it was proposed that this was an osteochrondromatous growth caused by injury to the distal ulnar epiphysis.
  • An operation was performed to excise one of the distal ulna heads, and reconstruct the TFCC to allow improved rotational movements.
  • DISCUSSION: We postulate that the patient sustained an occult physeal injury resulting in an osteochondromatous lesion that grew towards the joint effectively forming a second ulna head.
  • CONCLUSION: This is a unique case of the development of a bifid distal ulna due to physeal injury one year prior.
  • Such a lesion has not previously been described in the distal ulna.

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  • [Copyright] Copyright © 2013 The Authors. Published by Elsevier Ltd.. All rights reserved.
  • (PMID = 24055912.001).
  • [ISSN] 2210-2612
  • [Journal-full-title] International journal of surgery case reports
  • [ISO-abbreviation] Int J Surg Case Rep
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Netherlands
  • [Other-IDs] NLM/ PMC3825966
  • [Keywords] NOTNLM ; Bifid / Deformity / Fracture / Osteochondroma / Ulna
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4. ||........ 20%  Vaishya R, Shrestha SK, Vaish A: A Galeazzi-variant type fracture-dislocation in adults. Chin J Traumatol; 2013 Dec 1;16(6):344-6
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] A Galeazzi-variant type fracture-dislocation in adults.
  • Objective: Fracture of either radius or ulna with a dislocation either at the proximal or distal radioulnar joint (DRUJ) is not a common injury and is inherently unstable.
  • Here we report a case series, with both-bone forearm fractures associated with dislocation of DRUJ, as a Galeazzi-variant type fracture-dislocation, and try to analyze this injury pattern.
  • Methods: The study was based on 6 patients having Galeazzi-variant type fracture-dislocation of different age (20 to 45 years).
  • Two fractures involved the same level and three fractures were at different levels of radius and ulna shaft.
  • After thorough examination and investigations they were treated with limited contact dynamic compression plate without additional fixation for DRUJ.
  • All the fractures of both radius and ulna were united in average time of 12 weeks.
  • Stable open reduction and internal fixation of both-bone forearm fractures is mandatory, followed by 3 to 4 weeks of immobilization in a cast for the healing of disrupted DRUJ.

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  • (PMID = 24295580.001).
  • [ISSN] 1008-1275
  • [Journal-full-title] Chinese journal of traumatology = Zhonghua chuang shang za zhi / Chinese Medical Association
  • [ISO-abbreviation] Chin. J. Traumatol.
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] China
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5. ||||...... 44%  Namba J, Fujiwara T, Murase T, Kyo T, Satoh I, Tsuda T: Intra-articular distal ulnar fractures associated with distal radial fractures in older adults: early experience in fixation of the radius and leaving the ulna unfixed. J Hand Surg Eur Vol; 2009 Oct;34(5):592-7
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Intra-articular distal ulnar fractures associated with distal radial fractures in older adults: early experience in fixation of the radius and leaving the ulna unfixed.
  • There is no clear consensus about the best management of intra-articular distal ulnar fractures associated with distal radial fractures in older adults.
  • We describe a treatment wherein the distal radial fractures were securely fixed with a palmar plate, leaving the associated ulnar fractures unfixed.
  • All fracture sites displayed union, and there was no instability of the distal radioulnar joint.
  • A widening of the distal radioulnar joint space was present in one wrist.
  • Angular deformity of the distal ulnar metaphysis was seen in five wrists.
  • This treatment could be an alternative to open reduction with internal fixation for intra-articular distal ulnar fractures in older adults.
  • [MeSH-major] Colles' Fracture / complications. Colles' Fracture / surgery. Fracture Fixation, Internal / methods. Intra-Articular Fractures / surgery. Ulna Fractures / complications. Ulna Fractures / surgery

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  • (PMID = 19687083.001).
  • [ISSN] 2043-6289
  • [Journal-full-title] The Journal of hand surgery, European volume
  • [ISO-abbreviation] J Hand Surg Eur Vol
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] England
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6. ||||...... 38%  Shah AS, Lesniak BP, Wolter TD, Caird MS, Farley FA, Vander Have KL: Stabilization of adolescent both-bone forearm fractures: a comparison of intramedullary nailing versus open reduction and internal fixation. J Orthop Trauma; 2010 Jul;24(7):440-7
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Stabilization of adolescent both-bone forearm fractures: a comparison of intramedullary nailing versus open reduction and internal fixation.
  • OBJECTIVES: To compare flexible intramedullary (IM) nailing with open reduction and internal fixation (ORIF) with plates and screws in the treatment of adolescent both-bone forearm fractures.
  • MAIN OUTCOME MEASURES: Time to fracture union, forearm rotation, magnitude and location of maximal radial bow, and complications.
  • Although flexible IM nailing results in distal translation of the radial bow, forearm rotation is not compromised.
  • [MeSH-major] Bone Nails. Bone Plates. Bone Screws. Fracture Fixation, Internal / instrumentation. Fracture Fixation, Internal / methods. Radius Fractures / surgery. Ulna Fractures / surgery
  • [MeSH-minor] Adolescent. Child. Female. Humans. Male. Orthopedic Procedures / instrumentation. Orthopedic Procedures / methods. Outcome Assessment (Health Care). Radius / injuries. Radius / radiography. Radius / surgery. Range of Motion, Articular. Retrospective Studies. Treatment Outcome. Ulna / injuries. Ulna / radiography. Ulna / surgery

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  • (PMID = 20577077.001).
  • [ISSN] 1531-2291
  • [Journal-full-title] Journal of orthopaedic trauma
  • [ISO-abbreviation] J Orthop Trauma
  • [Language] eng
  • [Publication-type] Comparative Study; Journal Article
  • [Publication-country] United States
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7. ||||...... 37%  Ji YY, Zheng LC, Huang ZS, Li KL, Zhao Z, Zheng JH, Chen ZH, Ni JG: [Internal fixation with AO distal humerus plates for the treatment of distal humeral fractures in elderly osteoporotic patients]. Zhongguo Gu Shang; 2011 Aug;24(8):681-3
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] [Internal fixation with AO distal humerus plates for the treatment of distal humeral fractures in elderly osteoporotic patients].
  • OBJECTIVE: To study the clinical effects of AO distal humerus plate (DHP) for the treatment of distal humeral fractures in elderly osteoporotic patients.
  • METHODS: From September 2008 to January 2010, 18 elderly osteoporotic patients with distal humeral fractures were treated with open reduction and internal fixation with DHP.
  • The surgical approaches were either bilateral or via olecranon process of ulna.
  • There was no infection, hardware failure or loss of reduction after the operations.
  • CONCLUSION: Treatment of distal humeral fractures in elderly osteoporotic patients with AO distal humeral plates can obtain immediate stabilization which facilitates early mobilization of the elbow.
  • [MeSH-major] Bone Plates. Fracture Fixation, Internal / methods. Humeral Fractures / surgery. Osteoporotic Fractures / surgery

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  • (PMID = 21928679.001).
  • [ISSN] 1003-0034
  • [Journal-full-title] Zhongguo gu shang = China journal of orthopaedics and traumatology
  • [ISO-abbreviation] Zhongguo Gu Shang
  • [Language] chi
  • [Publication-type] English Abstract; Journal Article
  • [Publication-country] China
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8. |||....... 35%  Kim JK, Yun YH, Kim DJ, Yun GU: Comparison of united and nonunited fractures of the ulnar styloid following volar-plate fixation of distal radius fractures. Injury; 2011 Apr;42(4):371-5
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Comparison of united and nonunited fractures of the ulnar styloid following volar-plate fixation of distal radius fractures.
  • INTRODUCTION: The purpose of this study was to determine whether associated nonunion of ulnar styloid fracture following plate-and-screw fixation of a distal radius fracture (DRF) has any effect on wrist functional outcomes, ulnar-sided wrist pain or distal radioulnar joint (DRUJ) instability.
  • MATERIALS AND METHODS: A total of 91 consecutive patients with a DRF and an accompanying ulnar styloid fracture treated by open reduction and volar locking plate fixation were included in this study.
  • In the second part of the analysis, 49 of the 91 study subjects with an ulnar styloid base fracture were subdivided according to the presence or not of ulnar styloid base fracture union (12 and 37, respectively) at final follow-up by radiography.
  • No significant differences were found at any time during follow-up between patients who achieved or did not achieve ulnar styloid fracture union or ulnar styloid base fracture union.
  • CONCLUSION: Ulnar styloid nonunion does not appear to affect wrist functional outcomes, ulnar-sided wrist pain or DRUJ stability, at least when a DRF is treated by open reduction and volar plate fixation.
  • [MeSH-major] Fractures, Ununited / surgery. Joint Instability / radiography. Radius Fractures / surgery. Range of Motion, Articular / physiology. Ulna Fractures / surgery. Wrist Joint / physiology
  • [MeSH-minor] Adolescent. Adult. Aged. Aged, 80 and over. Cohort Studies. Female. Fracture Fixation, Internal. Humans. Male. Middle Aged. Pain / physiopathology. Recovery of Function / physiology. Treatment Outcome. Young Adult

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  • [Copyright] Copyright © 2010 Elsevier Ltd. All rights reserved.
  • (PMID = 20961540.001).
  • [ISSN] 1879-0267
  • [Journal-full-title] Injury
  • [ISO-abbreviation] Injury
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Netherlands
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9. |||....... 33%  Jäckel R, Buschmann J, Napp M: [Pseudarthrosis after fracture of the distal radius: a case report]. Handchir Mikrochir Plast Chir; 2009 Jun;41(3):166-70
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] [Pseudarthrosis after fracture of the distal radius: a case report].
  • We report on a seventy-year-old woman who developed a non-union of the distal radius with infection of the ulnocarpal joint after having sustained a fracture.
  • The fistula, the distal ulna and the ulnocarpal joint were resected.
  • Two months later we removed the non-union and carried out open reduction and internal fixation of the radius with a palmar plate.
  • [MeSH-minor] Aged. Corynebacterium Infections / radiography. Corynebacterium Infections / surgery. Cutaneous Fistula / radiography. Cutaneous Fistula / surgery. External Fixators. Female. Fistula / radiography. Fistula / surgery. Fracture Fixation, Internal / methods. Humans. Range of Motion, Articular / physiology. Recurrence. Reoperation. Surgical Wound Infection / radiography. Surgical Wound Infection / surgery. Ulna / radiography. Ulna / surgery

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  • (PMID = 19012229.001).
  • [ISSN] 1439-3980
  • [Journal-full-title] Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Mikrochirurgie der Peripheren Nerven und Gefässe : Organ der Vereinigung der Deutschen Plastischen Chirurgen
  • [ISO-abbreviation] Handchir Mikrochir Plast Chir
  • [Language] ger
  • [Publication-type] Case Reports; English Abstract; Journal Article
  • [Publication-country] Germany
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10. |||....... 33%  Li S, Chen Y, Lin Z, Fan Q, Cui W, Feng Z: [Effect of associated ulnar styloid fracture on wrist function after distal radius]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi; 2012 Jun;26(6):666-70
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] [Effect of associated ulnar styloid fracture on wrist function after distal radius].
  • OBJECTIVE: To evaluate the effect of associated ulnar styloid fracture on wrist function after distal radius fracture by comparing the clinical data between the cases of distal radius fracture with or without ulnar styloid fractures.
  • METHODS: The clinical data of 182 patients with distal radius fracture between February 2005 and May 2010 were retrospectively analyzed, including 75 with ulnar styloid fracture (group A), and 107 without ulnar styloid fracture (group B).
  • There was no significant difference in sex, age, disease duration, and fracture classification between 2 groups (P > 0.05).
  • In groups A and B, closed reduction and splintlet or cast fixation were performed in 42 and 63 cases respectively, and open reduction and internal fixation in 33 and 44 cases respectively.
  • The fracture healing time was (10.9 +/- 2.7) weeks in group A and (11.6 +/- 2.3) weeks in group B, showing no significant difference (t=1.880, P=0.062).
  • There was no significant difference in the palmar tilt angle, the ulnar inclination angle, and the radial length between groups A and B when fracture healing (P > 0.05).
  • There were significant differences in the above indexes between patients undergoing closed reduction and open reduction in group A (P < 0.05).
  • CONCLUSION: Associated ulnar styloid fracture has no obvious effect on the wrist function after distal radius fracture.
  • The anatomical reduction of distal radial fracture is the crucial importance in the treatment of distal radial fracture accompanying ulnar styloid fracture.
  • [MeSH-major] Fracture Fixation / methods. Radius Fractures / surgery. Ulna Fractures / surgery. Wrist Joint / physiopathology
  • [MeSH-minor] Adolescent. Adult. Aged. Aged, 80 and over. Bone Plates. External Fixators. Female. Follow-Up Studies. Fracture Healing / physiology. Humans. Male. Middle Aged. Pain / epidemiology. Pain / physiopathology. Range of Motion, Articular. Recovery of Function. Retrospective Studies. Treatment Outcome. Young Adult

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  • (PMID = 22792759.001).
  • [ISSN] 1002-1892
  • [Journal-full-title] Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery
  • [ISO-abbreviation] Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi
  • [Language] chi
  • [Publication-type] English Abstract; Journal Article
  • [Publication-country] China
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11. |||....... 31%  Nagira K, Hagino H, Yamashita Y, Kishimoto Y, Teshima R: Insufficiency fracture at the distal diaphysis of the radius after synovectomy combined with the Sauvé-Kapandji procedure in a patient with rheumatoid arthritis. Mod Rheumatol; 2010 Oct;20(5):511-3
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Insufficiency fracture at the distal diaphysis of the radius after synovectomy combined with the Sauvé-Kapandji procedure in a patient with rheumatoid arthritis.
  • We report here a rare case of insufficiency fracture at the distal diaphysis of the radius in a patient with rheumatoid arthritis (RA) after synovectomy combined with the Sauvé-Kapandji procedure.
  • Radiographs of her right wrist taken at the second visit showed a fracture at the distal diaphysis of the radius at the level of the excision osteotomy of the distal ulna; however, no displacement of the distal fragment was observed.
  • However, after 3 weeks of cast immobilization, a displacement of the distal fragment was observed.
  • A manual reduction of the displacement was performed and the arm was again immobilized in a long-arm cast.
  • However, 1 week later, a displaced distal fragment was again observed.
  • Subsequently, she received an open reduction and internal fixation using a volar locking plate and screws with an autologous iliac crest bone graft.
  • [MeSH-minor] Aged. Bone Plates. Bone Screws. Bone Transplantation. Female. Fracture Fixation, Internal / methods. Fracture Healing. Humans. Ilium / transplantation. Rupture. Tendon Injuries / surgery


12. |||....... 28%  Qu Y, Xu J, Jiang T, Zhao H, Gao Y, Hou W: Unstable distal radius fractures: restoration of the radial length with use of special palmar fixed-angle plate. Handchir Mikrochir Plast Chir; 2013 Feb;45(1):1-5
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Unstable distal radius fractures: restoration of the radial length with use of special palmar fixed-angle plate.
  • PURPOSE: To describe the radiological and clinical outcome of unstable distal radius fractures treated with use of a palmar locking plate designed especially to restore the length of the radius.
  • PATIENTS AND METHODS: 19 patients (6 men and 13 women) with an average age of 55 (23-71) years with an unilateral unstable distal radius fracture were treated with open reduction and internal fixation with use of an special palmar locking plate.
  • In the distal long hole of this plate a longitudinal gear drive mechanism is integrated, in which a digital knob device consisting of a handle with a serrated ring is inserted.
  • By turning the handle the distal fragments which are fixed to the plate by locking screws are pushed distally with respect to the shaft fragment until the correct length of the radius is restored.
  • Ulna variance measured on average - 0.8±1.5 mm.
  • [MeSH-major] Bone Plates. Fracture Fixation, Internal / instrumentation. Radius Fractures / surgery. Wrist Injuries / surgery
  • [MeSH-minor] Adult. Aged. Bone Screws. Equipment Design. Female. Follow-Up Studies. Fracture Healing / physiology. Humans. Male. Middle Aged. Postoperative Complications / physiopathology. Range of Motion, Articular / physiology

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  • [Copyright] © Georg Thieme Verlag KG Stuttgart · New York.
  • (PMID = 23519709.001).
  • [ISSN] 1439-3980
  • [Journal-full-title] Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Mikrochirurgie der Peripheren Nerven und Gefässe : Organ der Vereinigung der Deutschen Plastischen Chirurgen
  • [ISO-abbreviation] Handchir Mikrochir Plast Chir
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Germany
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13. |||....... 28%  van Duijvenbode DC, Guitton TG, Raaymakers EL, Kloen P, Ring D: Long-term outcome of isolated diaphyseal radius fractures with and without dislocation of the distal radioulnar joint. J Hand Surg Am; 2012 Mar;37(3):523-7
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Long-term outcome of isolated diaphyseal radius fractures with and without dislocation of the distal radioulnar joint.
  • PURPOSE: We tested the hypothesis that there are no differences between apparently isolated fractures of the radial diaphysis and isolated fractures of the radial diaphysis with concomitant dislocation of the distal radioulnar joint (DRUJ) in function, disability, and DRUJ stability more than 13 years after near-anatomic open reduction with plate and screw fixation.
  • METHODS: We evaluated 17 adult patients with a diaphyseal fracture of the radius without a fracture of the ulna an average of 19 years after surgery (range, 13-33 y).
  • Of these patients, 7 had concomitant dislocation of the DRUJ (Galeazzi fracture).
  • CONCLUSIONS: Near-anatomic open reduction and internal fixation of diaphyseal radius fractures with and without associated DRUJ dislocation have comparable long-term results.
  • [MeSH-minor] Adolescent. Adult. Female. Humans. Male. Radius. Time Factors. Treatment Outcome. Ulna. Young Adult


14. |||....... 28%  O'Hagan T, Reddy D, Hussain WM, Mangla J, Atanda A Jr, Bielski R: A complex injury of the distal ulnar physis: a case report and brief review of the literature. Am J Orthop (Belle Mead NJ); 2012 Jan;41(1):E1-3
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] A complex injury of the distal ulnar physis: a case report and brief review of the literature.
  • Physeal fractures of the distal forearm are common injuries in children and adolescents.
  • However, Salter-Harris type III and type IV fractures of the distal ulnar epiphysis are often high-energy injuries that require open reduction for restoration of anatomical alignment.
  • Here we report the case of a 13-year-old boy with a type IV distal ulna fracture not diagnosed with standard radiography.
  • The patient underwent open reduction and internal fixation.
  • Thorough radiographic assessment should be conducted when there is a high suspicion for these fracture patterns.
  • Appropriate diagnosis can lead to expedient reduction and expectant management of sequelae associated with these injuries.
  • [MeSH-major] Diagnostic Errors. Epiphyses / pathology. Fracture Fixation / methods. Fractures, Closed / therapy. Ulna / pathology. Ulna Fractures / diagnosis
  • [MeSH-minor] Adolescent. Fracture Fixation, Internal. Fracture Healing. Fractures, Ununited / diagnosis. Fractures, Ununited / radiography. Fractures, Ununited / surgery. Humans. Male. Musculoskeletal Manipulations / methods. Outcome Assessment (Health Care). Tomography, X-Ray Computed. Treatment Outcome

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  • (PMID = 22389897.001).
  • [ISSN] 1934-3418
  • [Journal-full-title] American journal of orthopedics (Belle Mead, N.J.)
  • [ISO-abbreviation] Am J. Orthop.
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article; Review
  • [Publication-country] United States
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15. |||....... 28%  Sammer DM, Shah HM, Shauver MJ, Chung KC: The effect of ulnar styloid fractures on patient-rated outcomes after volar locking plating of distal radius fractures. J Hand Surg Am; 2009 Nov;34(9):1595-602
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] The effect of ulnar styloid fractures on patient-rated outcomes after volar locking plating of distal radius fractures.
  • PURPOSE: Ulnar styloid fractures commonly occur with distal radius fractures (DRFs).
  • Ulnar styloid fractures that involve the insertion of the radioulnar ligaments can cause distal radioulnar joint (DRUJ) instability, and the literature suggests that these fractures should be treated with open reduction internal fixation (ORIF).
  • Patients with DRUJ instability treated at the time of distal radius ORIF were excluded.
  • Regression analysis was performed to determine whether the presence of an ulnar styloid fracture, the size or displacement of the fracture, or the healing status of the fracture was predictive of MHQ scores.
  • In these patients, the presence of an ulnar styloid fracture did not affect MHQ scores.
  • Furthermore, the size of the ulnar styloid fracture, the degree of displacement, and the healing status of the ulnar styloid did not affect MHQ scores.
  • [MeSH-major] Bone Plates. Fracture Fixation, Internal. Radius Fractures / surgery. Ulna Fractures / surgery

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  • [CommentIn] J Hand Surg Am. 2009 Nov;34(9):1603-4 [19896005.001]
  • (PMID = 19896004.001).
  • [ISSN] 1531-6564
  • [Journal-full-title] The Journal of hand surgery
  • [ISO-abbreviation] J Hand Surg Am
  • [Language] eng
  • [Grant] United States / NIAMS NIH HHS / AR / K24 AR053120; United States / NIAMS NIH HHS / AR / K24 AR053120; United States / NIAMS NIH HHS / AR / R21 AR056988
  • [Publication-type] Journal Article; Research Support, N.I.H., Extramural
  • [Publication-country] United States
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16. |||....... 28%  Gong HS, Chung MS, Oh JH, Lee YH, Kim SH, Baek GH: Failure of the interosseous membrane to heal with immobilization, pinning of the distal radioulnar joint, and bipolar radial head replacement in a case of Essex-Lopresti injury: case report. J Hand Surg Am; 2010 Jun;35(6):976-80
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Failure of the interosseous membrane to heal with immobilization, pinning of the distal radioulnar joint, and bipolar radial head replacement in a case of Essex-Lopresti injury: case report.
  • The authors report a case of a patient with complex radial head and ulnar shaft fractures with an associated tear of the interosseous membrane, which failed to heal despite open reduction internal fixation of the ulna, a bipolar radial head replacement, and cross pinning of the distal radioulnar joint.
  • This case demonstrates that failure of the interosseous membrane can occur even in a properly replaced bipolar radial head with adequate immobilization of the forearm and pinning of the distal radioulnar joint.
  • [MeSH-major] Elbow Joint / injuries. Fracture Fixation, Internal. Fractures, Comminuted / surgery. Joint Instability / surgery. Radius Fractures / surgery. Ulna Fractures / surgery

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  • [Copyright] Copyright 2010 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.
  • (PMID = 20452146.001).
  • [ISSN] 1531-6564
  • [Journal-full-title] The Journal of hand surgery
  • [ISO-abbreviation] J Hand Surg Am
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] United States
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17. |||....... 27%  Dhoju D, Shrestha D, Parajuli N, Dhakal G, Shrestha R: Ipsilateral supracondylar fracture and forearm bone injury in children: a retrospective review of thirty one cases. Kathmandu Univ Med J (KUMJ); 2011 Apr-Jun;9(34):11-6
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Ipsilateral supracondylar fracture and forearm bone injury in children: a retrospective review of thirty one cases.
  • BACKGROUND: Pediatric supracondylar fracture and forearm bone fracture is common in isolation but combined supracondylar fracture with ipsilateral forearm bone fracture, known as floating elbow is not common injury.
  • METHOD: In retrospective review of 759 consecutive supracondylar fracture managed in between July 2005 to June 2011, children with combined supracondylar fracture with forearm bone injuries were identified and their demographic profiles, mode of injury, fracture types, treatment procedures, outcome and complications were analyzed.
  • RESULT: Thirty one patients (mean age 8.91 yrs, range 2-14 yrs; male 26; left side 18) had combined supracondylar fracture and ipsilateral forearm bone injury including four open fractures.
  • There were 20 (64.51%) Gartland type III (13 type IIIA and 7 type III B), seven (22.58 %) type II, three (9.67 %) type I and one (3.22 %) flexion type supracondylar fracture.
  • Nine patients had distal radius fracture, six had distal third both bone fracture, three had distal ulna fracture, two had mid shaft both bone injury and one with segmental ulna with distal radius fracture.
  • There were Monteggia fracture dislocation, proximal ulna fracture, olecranon process fracture, undisplaced radial head fracture of one each and two undisplaced coronoid process fracture.
  • Displaced forearm fracture required closed reduction and fixation with Kirschner wires or intramedullary nailing.
  • Nineteen patients with Gartland type III fracture underwent operative intervention.
  • Among them nine had closed reduction and K wire fixation for both supracondylar fracture and forearm bone injury.
  • CONCLUSION: Displaced supracondylar fracture with ipsilateral displaced forearm bone injuries need early operative management in the form of closed reduction and percutaneous pinning which provides not only stable fixation but also allows close observation for early sign and symptom of development of any compartment syndrome.
  • [MeSH-major] Forearm Injuries / epidemiology. Fracture Fixation, Internal / methods. Humeral Fractures / epidemiology. Radius Fractures / epidemiology. Ulna Fractures / epidemiology
  • [MeSH-minor] Adolescent. Bone Nails. Bone Wires. Child. Child, Preschool. Female. Follow-Up Studies. Humans. Humerus / injuries. Humerus / surgery. Incidence. Male. Nepal / epidemiology. Prognosis. Radius / injuries. Radius / surgery. Retrospective Studies. Trauma Severity Indices. Ulna / injuries. Ulna / surgery

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  • (PMID = 22610861.001).
  • [ISSN] 1812-2078
  • [Journal-full-title] Kathmandu University medical journal (KUMJ)
  • [ISO-abbreviation] Kathmandu Univ Med J (KUMJ)
  • [Language] eng
  • [Publication-type] Comparative Study; Journal Article
  • [Publication-country] Nepal
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18. |||....... 26%  Neuhaus V, Badri O, Ferree S, Bot AG, Ring DC, Mudgal CS: Radiographic alignment of unstable distal radius fractures fixed with 1 or 2 rows of screws in volar locking plates. J Hand Surg Am; 2013 Feb;38(2):297-301
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Radiographic alignment of unstable distal radius fractures fixed with 1 or 2 rows of screws in volar locking plates.
  • PURPOSE: We tested the null hypothesis that there is no difference in the change in volar tilt of the articular surface of the distal radius on lateral radiographs obtained before suture removal and 3 months or more after surgical fracture fixation when 1 or 2 rows of screws are used in the distal part of a volar locked plate.
  • METHODS: We retrospectively identified 364 consecutive patients with a distal radius fracture treated by 2 surgeons with open reduction and volar locked plate fixation between 2007 and 2011 at our institution.
  • A manually case-matched design with one-to-one matching of 2 different strategies for screws in the distal part of the plate (1 row versus 2 rows) on the basis of sex, AO type, presence of dorsal comminution, ulna fracture, mechanism of injury, and age (± 8 y) resulted in a group of 34 pairs, 68 total fractures.
  • CONCLUSIONS: We found no advantage of 2 rows of distal screws over a single row of screws with respect to maintenance of achieved restoration of volar angulation after volar locked plate fixation of AO type A and C fractures of the distal radius.
  • [MeSH-major] Bone Plates. Bone Screws. Fracture Fixation, Internal / methods. Radius Fractures / radiography. Radius Fractures / surgery. Wrist Injuries / radiography. Wrist Injuries / surgery
  • [MeSH-minor] Adolescent. Adult. Aged. Aged, 80 and over. Equipment Design. Female. Fracture Healing / physiology. Fractures, Malunited / prevention & control. Fractures, Malunited / radiography. Humans. Male. Middle Aged. Postoperative Complications / prevention & control. Postoperative Complications / radiography. Range of Motion, Articular / physiology. Retrospective Studies. Young Adult

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  • [Copyright] Copyright © 2013 American Society for Surgery of the Hand. All rights reserved.
  • (PMID = 23267755.001).
  • [ISSN] 1531-6564
  • [Journal-full-title] The Journal of hand surgery
  • [ISO-abbreviation] J Hand Surg Am
  • [Language] eng
  • [Publication-type] Comparative Study; Journal Article
  • [Publication-country] United States
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19. |||....... 25%  Hii JW, Page MM, Prosser A, Bauer S: An uncommon Essex-Lopresti fracture dislocation with radial displacement in distal direction: diagnosis and surgical treatment of a rare case. BMJ Case Rep; 2013;2013
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] An uncommon Essex-Lopresti fracture dislocation with radial displacement in distal direction: diagnosis and surgical treatment of a rare case.
  • We report on a clinical case of proximal radioulnar joint (PRUJ) and distal radioulnar joint (DRUJ) dislocation with unusual distal radial displacement and associated radial head shear fracture.
  • The case was managed with closed reduction of the PRUJ and DRUJ followed by open reduction and fixation of the radial head.
  • Anatomical reduction of the PRUJ and DRUJ is essential to achieve optimal functional outcomes.
  • [MeSH-major] Dislocations / surgery. Fracture Fixation, Internal / methods. Fractures, Comminuted / surgery. Radius Fractures / surgery. Ulna / injuries


20. ||........ 24%  Macintyre NR, Ilyas AM, Jupiter JB: Treatment of forearm fractures. Acta Chir Orthop Traumatol Cech; 2009 Feb;76(1):7-14
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • Understanding the anatomy and function of the radius, ulna, interosseous membrane, proximal and distal radioulnar joints is critical to appropriate management.
  • Well established surgical approaches including the anterior Henry, dorsal Thompson, and ulnar approaches provide excellent access to both the radius and ulna.
  • Multiple fracture patterns are recognized including isolated radius and ulna fractures, combined fractures, Galeazzi fractures, and Monteggia fractures.
  • Surgical management regularly requires open reduction internal fixation with plates (DCP) and screws with vigilance being paid to stable reduction of the proximal and distal radioulnar joints.
  • New directions in the management of forearm fractures include the use of intramedullary fixation and locking plate technology.
  • [MeSH-major] Radius Fractures / surgery. Ulna Fractures / surgery
  • [MeSH-minor] Fracture Fixation, Internal. Humans

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  • (PMID = 19268042.001).
  • [ISSN] 0001-5415
  • [Journal-full-title] Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca
  • [ISO-abbreviation] Acta Chir Orthop Traumatol Cech
  • [Language] eng
  • [Publication-type] Journal Article; Review
  • [Publication-country] Czech Republic
  • [Number-of-references] 36
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21. ||........ 20%  Catalano LW 3rd, Crivello K, Lafer MP, Chia B, Barron OA, Glickel SZ: Potential dangers of tension band wiring of olecranon fractures: an anatomic study. J Hand Surg Am; 2011 Oct;36(10):1659-62
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • PURPOSE: Displaced olecranon fractures are often amenable to treatment with open reduction and tension-band wiring.
  • METHODS: We performed simulated percutaneous pinnings of the proximal ulna under fluoroscopic guidance on 15 cadavers with intact proximal ulnas.
  • The K-wires were drilled obliquely through the tip of the olecranon process and directed to engage the anterior ulnar cortex, distal to the coronoid.
  • Using calipers, we measured the distance from the tip of each pin to the anterior interosseous nerve (AIN), ulnar artery, proximal radioulnar joint (PRUJ), and volar cortex of the ulna, as well as the distance from the volar cortex of the ulna to the AIN and ulnar artery.
  • The angle created by the K-wires and the longitudinal axis of the ulna was measured on both anteroposterior and lateral radiographs.
  • [MeSH-major] Bone Wires. Fracture Fixation, Internal. Fractures, Bone / surgery. Olecranon Process / injuries

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  • [Copyright] Copyright © 2011 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.
  • (PMID = 21864995.001).
  • [ISSN] 1531-6564
  • [Journal-full-title] The Journal of hand surgery
  • [ISO-abbreviation] J Hand Surg Am
  • [Language] eng
  • [Publication-type] In Vitro; Journal Article
  • [Publication-country] United States
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22. ||........ 19%  Lytle IF, Chung KC: Prevention of recurrent radioulnar heterotopic ossification by combined indomethacin and a dermal/silicone sheet implant: case report. J Hand Surg Am; 2009 Jan;34(1):49-53
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • A 27-year-old, right-handed man developed severe radioulnar synostosis at the distal radius 7 months after open reduction and internal fixation of his distal radius fracture.
  • Heterotopic ossification formed at the radius fracture site, requiring excision of the heterotopic bone and plate removal.
  • A bilayer, dermal substitute and silicone sheet was placed between the radius and ulna in the interosseous space to prevent recurrence of the heterotopic ossification.

  • HSDB. structure - INDOMETHACIN.
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  • (PMID = 19121730.001).
  • [ISSN] 1531-6564
  • [Journal-full-title] The Journal of hand surgery
  • [ISO-abbreviation] J Hand Surg Am
  • [Language] eng
  • [Grant] United States / NIAMS NIH HHS / AR / K24AR053120
  • [Publication-type] Case Reports; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Anti-Inflammatory Agents, Non-Steroidal; 0 / integra artificial skin; 9007-28-7 / Chondroitin Sulfates; 9007-34-5 / Collagen; XXE1CET956 / Indomethacin
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23. ||........ 19%  Segal U, Shani J: Surgical management of large segmental femoral and radial bone defects in a dog: through use of a cylindrical titanium mesh cage and a cancellous bone graft. Vet Comp Orthop Traumatol; 2010;23(1):66-70
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • A seven-year-old, neutered male cross-breed dog, with highly comminuted fractures of the right femur and the left radius and ulna, was referred for treatment.
  • Previous open reduction and internal fixation of these fractures had failed.
  • The mesh cage was aligned with the proximal and distal parts of each bone using an intramedullary pin passing through the cage, and a locking plate was applied to the proximal and distal fracture fragments to produce compression against the titanium cage.

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  • [CommentIn] Vet Comp Orthop Traumatol. 2010;23(4):294; author reply 295; discussion 295-6 [20712100.001]
  • (PMID = 19997675.001).
  • [ISSN] 0932-0814
  • [Journal-full-title] Veterinary and comparative orthopaedics and traumatology : V.C.O.T
  • [ISO-abbreviation] Vet Comp Orthop Traumatol
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] Germany
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24. ||........ 18%  Bauer AS, Singh AK, Amanatullah D, Lerman J, James MA: Free vascularized fibular transfer with langenskiöld procedure for the treatment of congenital pseudarthrosis of the forearm. Tech Hand Up Extrem Surg; 2013 Sep;17(3):144-50
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • Congenital pseudarthrosis of the radius or ulna is a rare entity.
  • Nonsurgical management leads to poor results, as do surgical treatments such as open reduction internal fixation and conventional bone grafting.
  • We describe here our technique for the transfer, including the technique for distal tibiofibular fusion (Langenskiöld procedure) after removal of the fibular graft.
  • [MeSH-major] Fibula / blood supply. Forearm / surgery. Fracture Fixation, Internal / methods. Pseudarthrosis / congenital
  • [MeSH-minor] Bone Transplantation / methods. Child. Child, Preschool. Female. Follow-Up Studies. Fracture Healing / physiology. Free Tissue Flaps / blood supply. Graft Survival. Humans. Male. Risk Assessment. Sampling Studies. Treatment Outcome. Ulna / surgery

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  • (PMID = 23970196.001).
  • [ISSN] 1531-6572
  • [Journal-full-title] Techniques in hand & upper extremity surgery
  • [ISO-abbreviation] Tech Hand Up Extrem Surg
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
  • [Chemical-registry-number] Congenital pseudoarthrosis
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25. ||........ 16%  Fernandez Fernandez F, Langendörfer M, Wirth T, Eberhardt O: [Pseudarthrosis following surgically treated forearm fractures in children and adolescents]. Z Orthop Unfall; 2013 Aug;151(4):364-70
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • In 11 children the pseudarthrosis was located in the middle third and there was one child each with a pseudarthrosis in the proximal and distal third of the ulna.
  • Twelve of the fractures were primarily closed and there were two open cases.
  • In nine cases an open reduction of the ulna was necessary, the radius was openly reduced in four patients.
  • Five of the 14 children had experienced a re-fracture.
  • CONCLUSION: Pseudarthrosis of the forearm following surgical treatment of forearm fractures in children and adolescents mainly occurred in the middle third of the ulna.
  • In primarily open fractures or in cases which needed to be openly reduced the risk of pseudarthrosis formation was higher.
  • Inadequate osteosynthetic stabilisation is another factor to contribute to difficulties in fracture healing.
  • It is important to keep the surgical trauma as small as possible if open reduction is required in order to not disturb the perfusion of the bone.
  • [MeSH-major] Fracture Fixation, Internal / adverse effects. Pseudarthrosis / etiology. Pseudarthrosis / radiography. Radius Fractures / complications. Radius Fractures / surgery. Ulna Fractures / complications. Ulna Fractures / surgery

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  • [Copyright] Georg Thieme Verlag KG Stuttgart · New York.
  • (PMID = 23817803.001).
  • [ISSN] 1864-6743
  • [Journal-full-title] Zeitschrift für Orthopädie und Unfallchirurgie
  • [ISO-abbreviation] Z Orthop Unfall
  • [Language] ger
  • [Publication-type] Clinical Trial; English Abstract; Journal Article
  • [Publication-country] Germany
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