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DOI: 10.1055/s-0043-1769600
Ulna Shortening Osteotomy Combined Arthroscopy augmentation for Ulnar Impaction Syndrome: A prospective Analysis
Artikel in mehreren Sprachen: español | English Funding This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.
Abstract
Purpose This study aimed to show the clinical and patient-reported outcomes achieved with USO combined arthroscopy augmentation of UISs in active patients.
Materials and Methods In this prospective clinical study, 13 patients were assigned to undergo definitive ulnar shortening osteotomy (USO) combined arthroscopy augmentation to ulnar impaction syndrome (UIS). The grip strength, range of motion (ROM), Disabilities of the Arm, Shoulder, and Hand (QuickDASH) outcome measure, visual analog scale (VAS) score for pain, and radiographic characteristics were evaluated at 6 and 12 months.
Description of Technique A longitudinal incision is used to expose the ulna. A specific ulna shortening system is predrilled to performing osteotomies separated by the desired shortening length. After, performing wrist arthroscopy to perform microfracture technique in lunate, triquetrum, and ulna head with a specific puncture (Chondro Pick,20° by Arthrex®, Naples, USA). TFCC and LT (luno triquetrum) were repaired.
Results VAS 2.77. The mean QuickDASH was 4. Two patients showed delayed union and solved with non-surgical treatment.
Conclusion USO with arthroscopy augmentation were found to be safe and reliable definitive treatment methods for UIS in active patients. The VAS and grip strength results predict the restoration of the ability of active patients to independently perform ADLs.
Keywords
ulnar impaction syndrome - triangular fibrocartilage complex - ulnar shortening - osteotomy - arthroscopic debridementEthical Approval
The research here presented was approved by and was in accordance with the ethical standards of the Faculdade de Medicina do ABC Ethics Committee on human experimentation by No 509173159.0000.5484.
Informed Consent
An informed consent document was provided to all research participants, who read and signed it according to their will.
Publikationsverlauf
Eingereicht: 05. April 2022
Angenommen: 01. Februar 2023
Artikel online veröffentlicht:
07. Juni 2023
© 2023. SECMA Foundation. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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