medigraphic.com
ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2007, Number 5

<< Back Next >>

Acta Ortop Mex 2007; 21 (5)

Instability from the distal radioulnar joint: reconstruction and evolution of dorsal triangular fibrocartilage complex ligament

Espinosa GA, Rivas MJA, Sánchez GLE

Language: Spanish
References: 22
Page: 282-288
PDF size: 158.58 Kb.


ABSTRACT

Dorsal and palmar radio ulnar ligaments are part of the triangular fibrocartilage complex and are the principal stabilizer of this articulation. The distal radio ulnar joint provides not only pronation and supination to the forearm, but also it’s basic for strength. The objective of this study is to evaluate the functional results of the dorsal radio ulnar joint ligament reconstruction in patient with distal radio ulnar instability. This is a prospective, longitudinal, experimental and autocontrol assay. Functional preoperative data was analyzed, proper surgical technique and another findings. The patients were evaluated with a functional exploration, comparative dynamometry and DASH evaluation, they were also asked about their personal satisfaction. Between 1997 and 2004, this treatment was practiced in eleven patients (2 men and 9 women) with distal radio ulnar joint instability. With a mean age of 34.1 years. The dominant had was involved in 91% of patients. The mean complaint was pain for all patients, weakness in 9 patients and instability in 7. The mean follow up was 2 years 4 months, with a range from 6 months to 8 years. The patients refer totally satisfied, 8 of them, partially satisfied 2 and one patient insatisfied.


REFERENCES

  1. Enciclopedia Médico Quirúrgica: Indicaciones de la artroscopía de muñeca; Francois Dap, 2001; 1E: 14-055.

  2. Breen TF, Jupiter JB: Extensor carpi ulnaris and flexor carpi ulnaris of the unstable distal ulna. J Hand Surg 1989; 14A(4): 612-7.

  3. Scheker L, Belliappa, Acosta G: Reconstruction of the dorsal ligament of the triangular fibrocartilage. J Hand Surg 1994; 19 B(3): 310-8.

  4. Scheker LR, Babb B, Killion P: Distal ulnar prosthetic replacement. Orthop Clin Nor Am 2001; 30(2): 365-75.

  5. Minami A, Ogino T, Minami M: Treatment of distal radioulnar disorders. J Hand Surg 1987; 12A(2): 189-95.

  6. Holstag: Reconstruction of distal radioulnar joint with synthetic ligament. Plast Reconst Surg 1999; 104(3): 699-704.

  7. Acosta, Hnat, Scheker: Distal radio-ulnar ligament motion during supination and pronation. J Hand Surg 1993; 18(4): 502-5.

  8. Gofton, Gordon, Dunning, Johnson, King: Soft-tissue stabilizers of the distal radioulnar joint: an in vitro kinematic study. J Hand Surg 1988; 29 A(3): 423-31.

  9. Lowman CL: The use of fascia lata in the repair of disability at the wrist. J Bone Joint Surg 1930; 12: 400-2.

  10. Eliason EL: An operation for recurrent inferior radioulnar dislocation. Ann Surg 1932: 27-35.

  11. Davidson AJ, Horowits MT: Recurrent or habitual dislocation of the inferior radioulnar articulation. Am J Surg 1938; 41: 115-7.

  12. Hill RB: Habitual dislocation of the distal in of the Ulna. J Bone Joint Surg 1939; 21: 780-1.

  13. Regal JM, Bicker: Fascial sling operation for instability of the lower radioulnar joint. Mayo Clinics 1945; 20: 202-8.

  14. Liebolt FL: A new procedure of treatment of luxation of the distal end of the ulna. J Bone Joint Surg 1953; l 34A: 261-2.

  15. Green, Hotchkiss, Churchill, Livingstone: Green’s Operative. Hand Surg 1999; 1: 743-69.

  16. Boyes JH: Bunnell’s surgery of the hand. 5th Edition, Pp 229-302.

  17. Darrach W: Habitual forward dislocation of the head of the ulna. Ann Surg 1930; 57: 928-30.

  18. Sauve L, Kapandji M: Nouvelle technique de traitment chirugical des luxation recidivantes isoles de l’extremite inferieure de cubitus. J Chirug 1936; 47: 589.

  19. The inferior radioulnar joint and pronosupination. Tubiana R. Hand 1981; 1, Philadelphia, WB Saunders.

  20. Cirugía ortopédica de Campbell; Terry Canale; 9ª Ed; Vol 4; Pp 3473-81.

  21. Shaaban H, Giakas G, Bolton M, Williams R, Scheker L: The distal radioulnar joint as a load-bearing mechanism-a biomechanical study. J Hand Surg 2004; 29A(1): 85-95.

  22. MacDermid JC, Richards R, Donner A, Bellamy N, Roth J: Responsiveness of the short form 36, disability of the arm, shoulder and hand questionnaire, patient rated wrist evaluation and fisical impairment measurements in evaluating recovery after a distal radius fracture. J Hand Surg 2000; 25A(2): 331-40.




2020     |     www.medigraphic.com