Hanel Douglas P, Pfaeffle H James, Ayalla André
Department of Orthopaedics and Sports Medicine, University of Washington, 325 Ninth Avenue, Box 359798, Seattle, WA 98104-2499, USA.
Hand Clin. 2007 May;23(2):227-34, vi-vii. doi: 10.1016/j.hcl.2007.03.005.
Posttraumatic radioulnar synostosis results in functional loss of forearm rotation. Treatment preference is to excise the synostosis when associated fractures have healed or when the process is radiographically static. Interposition material is used in the region of the proximal radioulnar joint or when the medullary canal of the radius or ulna is breached. Irradiation is limited to lesions at or proximal to the radial tuberosity. Postoperative management includes resting splint that holds the extremity in the extremes of forearm rotation, and intermittent active and passive range of motion exercises. Anti-inflammatory medications are used only during hospitalization. Results have shown a good functional arc of pronosupination, and no recurrence, especially when the process is limited to the midforearm.
创伤后桡尺骨融合会导致前臂旋转功能丧失。当相关骨折愈合或影像学显示病情稳定时，治疗首选切除融合部位。在近端桡尺关节区域或桡骨或尺骨髓腔破裂时使用植入材料。放疗仅限于桡骨粗隆处或其近端的病变。术后管理包括使用休息夹板将肢体固定在前臂旋转的极限位置，并进行间歇性主动和被动活动范围练习。抗炎药物仅在住院期间使用。结果显示旋前旋后功能弧度良好，且无复发，尤其是当病变局限于前臂中部时。
