桡骨远端骨折畸形愈合后尺腕撞击综合征行尺骨短缩截骨术的结果
Results of ulnar shortening osteotomy for ulnocarpal abutment after malunited distal radius fracture.
作者信息
Tatebe Masahiro, Shinohara Takaaki, Okui Nobuyuki, Yamamoto Michiro, Imaeda Toshihiko, Hirata Hitoshi
机构信息
Department of Hand Surgery, Nagoya University School of Medicine and Kinjo Gakuin University School of Human Life and Environment, Nagoya, Japan.
出版信息
Acta Orthop Belg. 2012 Dec;78(6):714-8.
Surgical correction for ulnocarpal abutment syndrome after malunited distal radius fracture remains controversial. We reviewed sixteen patients (7 men, 9 women) who underwent isolated ulnar-shortening osteotomy for ulnar wrist pain as their main complaint. Mean age was 48 years. The range of flexion-extension increased from 81 degrees to 103 degrees, and range of supination-pronation from 120 degrees to 142 degrees after osteotomy. Mean grip strength increased from 49% to 69%. Mayo wrist score was excellent in 2 cases, good in 7 cases, fair in 6 cases, and poor in 1 case. Grip strength was found to correlate with radial inclination and flexion-extension range with the amount of ulna shortening.
桡骨远端骨折畸形愈合后尺腕撞击综合征的手术矫正仍存在争议。我们回顾了16例患者（7例男性，9例女性），他们因尺侧腕部疼痛为主诉接受了单纯尺骨缩短截骨术。平均年龄为48岁。截骨术后，屈伸范围从81度增加到103度，旋前旋后范围从120度增加到142度。平均握力从49%增加到69%。Mayo腕关节评分：优2例，良7例，可6例，差1例。发现握力与桡骨倾斜度、屈伸范围以及尺骨缩短量相关。
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