1/4. Post-traumatic radioulnar synostosis. A report of two cases.In two cases of post-traumatic radioulnar synostosis occurring in a father and his adult son, the bony bridge was excised and a Silastic sheet interposed between the forearm bones. Both patients benefitted and had improved function of the hand following the procedure, although the range of forearm rotation restored was limited. The question is raised as to whether trauma triggers the expression of a latent familial tendency to synostosis of the radius and ulna in these cases.- - - - - - - - - - ranking = 1keywords = post-traumatic (Clic here for more details about this article) |
2/4. Treatment of traumatic radioulnar synostosis by excision and postoperative low-dose irradiation.Post-traumatic radioulnar synostosis can have a profound effect on upper extremity function. Prior reports of excision, with and without interposition material, have demonstrated frequent recurrence and disappointing results. Based on a favorable experience with radiation prophylaxis of heterotopic ossification following total hip arthroplasty, this modality has been used in the management of post-traumatic forearm synostosis. Four cases using excision of bony synostosis followed by single-fraction, low-dose (800 cGy), limited-field irradiation are presented. With a follow-up period of 1-4 years after excision and irradiation, all four patients had total arcs of forearm rotation between 115 degrees and 120 degrees. Each patient noted sustained functional improvement, and there was no x-ray film evidence of recurrent synostosis formation. Single fraction irradiation did not require ongoing patient compliance nor did it complicate rehabilitative efforts. Furthermore, soft tissue and bony healing were not impaired.- - - - - - - - - - ranking = 1keywords = post-traumatic (Clic here for more details about this article) |
3/4. Tibiofibular synostosis: a cause of ankle disability.A syndrome of ankle pain on weight-bearing while running due to post-traumatic ossification of the tibiofibular ligament is described. pain is caused by failure of normal downward and lateral motion of the fibula. Treatment consists of complete excision of the synostosis, followed by cast immobilization for 3 weeks.- - - - - - - - - - ranking = 1keywords = post-traumatic (Clic here for more details about this article) |
4/4. Proximal radio-ulnar synostosis treated by interpositional silicone arthroplasty. A case report.A case of post-traumatic proximal radio-ulnar synostosis in a young adult is described. Treatment was by excision of 1 cm of the shaft just below the synostosis and interposition of a radial head silicone implant. The functional result was excellent after 10 years.- - - - - - - - - - ranking = 1keywords = post-traumatic (Clic here for more details about this article) |