1/13. Surgical treatment of posttraumatic radioulnar synostosis in children.The authors describe two children who underwent surgical treatment of radioulnar synostosis. One case involved simple excision; the other, excision and interposition of Gore-Tex vascular graft material. In a review of the literature, no other report of the latter type of surgical treatment was found. A discussion of the literature concerning this rare complication in children and the current surgical treatment options are included.- - - - - - - - - - ranking = 1keywords = synostosis (Clic here for more details about this article) |
2/13. Posttraumatic radioulnar synostosis treated with a free vascularized fat transplant and dynamic splint: a report of two cases.Two cases of posttraumatic radioulnar synostosis are presented. The patients were treated with excision of the cross-union and interposition of a free vascularized fat transplant. A newly devised pronation-supination dynamic splint was employed for 3 months postoperatively in both patients. After a 1-year postoperative follow-up, an increased range of motion was restored in both cases, and there was no evidence of recurrent synostosis formation in subsequent radiographs. We suggest that an interposed vascularized fat graft may be an ideal biologic barrier to fill the space created by cross-union excision.- - - - - - - - - - ranking = 1.2keywords = synostosis (Clic here for more details about this article) |
3/13. Treatment of radioulnar synostosis by radical excision and interposition of a radial forearm adipofascial flap.A patient had radical excision of type II diaphyseal radioulnar synostosis and interposition of a radial forearm adipofascial flap. Neither adjuvant nonsteroidal anti-inflammatory medications nor radiation therapy were used. Three years after surgery the patient showed 90 degrees of pronation and 90 degrees of supination without any evidence of recurrence.- - - - - - - - - - ranking = 1keywords = synostosis (Clic here for more details about this article) |
4/13. Radioulnar synostosis following an isolated fracture of the ulnar shaft. A case report.In the case of a 19-year-old man, overuse of his nondominant forearm resulted in a radioulnar synostosis. Despite the persistence of the synostosis, the patient adapted to loss of forearm rotation. No further treatment was necessary. Isolated fractures of the ulnar shaft are slow in healing. Several authors observed that early function may be beneficial. However, excessive activity causing motion at the fracture site may cause subperiosteal hemorrhage and soft tissue trauma and may stimulate exuberant callus formation. Fractures of the ulnar shaft, even undisplaced, need to be immobilized to prevent overuse.- - - - - - - - - - ranking = 1.2keywords = synostosis (Clic here for more details about this article) |
5/13. Post-traumatic radioulnar synostosis.There is a paucity of data about post-traumatic radioulnar synostosis, an unusual but serious complication of forearm fractures. Treatment methods have included excision of the synostosis with interposition of soft tissue or synthetic material, excision of the proximal radius, insertion of a screw to distract the radius from the ulna, and a rotational osteotomy of the radius to improve function. In the case of a 28-year-old woman, the treatment was excision of the synostosis, obliteration of the dead space with muscle, prevention of hematoma formation, and early mobilization. The result was an active range of motion of 80 degrees pronation and 60 degrees supination.- - - - - - - - - - ranking = 1.4keywords = synostosis (Clic here for more details about this article) |
6/13. Post-traumatic radio-ulnar synostosis.Five years after an untreated ulnar fracture, a young man seen with no active or passive forearm rotation was found to have a radio-ulnar synostosis, which was surgically excised with interposition of a silicone membrane and soft tissue to decrease any tendency for new formation of the synostosis.- - - - - - - - - - ranking = 1.2keywords = synostosis (Clic here for more details about this article) |
7/13. 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 = 1.2keywords = synostosis (Clic here for more details about this article) |
8/13. Traumatic radio-ulnar synostosis treated by excision and a free fat transplant. A report of two cases.The operative technique and result of treatment of traumatic radio-ulnar synostosis in two patients are described. In both, the treatment was excision of the cross-union and interposition of a free non-vascularised fat transplant. The functional result was excellent, and there was no evidence of regrowth of the synostosis at two and three years respectively.- - - - - - - - - - ranking = 1.2keywords = synostosis (Clic here for more details about this article) |
9/13. 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 = 1.6keywords = synostosis (Clic here for more details about this article) |
10/13. Post-traumatic radio-ulnar synostosis treated by surgical excision and adjunctive radiotherapy.The management of three cases of traumatic radio-ulnar synostosis involved surgical excision of the synostotic bone followed by radiotherapy. Irradiation was commenced on the first postoperative day and was continued daily. The first patient received 20 Gy midline in 10 fractions and the second and third patients 10 Gy in five fractions. No acute side effects were observed. All three patients regained a good, functional range of forearm rotation with no evidence of recurrence of the synostosis after 2 years. This method of treatment is recommended as an alternative to other adjunctive therapies including interposition of material such as silicone sheet between the bones or peri-operative pharmacological suppression.- - - - - - - - - - ranking = 1.2keywords = synostosis (Clic here for more details about this article) |
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