The Experts below are selected from a list of 3546 Experts worldwide ranked by ideXlab platform
Mark R. Belsky - One of the best experts on this subject based on the ideXlab platform.
-
wafer Distal Ulna resection for triangular fibrocartilage tears and or Ulna impaction syndrome
Journal of Hand Surgery (European Volume), 1992Co-Authors: Paul Feldon, Andrew L. Terrono, Mark R. BelskyAbstract:Partial resection of the Distal Ulna (wafer resection) has been used to treat patients with symptomatic tears of the triangular fibrocartilage complex or mild Ulna impaction syndrome. In this procedure, the Distal 2 to 4 mm of the Distal Ulnar head is resected while preserving the Ulnar styloid process and the ligaments attached to it. The triangular fibrocartilage is debrided, repaired, or partially excised as necessary. The procedure is contraindicated if there is more than 4 mm of positive Ulnar variance. Thirteen wafer resections of the Distal Ulna were performed in 12 patients. All had good to excellent results after a minimum follow-up of 1 year. Wafer resection has specific advantages and avoids many of the potential complications of Distal Ulna recession and Ulnar head resection for patients with the conditions described. The procedure is not indicated if instability or degenerative arthritis of the Distal radioUlnar joint is present or if there is carpal instability.
-
Wafer Distal Ulna resection for triangular fibrocartilage tears and/or Ulna impaction syndrome
The Journal of Hand Surgery, 1992Co-Authors: Paul Feldon, Andrew L. Terrono, Mark R. BelskyAbstract:Partial resection of the Distal Ulna (wafer resection) has been used to treat patients with symptomatic tears of the triangular fibrocartilage complex or mild Ulna impaction syndrome. In this procedure, the Distal 2 to 4 mm of the Distal Ulnar head is resected while preserving the Ulnar styloid process and the ligaments attached to it. The triangular fibrocartilage is debrided, repaired, or partially excised as necessary. The procedure is contraindicated if there is more than 4 mm of positive Ulnar variance. Thirteen wafer resections of the Distal Ulna were performed in 12 patients. All had good to excellent results after a minimum follow-up of 1 year. Wafer resection has specific advantages and avoids many of the potential complications of Distal Ulna recession and Ulnar head resection for patients with the conditions described. The procedure is not indicated if instability or degenerative arthritis of the Distal radioUlnar joint is present or if there is carpal instability.
Paul Feldon - One of the best experts on this subject based on the ideXlab platform.
-
wafer Distal Ulna resection for triangular fibrocartilage tears and or Ulna impaction syndrome
Journal of Hand Surgery (European Volume), 1992Co-Authors: Paul Feldon, Andrew L. Terrono, Mark R. BelskyAbstract:Partial resection of the Distal Ulna (wafer resection) has been used to treat patients with symptomatic tears of the triangular fibrocartilage complex or mild Ulna impaction syndrome. In this procedure, the Distal 2 to 4 mm of the Distal Ulnar head is resected while preserving the Ulnar styloid process and the ligaments attached to it. The triangular fibrocartilage is debrided, repaired, or partially excised as necessary. The procedure is contraindicated if there is more than 4 mm of positive Ulnar variance. Thirteen wafer resections of the Distal Ulna were performed in 12 patients. All had good to excellent results after a minimum follow-up of 1 year. Wafer resection has specific advantages and avoids many of the potential complications of Distal Ulna recession and Ulnar head resection for patients with the conditions described. The procedure is not indicated if instability or degenerative arthritis of the Distal radioUlnar joint is present or if there is carpal instability.
-
Wafer Distal Ulna resection for triangular fibrocartilage tears and/or Ulna impaction syndrome
The Journal of Hand Surgery, 1992Co-Authors: Paul Feldon, Andrew L. Terrono, Mark R. BelskyAbstract:Partial resection of the Distal Ulna (wafer resection) has been used to treat patients with symptomatic tears of the triangular fibrocartilage complex or mild Ulna impaction syndrome. In this procedure, the Distal 2 to 4 mm of the Distal Ulnar head is resected while preserving the Ulnar styloid process and the ligaments attached to it. The triangular fibrocartilage is debrided, repaired, or partially excised as necessary. The procedure is contraindicated if there is more than 4 mm of positive Ulnar variance. Thirteen wafer resections of the Distal Ulna were performed in 12 patients. All had good to excellent results after a minimum follow-up of 1 year. Wafer resection has specific advantages and avoids many of the potential complications of Distal Ulna recession and Ulnar head resection for patients with the conditions described. The procedure is not indicated if instability or degenerative arthritis of the Distal radioUlnar joint is present or if there is carpal instability.
Andrew L. Terrono - One of the best experts on this subject based on the ideXlab platform.
-
wafer Distal Ulna resection for triangular fibrocartilage tears and or Ulna impaction syndrome
Journal of Hand Surgery (European Volume), 1992Co-Authors: Paul Feldon, Andrew L. Terrono, Mark R. BelskyAbstract:Partial resection of the Distal Ulna (wafer resection) has been used to treat patients with symptomatic tears of the triangular fibrocartilage complex or mild Ulna impaction syndrome. In this procedure, the Distal 2 to 4 mm of the Distal Ulnar head is resected while preserving the Ulnar styloid process and the ligaments attached to it. The triangular fibrocartilage is debrided, repaired, or partially excised as necessary. The procedure is contraindicated if there is more than 4 mm of positive Ulnar variance. Thirteen wafer resections of the Distal Ulna were performed in 12 patients. All had good to excellent results after a minimum follow-up of 1 year. Wafer resection has specific advantages and avoids many of the potential complications of Distal Ulna recession and Ulnar head resection for patients with the conditions described. The procedure is not indicated if instability or degenerative arthritis of the Distal radioUlnar joint is present or if there is carpal instability.
-
Wafer Distal Ulna resection for triangular fibrocartilage tears and/or Ulna impaction syndrome
The Journal of Hand Surgery, 1992Co-Authors: Paul Feldon, Andrew L. Terrono, Mark R. BelskyAbstract:Partial resection of the Distal Ulna (wafer resection) has been used to treat patients with symptomatic tears of the triangular fibrocartilage complex or mild Ulna impaction syndrome. In this procedure, the Distal 2 to 4 mm of the Distal Ulnar head is resected while preserving the Ulnar styloid process and the ligaments attached to it. The triangular fibrocartilage is debrided, repaired, or partially excised as necessary. The procedure is contraindicated if there is more than 4 mm of positive Ulnar variance. Thirteen wafer resections of the Distal Ulna were performed in 12 patients. All had good to excellent results after a minimum follow-up of 1 year. Wafer resection has specific advantages and avoids many of the potential complications of Distal Ulna recession and Ulnar head resection for patients with the conditions described. The procedure is not indicated if instability or degenerative arthritis of the Distal radioUlnar joint is present or if there is carpal instability.
In Tae Hong - One of the best experts on this subject based on the ideXlab platform.
-
LCP Distal Ulna plate fixation of irreducible or unstable Distal Ulna fractures associated with Distal radius fracture
European Journal of Orthopaedic Surgery & Traumatology, 2014Co-Authors: In Tae HongAbstract:Purpose The advent of locking compression plate (LCP) has provided convenient and secure fixation of Distal Ulna fractures. This study was performed to evaluate the functional and clinical outcomes following LCP Distal Ulna plate fixation of irreducible or unstable Distal Ulna fractures with concomitant Distal radius fractures. Methods Retrospective review of 17 patients who had been treated with LCP Distal Ulna plates for Distal Ulna fractures was performed. The average age of the patients was 58.9 years (range 21–87 years), and the mean follow-up period was 15 months (range 12–20 months). This study consisted of eleven fractures involving metaphysis and six Ulna styloid base fractures. Fracture union, radiologic parameters, stability of the Distal radioUlnar joint (DRUJ), and functional outcomes, including ROM, grip strength, and functional scores were evaluated. Results All patients showed bony union, the average radial height was 10.5 mm, and the Ulnar variance was 0.8 mm on final radiographs. None of the patients had instability of the DRUJ compared with the opposite wrist, and the subluxation ratio was within normal range on the follow-up CT scan. There were 6 excellent and 11 good cases according to Sarmiento’s modified wrist score at the last follow-up. Conclusions Locking compression plate Distal Ulna plate fixation of irreducible or unstable Distal Ulna fractures after stabilization of concomitant Distal radius fractures showed favorable results in union, alignment, and functional outcomes and therefore could be one of the recommendable implant options for Distal Ulna fractures.
-
lcp Distal Ulna plate fixation of irreducible or unstable Distal Ulna fractures associated with Distal radius fracture
European Journal of Orthopaedic Surgery and Traumatology, 2014Co-Authors: In Tae Hong, Woo Hyu KimAbstract:Purpose The advent of locking compression plate (LCP) has provided convenient and secure fixation of Distal Ulna fractures. This study was performed to evaluate the functional and clinical outcomes following LCP Distal Ulna plate fixation of irreducible or unstable Distal Ulna fractures with concomitant Distal radius fractures.
Won Sik Choy - One of the best experts on this subject based on the ideXlab platform.
-
locking compression plate Distal Ulna hook plate as alternative fixation for fifth metatarsal base fracture
Journal of Foot & Ankle Surgery, 2014Co-Authors: Ju Sang Park, Won Sik ChoyAbstract:Abstract Intramedullary screw fixation has been the most common treatment for fifth metatarsal base fractures. However, screw application will not achieve accurate reduction in fractures with small fragments, osteoporotic bone, or Lawrence zone 1 fractures. Because of the similar anatomic architecture between the Distal Ulna and the fifth metatarsal base, the purpose of the present study was to assess the results of a locking compression plate Distal Ulna hook plate in stabilizing displaced zone 1 or 2 fifth metatarsal base fractures. A total of 19 patients with Lawrence zone 1 (n = 12) or 2 (n = 7) fractures of the fifth metatarsal base were treated surgically with a locking compression plate Distal Ulna hook plate. The patients were evaluated clinically and radiographically, and the functional outcomes were graded using the American Orthopaedic Foot and Ankle Society midfoot scoring system. Radiographic bony union was obtained in all patients, at an average of 7.4 weeks. The mean American Orthopaedic Foot and Ankle Society midfoot score improved from 26 (range 0 to 45) points preoperatively to 94 (range 72 to 100) points at the final follow-up visit. Three patients developed post-traumatic cubometatarsal arthrosis, and 1 patient developed sural nerve neurapraxia. In our experience, the Distal Ulna hook plate achieved a high rate of bony consolidation and anatomically suitable fixation in zone 1 or 2 fifth metatarsal base fractures. We suggest that the locking compression plate Distal Ulna hook plate should be considered as an alternative treatment of multifragmentary, osteoporotic, and tuberosity avulsion (zone 1) fifth metatarsal base fractures.
-
lcp Distal Ulna hook plate as alternative fixation for fifth metatarsal base fracture
European Journal of Orthopaedic Surgery and Traumatology, 2013Co-Authors: Ju Sang Park, Won Sik ChoyAbstract:Intramedullary screw fixation is the most common treatment for fifth metatarsal base fractures. Screw application does not achieve accurate reduction in fracture with small fragments, osteoporotic bone, or Lawrence zone 1 fractures, however. On the basis of similar anatomical architectures between the Distal Ulna and the fifth metatarsal base, the purpose of this study was to assess the results of a locking compression plate (LCP) Distal Ulna hook plate in stabilizing displaced zone 1 or 2 fifth metatarsal base fractures. Nineteen patients with Lawrence zone 1 (n = 12) or 2 (n = 7) fractures of the fifth metatarsal base were treated surgically with an LCP Distal Ulna hook plate. The patients were evaluated clinically and radiographically, and functional outcomes were graded by using the American Orthopaedic Foot and Ankle Society (AOFAS) midfoot scoring system. Radiographic bony union was obtained in all patients, at an average of 7.4 weeks. The mean AOFAS midfoot score improved from 26 (range, 0–45) preoperatively to 94 (range, 72–100) points at the final follow-up. There were three patients with post-traumatic cubometatarsal arthrosis and one patient with sural nerve neuropraxia. In our experience, the Distal Ulna hook plate achieves a high rate of bony consolidation and anatomically suitable fixation in zone 1 or 2 fifth metatarsal base fractures. We also suggest that the LCP Distal Ulna hook plate should be considered as an alternative treatment in multifragmentary, osteoporotic, and tuberosity avulsion (zone 1) fifth metatarsal base fractures.
-
Distal Ulna hook plate fixation for unstable Distal Ulna fracture associated with Distal radius fracture
Orthopedics, 2012Co-Authors: Sang Ki Lee, Kap Jung Kim, Ju Sang Park, Won Sik ChoyAbstract:The significance of Distal Ulna fractures is often undermined, which can result in inadequate treatment compared with fractures of the radius, the Ulna's larger counterpart. However, little guidance exists in the current literature on how to manage Distal Ulna head or neck fractures and intra-articular Ulna head fractures. Therefore, the purpose of this retrospective study was to evaluate the outcomes of Distal Ulna hook plate fixation for the treatment of an unstable Distal Ulna fracture associated with a Distal radius fracture. Twenty-five patients with unstable Distal Ulna fractures who underwent stable fixation for an associated Distal radius fracture were included in the study. All patients achieved satisfactory reduction and bony union. Average final motion was as follows: wrist flexion, 72° (range, 60°-85°); extension, 69° (range, 65°-80°); pronation, 77° (range, 55°-95°); supination, 82° (range, 65°-90°); Ulnar deviation, 35° (range, 15°-50°); and radial deviation, 24° (range, 10°-40°). Average postoperative grip strength was 28 kg (range, 22-30 kg) and was 91% (range, 71%-100%) in the cases in which the dominant hand was injured and 80% (range, 65%-100%) in the cases in which the nondominant hand was injured. Average postoperative modified Mayo wrist score and Disabilities of the Arm, Shoulder and Hand score was 87 points (range, 65-100 points) and 14 points (range, 0-54 points), respectively. Chronic instability of the Distal radioUlnar joint was not encountered in any patient. Thus, the study demonstrated that Distal Ulna hook plate fixation for the treatment of unstable Distal Ulna fractures can achieve healing with good alignment, satisfactory function, and minimal transient morbidity.