[Congenital superior radioulnar synostoses. A study of 43 cases].
Superior radioulnar synostosis is a rare abnormality which frequently gives rise to functional disability. Its pattern of inheritance is uncertain. We have studied 29 children, 18 boys and 11 girls, who had a total of 43 such synostoses. Twenty children had significant functional disability. Fourteen required operation, 10 undergoing a Judet's osteotomy and 4 osteotomy of the lower end of the radius. The dominant hand was placed in the position of function, and the other in 30-40 degrees of supination. The osteotomies were secured by pins and supported in a plaster splint. Use of the forearm and hand was improved in all cases. Operation is best carried out between the ages of 4 and 10, and a useful functional improvement can be expected.
D000367:Age Factors; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D011884:Radius / Q000002:abnormalities* / Q000601:surgery; D013580:Synostosis / Q000601:surgery*; D014457:Ulna / Q000002:abnormalities* / Q000601:surgery
Les synostoses congénitales radio-cubitales supérieures. A propos de 43 cas.