Acquired radial clubhand deformity due to osteomyelitis.
We reviewed nine cases of acquired radial clubhand due to osteomyelitis. Goals were cosmetic improvement, maintenance of any wrist mobility, and a stable, painless wrist and forearm. All patients achieved these goals, although residual forearm shortening ranged from 4-8 cm. Treatment of acquired radial clubhand is difficult. The options and guidelines for treating the congenital variety may not be applicable in the treatment of the acquired type. Surgical options include interposition bone grafting, centralization, and radioulnar transposition. Recently the circular external fixator has been used for correction of this complex deformity.
Ono
C M
CM
Shriners Hospitals for Crippled Children, Honolulu Unit, Hawaii 96826, USA.
Albertson
K S
KS
Reinker
K A
KA
Lipp
E B
EB
D000293:Adolescent; D001174:Arthrodesis; D016025:Bone Transplantation; D002648:Child; D002675:Child, Preschool; D016267:External Fixators; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal; D006227:Hand Deformities, Acquired / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D010019:Osteomyelitis / Q000150:complications*; D011859:Radiography; D011884:Radius / Q000000981:diagnostic imaging / Q000601:surgery; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D014955:Wrist Joint