The ulnar impaction syndrome: follow-up of ulnar shortening osteotomy.
Thirty wrists of 27 patients with ulnar impaction syndrome who underwent ulnar shortening osteotomy were retrospectively reviewed. The average follow-up was 51 months. The wrists were graded preoperatively and postoperatively according to a wrist-grading system modified from Gartland and Werley. The parameters of grading included pain, function, range of motion, grip strength, radiographic analysis, bony union, and complications. Twenty-four wrists were graded excellent, 4 good, 1 fair, and 1 poor after the surgery in comparison with 28 poor and 2 fair before the operative treatment. Complications were rare, with no ulnar nonunions. This long-term follow-up study revealed that distal ulnar shortening osteotomy is an excellent procedure for the treatment of ulnar impaction syndrome.
Chun
S
S
State University of New York, Department of Orthopedic Surgery, Syracuse 13202.
Palmer
A K
AK
D000293:Adolescent; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007592:Joint Diseases / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010027:Osteotomy / Q000009:adverse effects*; D010146:Pain; D011183:Postoperative Complications; D011859:Radiography; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D014457:Ulna / Q000601:surgery*; D014955:Wrist Joint / Q000000981:diagnostic imaging / Q000503:physiopathology