Distraction lengthening of the radius for radial longitudinal instability after distal radio-ulnar subluxation and excision of the radial head: a case report.
The results of late surgery for symptomatic proximal migration of the radius after resection of the radial head for trauma are usually disappointing. Ulnar variance increases when the interosseous membrane is disrupted. Its integrity should be assessed to predict the results of further surgery. We describe a 29-year-old patient in whom distraction lengthening of the radius through an Ilizarov frame allowed him to regain pain-free function of the wrist and elbow after a complex Essex-Lopresti fracture dislocation and late symptoms of ulnar carpal impingement.
Capuano
L
L
Department of Orthopaedics and Traumatology, Aberdeen Royal Infirmary, Foresterhill and Woodend Hospital, NHS Trust, Department of Orhopaedic Surgery, University of Aberdeen Medical School, Polwarth Building, Foresterhill, Aberdeen, Scotland.
Craig
N
N
Ashcroft
G P
GP
Maffulli
N
N
D000328:Adult; D006801:Humans; D018889:Ilizarov Technique; D004204:Joint Dislocations / Q000150:complications* / Q000000981:diagnostic imaging; D008297:Male; D019857:Osteogenesis, Distraction; D011859:Radiography; D011884:Radius / Q000000981:diagnostic imaging / Q000601:surgery*; D011885:Radius Fractures / Q000150:complications* / Q000000981:diagnostic imaging; D017769:Ulnar Nerve Compression Syndromes / Q000209:etiology / Q000601:surgery