title: Results of ulnar shortening osteotomy for ulnocarpal abutment after malunited distal radius fracture.
abstract: Surgical correction for ulnocarpal abutment syndrome after malunited distal radius fracture remains controversial. We reviewed sixteen patients (7 men, 9 women) who underwent isolated ulnar-shortening osteotomy for ulnar wrist pain as their main complaint. Mean age was 48 years. The range of flexion-extension increased from 81 degrees to 103 degrees, and range of supination-pronation from 120 degrees to 142 degrees after osteotomy. Mean grip strength increased from 49% to 69%. Mayo wrist score was excellent in 2 cases, good in 7 cases, fair in 6 cases, and poor in 1 case. Grip strength was found to correlate with radial inclination and flexion-extension range with the amount of ulna shortening.
authors: Department of Hand Surgery, Nagoya University School of Medicine and Kinjo Gakuin University School of Human Life and Environment, Nagoya, Japan. tatebe@med.nagoya-u.ac.jp
authors: Masahiro
authors: M
authors: Tatebe
authors: Takaaki
authors: T
authors: Shinohara
authors: Nobuyuki
authors: N
authors: Okui
authors: Michiro
authors: M
authors: Yamamoto
authors: Toshihiko
authors: T
authors: Imaeda
authors: Hitoshi
authors: H
authors: Hirata
mesh_terms: D005260:Female; D017759:Fractures, Malunited / Q000150:complications*; D018737:Hand Strength; D006801:Humans; D008297:Male; D008875:Middle Aged; D010027:Osteotomy / Q000379:methods; D011885:Radius Fractures / Q000150:complications*; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D016896:Treatment Outcome; D014457:Ulna / Q000601:surgery*; D014955:Wrist Joint / Q000503:physiopathology