title: Single forearm radius and ulna asymmetric lengthening in multiple cartilaginous exostoses: a case report and a long-term follow-up.
abstract: We describe one case of forearm deformity in a patient affected by multiple cartilaginous exostoses - also known as the forearm 'candy stick deformity'. Surgical treatment usually focuses on the correction of the wrist deformity without correcting the forearm shortening, the latter not being given the same consideration as lower limb shortening. In the presented case, radius and ulna corticotomies were performed and distal forearm deformity and shortening were corrected by two independent monoaxial external fixators, with full pronosupination. It is our belief that simultaneous treatment of forearm shortening and deformity not only results in an improved clinical and functional result but also provides significant psychological benefit. We recommend a long-term follow-up.
authors.affiliation: Department of Orthopaedics and Traumatology, 'Sapienza' University of Rome, Rome, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Massobrio
authors.forename: Giorgio
authors.initials: G
authors.lastname: Antonietti
authors.forename: Giovanni
authors.initials: G
authors.lastname: Pellicanò
authors.forename: Fabiana
authors.initials: F
authors.lastname: Necci
mesh_terms: D001852:Bone Lengthening / Q000379:methods*; D002648:Child; D005097:Exostoses, Multiple Hereditary / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D005542:Forearm / Q000601:surgery; D006226:Hand Deformities / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D011859:Radiography; D011884:Radius / Q000601:surgery*; D013997:Time Factors; D014457:Ulna / Q000601:surgery*