Evaluation of the metaphyseal ulnar shortening technique according to Sennwald.
The outcome of a metaphyseal ulnar shortening osteotomy, reported by Sennwald as an alternative option for ulnar abutment syndrome, was evaluated with -regard to the functional results, pain relief and incidence of complications.


METHODS
We conducted a review of 12 patients ; measured parameters were DASH score, PRWE, VAS for pain, grip force and wrist motion.


RESULTS
Only disability improved significantly with a DASH score of 42 (p = 0.03). The function and pain assessment scores did not improve in 3 patients. We found no correlation between change in functional scores and other measured variables. Six patients were reoperated for prominent screw heads or new-onset distal radioulnar joint osteoarthritis.


CONCLUSIONS
All osteomies healed fast and uneventfully and disability improved in most patients but 25% did not improve and 50% were re-operated. Further investigation is needed to evaluate the value of the metaphyseal osteotomy as an alternative treatment for ulnar abutment syndrome.
J
J
Beckers
B
B
The
I
I
Degreef
L
L
De Smet
D000328:Adult; D005260:Female; D018737:Hand Strength; D006801:Humans; D008297:Male; D008875:Middle Aged; D010027:Osteotomy / Q000009:adverse effects / Q000379:methods*; D010146:Pain / Q000517:prevention & control; D011183:Postoperative Complications; D011859:Radiography; D016059:Range of Motion, Articular; D012086:Reoperation; D013577:Syndrome; D014457:Ulna / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D014953:Wrist / Q000502:physiology; D055815:Young Adult