Use of an ulnar head endoprosthesis for treatment of an unstable distal ulnar resection: review of mechanics, indications, and surgical technique.

Abstract:

:Resection of the distal ulna for post-traumatic arthritis can lead to an unstable forearm joint through loss of the normal articular contact through the distal radioulnar joint and loss of soft tissue constraint. The resulting convergence instability can lead to residual pain, weakness, and loss of function. Restabilization of the forearm joint with implantation of an ulnar head endoprosthesis can re-establish the mechanical continuity of the forearm, reducing pain and improving strength and function. The anatomy, mechanics,rationale, and indications for surgical replacement of the distal ulna are presented. Important tenets of proper ulnar head implant insertion are given to provide a guide for use of the implant. Preliminary results after 2 years of clinical experience are encouraging.

journal_name

Hand Clin

journal_title

Hand clinics

authors

Berger RA,Cooney WP 3rd

doi

10.1016/j.hcl.2005.08.015

subject

Has Abstract

pub_date

2005-11-01 00:00:00

pages

603-20, vii

issue

4

eissn

0749-0712

issn

1558-1969

pii

S0749-0712(05)00089-2

journal_volume

21

pub_type

杂志文章,评审
  • Evaluation and staging of musculoskeletal neoplasia.

    abstract::Musculoskeletal neoplasia are rare and can present in a highly variable fashion. Maintaining an index of suspicion for the presence of neoplasia is important. A standard approach to evaluation with history, physical, and appropriate imaging studies is mandatory. This information then can be synthesized to properly sta...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2004.03.008

    authors: Parsons TW 3rd,Filzen TW

    更新日期:2004-05-01 00:00:00

  • Management of complications of congenital hand disorders.

    abstract::This article reviews treatment and presents complications seen in the treatment of 7 common congenital hand differences, including syndactyly, camptodactyly, ulnar and radial polydactyly, thumb hypoplasia, radial longitudinal deficiency, and epidermolysis bullosa. The management of these conditions is challenging but ...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2015.01.011

    authors: Comer GC,Ladd AL

    更新日期:2015-05-01 00:00:00

  • Psychological evaluation of patients with industrial hand injuries.

    abstract::Psychological evaluations with hand injury patients provide diagnostic information and treatment recommendations that can be included with the findings from physical and neurologic examinations. Assessment of psychosocial factors that can either complicate recovery from injury or aid in rehabilitation is discussed. Fo...

    journal_title:Hand clinics

    pub_type: 杂志文章

    doi:

    authors: Johnson RK

    更新日期:1986-08-01 00:00:00

  • Carpometacarpal joint injuries of the fingers.

    abstract::Injuries to the carpometacarpal joints are uncommon and are sometimes overlooked on initial radiographs. Their recognition depends on a careful physical and radiographic examination that may require trispiral tomograms and CT scans. Most injuries can be treated successfully by closed reduction and percutaneous fixatio...

    journal_title:Hand clinics

    pub_type: 杂志文章

    doi:

    authors: Gurland M

    更新日期:1992-11-01 00:00:00

  • Electrical and ultrasound stimulation for scaphoid fractures.

    abstract::The standard treatment for delayed union or nonunion of the scaphoid is operative management. Electrical stimulation has been employed in these clinical situations in patients unable or unwilling to undergo surgical intervention. Recent interest has also focused on the use of low-intensity ultrasound as an adjunct to ...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Divelbiss BJ,Adams BD

    更新日期:2001-11-01 00:00:00

  • Exposures of the elbow.

    abstract::This article describes the basic bony, ligamentous, and neurologic anatomy of the structures about the elbow. The surgical exposures of the elbow joint are described, providing details of the various posterior, lateral, and medial approaches to the articular segments. Clinical applications describing the potential ben...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2014.08.001

    authors: Axelrod TS

    更新日期:2014-11-01 00:00:00

  • The upper extremity trauma patient.

    abstract::Trauma patients are predominantly young men. Urban trauma patients frequently are uninsured, and often are victims of intentionally inflicted penetrating injury, usually caused by firearms. Substance use is a common underlying factor in both urban and rural trauma. This article introduces urban and rural patients. It ...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: McAuliffe JA

    更新日期:1999-05-01 00:00:00

  • The physiology of nerve transplantation.

    abstract::As microsurgical techniques improve, attempts to restore function after severe nerve injury place greater demands upon the use of nerve grafts. Viable Schwann cells within these grafts are necessary to maximize nerve regeneration. Progress in decreasing nerve allograft antigenicity and the host response through immuno...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Trumble TE,Shon FG

    更新日期:2000-02-01 00:00:00

  • Arteriography of the hand and wrist.

    abstract::Arteriography of the hand is a specialized area of angiography that has unfortunately received little attention from angiographers and surgeons. Proper attention to techniques and an awareness of the unique manifestations of disease in the upper extremity maximize the clinical benefit gained when hand arteriography is...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Vogelzang RL

    更新日期:1991-02-01 00:00:00

  • Peripheral Nerve Defects: Overviews of Practice in Europe.

    abstract::Many surgical techniques are available for the repair of peripheral nerve defects. Autologous nerve grafts are the gold standard for most clinical conditions. In selected cases, alternative types of reconstructions are performed to fill the nerve gap. Non-nervous autologous tissue-based conduits or synthetic ones are ...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2017.04.005

    authors: Battiston B,Titolo P,Ciclamini D,Panero B

    更新日期:2017-08-01 00:00:00

  • Cumulative trauma disorder of the upper limb.

    abstract::The current status of cumulative trauma disorder of the upper limb is examined from the standpoint of its long history, its current controversies, and the philosophic basis of the present laws, which control management of the condition. The future needs that should permit cumulative trauma disorders to be better under...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Dobyns JH

    更新日期:1991-08-01 00:00:00

  • Arthroscopic techniques for wrist arthritis (radial styloidectomy and proximal pole hamate excisions).

    abstract::Over the last 2 decades, arthroscopy has assumed a greater role in the treatment of disorders of the wrist. The arthroscopic treatment of radioscaphoid arthritis and ulnar hamate impaction provides the benefits of being minimally invasive, with less morbidity, earlier motion, less recovery time, early return to work, ...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2005.08.008

    authors: Yao J,Osterman AL

    更新日期:2005-11-01 00:00:00

  • Practice in Wide-Awake Hand Surgery: Differences Between United Kingdom and Cyprus.

    abstract::The implementation of the wide-awake local anesthetic no tourniquet (WALANT) approach to surgical procedures in Cyprus has led to significant cost savings. In the United Kingdom, the implementation of WALANT has led to shorter waiting times for hand surgical procedures, cost savings for the National Health Service, an...

    journal_title:Hand clinics

    pub_type: 杂志文章

    doi:10.1016/j.hcl.2018.08.007

    authors: Kritiotis C,Phillips A,Muir L,Naqui Z

    更新日期:2019-02-01 00:00:00

  • Rehabilitation following motor nerve transfers.

    abstract::Cortical mapping and relearning are key factors in optimizing patient outcome following motor nerve transfers. To maximize function following nerve transfers, the rehabilitation program must include motor reeducation to initiate recruitment of the weak reinnervated muscles and to establish new motor patterns and corti...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2008.06.001

    authors: Novak CB

    更新日期:2008-11-01 00:00:00

  • Epidemiology of hand and wrist injuries in sports.

    abstract::Most sports are associated with specific patterns of hand injury. In some cases, these are unavoidable due to the nature of hand involvement dictated by the rules or environment of the sport. In other cases, such injuries point out the need for better protective gear or training. ...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Amadio PC

    更新日期:1990-08-01 00:00:00

  • The history of hand infections.

    abstract::The current approach to hand infections is a culmination of information gained from centuries of medical teaching by the ancient Greeks, nineteenth-century anatomists, and twentieth-century microbiologists and surgeons. Although many individuals have contributed to our knowledge through their teachings and writings, t...

    journal_title:Hand clinics

    pub_type: 历史文章,杂志文章

    doi:

    authors: Kono M,Stern PJ

    更新日期:1998-11-01 00:00:00

  • Wrist arthroplasty: partial and total.

    abstract::Although arthrodesis is the treatment preferred by most surgeons for severe wrist arthritis, some degree of functional impairment occurs from the resulting loss of motion, especially when multiple joints in the extremity are affected by arthritis. Total wrist arthroplasty may enhance the performance of daily activitie...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2012.08.029

    authors: Adams BD

    更新日期:2013-02-01 00:00:00

  • The distal radioulnar joint complex in rheumatoid arthritis: an overview.

    abstract::Rheumatoid arthritis frequently involves the distal radioulnar joint region and is progressive. Early recognition of involvement is paramount to offering patients appropriate and timely treatment. Early operative intervention should be considered preventative. Synovectomy, hemiresection interposition technique, matche...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Clawson MC,Stern PJ

    更新日期:1991-05-01 00:00:00

  • Tendon transfers in surgery of the rheumatoid hand.

    abstract::Tendon transfer procedures are used in the reconstructive surgery of the rheumatoid hand in cases of tendon ruptures, deformities, and compression neuropathies with subsequent muscle atrophy. The prerequisites and essential principles for tendon transfers are discussed, including the following: 1) correction of contra...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Mannerfelt LG

    更新日期:1988-05-01 00:00:00

  • Neurovascular flaps to the hand.

    abstract::The surgical return of sensibility in the injured upper extremity remains a major goal for the reconstructive surgeon. Free flaps have created the opportunity for successful reconstruction in those patients in whom irreplaceable sensory end organs have been destroyed. In addition, well-vascularized composite tissues m...

    journal_title:Hand clinics

    pub_type: 杂志文章

    doi:

    authors: Strauch B,Greenstein B

    更新日期:1985-05-01 00:00:00

  • Complications of surgery for thoracic outlet syndrome.

    abstract::Having read through the previous litany of potential disasters and complications, one could ask the obvious question, "Why would anyone want to do this kind of surgery?" The answer is that most people elect not to! Nevertheless, for those who decide to venture into this field, there is the tremendous reward of being a...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/s0749-0712(03)00084-2

    authors: Leffert RD

    更新日期:2004-02-01 00:00:00

  • The use of the palmaris brevis flap in recurrent carpal tunnel syndrome.

    abstract::In failed cases of primary carpal tunnel release, the addition of the highly vascular palmaris brevis turnover flap as an adjunct to internal neurolysis discourages scarring and provides a nutrient bed for axonal regeneration. In fact, the palmaris muscle flap actually may suppress the growth of nerve fibers into the ...

    journal_title:Hand clinics

    pub_type: 杂志文章

    doi:

    authors: Rose EH

    更新日期:1996-05-01 00:00:00

  • Rheumatoid flexor tenosynovitis and rupture.

    abstract::Rheumatoid flexor tenosynovitis at the wrist can cause locking, limitation of motion, nerve compression, and rupture of tendons. To prevent and treat these conditions, a flexor tenosynovectomy, combined with nerve decompression and tendon reconstruction as indicated, is necessary. If tendons are ruptured, the flexor p...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Ferlic DC

    更新日期:1996-08-01 00:00:00

  • Complex injuries of the forearm. Coverage considerations.

    abstract::Complex forearm injuries involve damage to the skin and underlying tissues. The best results are obtained when a multidisciplinary approach is taken to their management. Management of the acute injury should be done in a manner that takes into consideration late reconstructive procedures and best possible final functi...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Bray PW,Boyer MI,Bowen CV

    更新日期:1997-05-01 00:00:00

  • Biomechanics of tendon transfers.

    abstract::There are just two variables that define the mechanical qualities of each muscle. One is its potential for generating tension, and the other is the distance through which tension can be exerted. Tension capability can be increased in a muscle by exercise. There is no way to increase potential for excursion except by r...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Brand PW

    更新日期:1988-05-01 00:00:00

  • The distal radioulnar joint in rheumatoid arthritis.

    abstract::Rheumatoid arthritis commonly affects the distal radioulnar joint (DRUJ). This can result in pain, instability, or tendon rupture. The goals of surgical reconstruction of the DRUJ are to relieve pain, stabilize the joint, and prevent tendon rupture. We review many of the previously described procedures and report our ...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: O'Donovan TM,Ruby LK

    更新日期:1989-05-01 00:00:00

  • Headless compression screw fixation of scaphoid fractures.

    abstract::Scaphoid fractures carry significant long-term morbidity and short-term socioeconomic difficulty in the young and active patient population in which they most commonly occur. While cast immobilization results in high rates of radiographic union in nondisplaced scaphoid fractures, internal fixation with headless compre...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2010.04.005

    authors: Fowler JR,Ilyas AM

    更新日期:2010-08-01 00:00:00

  • Ulnar artery thrombosis.

    abstract::Management of ulnar artery thrombosis is a complex problem. Diagnosis is confirmed by Allen testing; other special studies are needed for adequate evaluation of circulation, and arteriography is necessary before definitive therapy can be planned. Treatment must be patient oriented and directed at the underlying abnorm...

    journal_title:Hand clinics

    pub_type: 杂志文章

    doi:

    authors: Koman LA,Urbaniak JR

    更新日期:1985-05-01 00:00:00

  • Histologic anatomy of the triangular fibrocartilage.

    abstract::Histologic examination of the TFC reveals parallel, longitudinally oriented collagen fibers peripherally, while the more central articular disc is made up of interweaving obliquely oriented sheets of collagen fibers. This suggests a peripheral region experiencing tensile loads between the region of origin from the rad...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Chidgey LK

    更新日期:1991-05-01 00:00:00

  • Thoracic outlet syndrome.

    abstract::"Thoracic outlet syndrome" is a term ascribed to a complex clinical entity encompassing complicated neurovascular signs, symptoms and pathology of the upper extremity. Controversies exist concerning its causes, diagnosis, and treatment despite years of intense study of hundreds of patients. Although there is no univer...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Oates SD,Daley RA

    更新日期:1996-11-01 00:00:00