These tools will no longer be maintained as of December 31, 2024. Archived website can be found here. PubMed4Hh GitHub repository can be found here. Contact NLM Customer Service if you have questions.


Pubmed for Handhelds

PUBMED FOR HANDHELDS

Search MEDLINE/PubMed

  • Title: Radial Distraction to Stabilize Distal Radioulnar Joint in Distal Radius Fixation.
    Author: Wang JP, Huang HK, Fufa D.
    Journal: J Hand Surg Am; 2018 May; 43(5):493.e1-493.e4. PubMed ID: 29728215.
    Abstract:
    Persistent distal radioulnar joint (DRUJ) instability after internal fixation of distal radius fractures can be managed with soft tissue or bony stabilization and prolonged immobilization. However, these strategies limit postoperative motion. To address this limitation, we report our technique of indirect ulna shortening by radial distraction followed by early mobilization and provide a case example. We use this technique in cases of persistent DRUJ instability during standard volar plating of distal radius fractures. Radial lengthening is achieved by distraction through the fracture site using the oblong hole of the plate until DRUJ stability is obtained. No immobilization of forearm rotation and a standard, early mobilization rehabilitation program are used. Indirect ulnar shortening by distraction through the distal radius fracture site provides a simple and novel strategy for the management of persistent DRUJ instability during volar plating, obviating the need for prolonged immobilization or to alter standard postoperative protocols.
    [Abstract] [Full Text] [Related] [New Search]