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Archives of Orthopaedic and Trauma Surgery

Erschienen in:

01.01.2016 | Handsurgery

The distal radial decompression osteotomy for ulnar impingement syndrome

verfasst von: Hermann Krimmer, Frank Unglaub, Martin F. Langer, Christian K. Spies

Erschienen in: Archives of Orthopaedic and Trauma Surgery | Ausgabe 1/2016

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Abstract

Introduction

The decompression of the distal radioulnar joint (DRUJ) is performed by ulnar translation of the radial shaft proximal to the sigmoid notch, i.e. detensioning of the distal part of the interosseous membrane (DIOM) while containment of the DRUJ is achieved by closed wedge osteotomy of the radius. The osteotomy shortens the radius which entails detensioning of the triangular fibrocartilage complex (TFCC).

Surgical technique

Facilitating the modified Henry approach to the distal palmar radius a radial based wedge osteotomy is applied. The proximal osteotomy is proximal to the ulnar head and distal osteotomy is proximal to the sigmoid notch to prevent iatrogenic impingement. Ulnar translation of the radial shaft is performed to loosen the DIOM. The closed wedge osteotomy reduces radial inclination which will foster containment of the DRUJ.

Conclusion

Distal radial decompression osteotomy of the DRUJ preserves DRUJ function while relieving painful impingement. Further surgical interventions are not compromised in case of failure.

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Titel: The distal radial decompression osteotomy for ulnar impingement syndrome
verfasst von: Hermann Krimmer
Frank Unglaub
Martin F. Langer
Christian K. Spies
Publikationsdatum: 01.01.2016
Verlag: Springer Berlin Heidelberg
Erschienen in: Archives of Orthopaedic and Trauma Surgery / Ausgabe 1/2016
Print ISSN: 0936-8051
Elektronische ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-015-2363-y

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The distal radial decompression osteotomy for ulnar impingement syndrome

Abstract

Introduction

Surgical technique

Conclusion

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Abstract

Introduction

Surgical technique

Conclusion

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