Mesh : Humans Arthrodesis / methods Female Adult Wrist Joint / surgery diagnostic imaging abnormalities Osteochondrodysplasias / surgery diagnostic imaging Lunate Bone / surgery diagnostic imaging Radius / surgery abnormalities Growth Disorders

来  源:   DOI:10.2106/JBJS.CC.24.00109

Abstract:
METHODS: A 32-year-old woman with bilateral Madelung deformity presented with severe pain and arthritis of the radiocarpal and distal radioulnar joints. At final follow-up, 17 months for the left and 12 months for the right wrist, she had excellent functional results with no pain. Range of motion was 30° of flexion and 30° of extension with full pronosupination.
CONCLUSIONS: There is paucity in the literature regarding salvage procedures in adults with this deformity. We demonstrate treatment with distal ulna excision and an radioscapholunate arthrodesis. This procedure may be indicated in Madelung deformity and proximal radiocarpal and distal radioulnar joint arthritis.
摘要:
方法:一名患有双侧Madelung畸形的32岁女性患者,表现为radious腕骨和桡尺远侧关节的严重疼痛和关节炎。在最后的后续行动中,左手腕17个月右手腕12个月,她有出色的功能效果,没有疼痛。运动范围为30°的屈曲和30°的伸展,完全前倾。
结论:关于成人这种畸形的抢救程序的文献很少。我们展示了尺骨远端切除和放射性肩关节固定术的治疗方法。此程序可能适用于Madelung畸形,近端腕骨和远端尺尺关节关节炎。
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