Congenital radioulnar synostosis
The authors report a retrospective series of 37 patients (49 forearms) with congenital radioulnar synostosis followed and treated at Raymond Poincaré University Hospital. This disease is rare, but much more frequent than post-traumatic or humeroradial synostosis. A genetic factor was incriminated in...
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| المؤلف الرئيسي: | |
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| مؤلفون آخرون: | , |
| التنسيق: | article |
| منشور في: |
1998
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| الوصول للمادة أونلاين: | http://hdl.handle.net/10725/10917 https://doi.org/10.1016/S0753-9053(98)80029-X http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php https://www.sciencedirect.com/science/article/pii/S075390539880029X |
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| _version_ | 1864513487863021568 |
|---|---|
| author | Yammine, K. |
| author2 | Salon, A. Pouliquen, J.C. |
| author2_role | author author |
| author_facet | Yammine, K. Salon, A. Pouliquen, J.C. |
| author_role | author |
| dc.creator.none.fl_str_mv | Yammine, K. Salon, A. Pouliquen, J.C. |
| dc.date.none.fl_str_mv | 1998 2019-06-27T11:20:20Z 2019-06-27T11:20:20Z 2019-06-27 |
| dc.identifier.none.fl_str_mv | 1153-2424 http://hdl.handle.net/10725/10917 https://doi.org/10.1016/S0753-9053(98)80029-X Yammine, K., Salon, A., & Pouliquen, J. C. (1998, January). Congenital radioulnar synostosis: study of a series of 37 children and adolescents. In Annales de Chirurgie de la Main et du Membre Supérieur (Vol. 17, No. 4, pp. 300-308). Elsevier Masson. http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php https://www.sciencedirect.com/science/article/pii/S075390539880029X |
| dc.language.none.fl_str_mv | fr |
| dc.relation.none.fl_str_mv | Annales de Chirurgie de la Main et du Membre Supérieur |
| dc.rights.*.fl_str_mv | info:eu-repo/semantics/openAccess |
| dc.title.none.fl_str_mv | Congenital radioulnar synostosis study of a series of 37 children and adolescents |
| dc.type.none.fl_str_mv | Article info:eu-repo/semantics/publishedVersion info:eu-repo/semantics/article |
| description | The authors report a retrospective series of 37 patients (49 forearms) with congenital radioulnar synostosis followed and treated at Raymond Poincaré University Hospital. This disease is rare, but much more frequent than post-traumatic or humeroradial synostosis. A genetic factor was incriminated in 25% of patients. The clinical study was based on 31 files (40 forearms) with a subjective finding of hypermobility of the wrist in all patients. Shortening of the ipsilateral upper extremity ≤ 2 cm was also observed in one third of patients, and a defect of elbow extension was observed in 35%. The radiological study, conducted on 30 files (38 forearms), confirmed the existence of several degrees of fusion within the synostosis and revealed an associated radiological abnormality in 92% of cases. The only valid correlation revealed was between the degree of fusion of the synostosis and the presence of a morphological abnormality of the radial head (r = 0.87), hence the proposal of a new radiological classification essentially based on this element. Functional adaptation was excellent in the majority of cases. The authors propose two main indications for surgery : hyperpronation ≥ 90° and bilateral synostosis; in both cases, the disability must be very severe. The operative technique used appeared to be very well adapted to this disease : « reedradial osteotomy and transverse ulnar osteotomy. No complications or relapses were observed in six operated patients with a mean follow-up of 10 years, with a mean loss of derotation of only 5°. |
| eu_rights_str_mv | openAccess |
| format | article |
| id | LAURepo_2cc7e339b959a9bf1e6c4df2304eb35b |
| identifier_str_mv | 1153-2424 Yammine, K., Salon, A., & Pouliquen, J. C. (1998, January). Congenital radioulnar synostosis: study of a series of 37 children and adolescents. In Annales de Chirurgie de la Main et du Membre Supérieur (Vol. 17, No. 4, pp. 300-308). Elsevier Masson. |
| language_invalid_str_mv | fr |
| network_acronym_str | LAURepo |
| network_name_str | Lebanese American University repository |
| oai_identifier_str | oai:laur.lau.edu.lb:10725/10917 |
| publishDate | 1998 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| spelling | Congenital radioulnar synostosisstudy of a series of 37 children and adolescentsYammine, K.Salon, A.Pouliquen, J.C.The authors report a retrospective series of 37 patients (49 forearms) with congenital radioulnar synostosis followed and treated at Raymond Poincaré University Hospital. This disease is rare, but much more frequent than post-traumatic or humeroradial synostosis. A genetic factor was incriminated in 25% of patients. The clinical study was based on 31 files (40 forearms) with a subjective finding of hypermobility of the wrist in all patients. Shortening of the ipsilateral upper extremity ≤ 2 cm was also observed in one third of patients, and a defect of elbow extension was observed in 35%. The radiological study, conducted on 30 files (38 forearms), confirmed the existence of several degrees of fusion within the synostosis and revealed an associated radiological abnormality in 92% of cases. The only valid correlation revealed was between the degree of fusion of the synostosis and the presence of a morphological abnormality of the radial head (r = 0.87), hence the proposal of a new radiological classification essentially based on this element. Functional adaptation was excellent in the majority of cases. The authors propose two main indications for surgery : hyperpronation ≥ 90° and bilateral synostosis; in both cases, the disability must be very severe. The operative technique used appeared to be very well adapted to this disease : « reedradial osteotomy and transverse ulnar osteotomy. No complications or relapses were observed in six operated patients with a mean follow-up of 10 years, with a mean loss of derotation of only 5°.PublishedN/A2019-06-27T11:20:20Z2019-06-27T11:20:20Z19982019-06-27Articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article1153-2424http://hdl.handle.net/10725/10917https://doi.org/10.1016/S0753-9053(98)80029-XYammine, K., Salon, A., & Pouliquen, J. C. (1998, January). Congenital radioulnar synostosis: study of a series of 37 children and adolescents. In Annales de Chirurgie de la Main et du Membre Supérieur (Vol. 17, No. 4, pp. 300-308). Elsevier Masson.http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.phphttps://www.sciencedirect.com/science/article/pii/S075390539880029XfrAnnales de Chirurgie de la Main et du Membre Supérieurinfo:eu-repo/semantics/openAccessoai:laur.lau.edu.lb:10725/109172021-03-19T10:45:30Z |
| spellingShingle | Congenital radioulnar synostosis Yammine, K. |
| status_str | publishedVersion |
| title | Congenital radioulnar synostosis |
| title_full | Congenital radioulnar synostosis |
| title_fullStr | Congenital radioulnar synostosis |
| title_full_unstemmed | Congenital radioulnar synostosis |
| title_short | Congenital radioulnar synostosis |
| title_sort | Congenital radioulnar synostosis |
| url | http://hdl.handle.net/10725/10917 https://doi.org/10.1016/S0753-9053(98)80029-X http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php https://www.sciencedirect.com/science/article/pii/S075390539880029X |