A Surgical Technique of Radioulnar Osteoclasis to Correct Severe Forearm Rotation Deformities
SUMMARYTwenty-six forearms in 23 patients with marked pronation or supination deformities were treated with osteoclasis. Etiologies included 12 radioulnar synos-toses, five brachial plexus injuries, three hemiplegias, two hemimelias, and four other types of deformities. Drill-assisted osteotomy of b...
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| Veröffentlicht in: | Journal of pediatric orthopaedics 1995-01, Vol.15 (1), p.53-58 |
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| container_title | Journal of pediatric orthopaedics |
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| creator | Lin, Henry H Strecker, William B Manske, Paul R Schoenecker, Perry L Seyer, Deborah M |
| description | SUMMARYTwenty-six forearms in 23 patients with marked pronation or supination deformities were treated with osteoclasis. Etiologies included 12 radioulnar synos-toses, five brachial plexus injuries, three hemiplegias, two hemimelias, and four other types of deformities. Drill-assisted osteotomy of both the radius and ulna was followed 10 days later by manipulation to the desired functional position. Dominant extremities were placed in 20° pronation, and nondominant extremities in 20° supination. Range of motion was not significantly changed, but the arc of motion occurred in a more functional hand position. Average correction for 15 pronation deformities was 81° and 69° for 11 supination deformities. Two nonunions healed after bone grafting and there were no instances of neuromuscular compromise. Functional improvement was obtained in 25 of 26 forearms. |
| doi_str_mv | 10.1097/01241398-199501000-00012 |
| format | Article |
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Etiologies included 12 radioulnar synos-toses, five brachial plexus injuries, three hemiplegias, two hemimelias, and four other types of deformities. Drill-assisted osteotomy of both the radius and ulna was followed 10 days later by manipulation to the desired functional position. Dominant extremities were placed in 20° pronation, and nondominant extremities in 20° supination. Range of motion was not significantly changed, but the arc of motion occurred in a more functional hand position. Average correction for 15 pronation deformities was 81° and 69° for 11 supination deformities. Two nonunions healed after bone grafting and there were no instances of neuromuscular compromise. Functional improvement was obtained in 25 of 26 forearms.</description><identifier>ISSN: 0271-6798</identifier><identifier>EISSN: 1539-2570</identifier><identifier>DOI: 10.1097/01241398-199501000-00012</identifier><identifier>PMID: 7883928</identifier><identifier>CODEN: JPORDO</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott-Raven Publishers</publisher><subject>Biological and medical sciences ; Bone Diseases, Developmental - diagnostic imaging ; Bone Diseases, Developmental - physiopathology ; Bone Diseases, Developmental - surgery ; Brachial Plexus - injuries ; Child, Preschool ; Female ; Humans ; Male ; Manipulation, Orthopedic ; Medical sciences ; Orthopedic surgery ; Osteotomy - methods ; Peripheral Nervous System Diseases - surgery ; Prone Position ; Radiography ; Radius - surgery ; Rotation ; Supine Position ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Synostosis - surgery ; Ulna - surgery</subject><ispartof>Journal of pediatric orthopaedics, 1995-01, Vol.15 (1), p.53-58</ispartof><rights>Lippincott-Raven Publishers.</rights><rights>1995 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3842-1828c5ab588a202b9df107117a4407fa3bd4dc8a268c9512a5074108c0d3d8a43</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4024,27923,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3373243$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7883928$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lin, Henry H</creatorcontrib><creatorcontrib>Strecker, William B</creatorcontrib><creatorcontrib>Manske, Paul R</creatorcontrib><creatorcontrib>Schoenecker, Perry L</creatorcontrib><creatorcontrib>Seyer, Deborah M</creatorcontrib><title>A Surgical Technique of Radioulnar Osteoclasis to Correct Severe Forearm Rotation Deformities</title><title>Journal of pediatric orthopaedics</title><addtitle>J Pediatr Orthop</addtitle><description>SUMMARYTwenty-six forearms in 23 patients with marked pronation or supination deformities were treated with osteoclasis. Etiologies included 12 radioulnar synos-toses, five brachial plexus injuries, three hemiplegias, two hemimelias, and four other types of deformities. Drill-assisted osteotomy of both the radius and ulna was followed 10 days later by manipulation to the desired functional position. Dominant extremities were placed in 20° pronation, and nondominant extremities in 20° supination. Range of motion was not significantly changed, but the arc of motion occurred in a more functional hand position. Average correction for 15 pronation deformities was 81° and 69° for 11 supination deformities. Two nonunions healed after bone grafting and there were no instances of neuromuscular compromise. Functional improvement was obtained in 25 of 26 forearms.</description><subject>Biological and medical sciences</subject><subject>Bone Diseases, Developmental - diagnostic imaging</subject><subject>Bone Diseases, Developmental - physiopathology</subject><subject>Bone Diseases, Developmental - surgery</subject><subject>Brachial Plexus - injuries</subject><subject>Child, Preschool</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Manipulation, Orthopedic</subject><subject>Medical sciences</subject><subject>Orthopedic surgery</subject><subject>Osteotomy - methods</subject><subject>Peripheral Nervous System Diseases - surgery</subject><subject>Prone Position</subject><subject>Radiography</subject><subject>Radius - surgery</subject><subject>Rotation</subject><subject>Supine Position</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Synostosis - surgery</subject><subject>Ulna - surgery</subject><issn>0271-6798</issn><issn>1539-2570</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kctuFDEQRS0ECpOET0DyArHr4FfH9jIaCCBFipTHMrJq3NWMwd0OtpuIv49hhtmxsLy459qlU4RQzs44s_oD40JxaU3Hre0ZZ4x17XDxgqx4L20nes1ekhUTmnfn2prX5LiU743QUskjcqSNkVaYFXm4oLdL_hY8RHqHfjuHnwvSNNIbGEJa4gyZXpeKyUcoodCa6DrljL7SW_yFGellygh5ojepQg1pph9xTHkKNWA5Ja9GiAXf7O8Tcn_56W79pbu6_vx1fXHVeWmU6LgRxvew6Y0BwcTGDiNnmnMNSjE9gtwMavAtOzfe9lxAz7TizHg2yMGAkifk_e7dx5za_KW6KRSPMcKMaSlOa665sqKBZgf6nErJOLrHHCbIvx1n7o9Z98-sO5h1f8226tv9H8tmwuFQ3Kts-bt9DqXZHDPMPpQDJqWWQsmGqR32lGLFXH7E5Qmz2yLEunX_26t8BmV_j5U</recordid><startdate>199501</startdate><enddate>199501</enddate><creator>Lin, Henry H</creator><creator>Strecker, William B</creator><creator>Manske, Paul R</creator><creator>Schoenecker, Perry L</creator><creator>Seyer, Deborah M</creator><general>Lippincott-Raven Publishers</general><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199501</creationdate><title>A Surgical Technique of Radioulnar Osteoclasis to Correct Severe Forearm Rotation Deformities</title><author>Lin, Henry H ; Strecker, William B ; Manske, Paul R ; Schoenecker, Perry L ; Seyer, Deborah M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3842-1828c5ab588a202b9df107117a4407fa3bd4dc8a268c9512a5074108c0d3d8a43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1995</creationdate><topic>Biological and medical sciences</topic><topic>Bone Diseases, Developmental - diagnostic imaging</topic><topic>Bone Diseases, Developmental - physiopathology</topic><topic>Bone Diseases, Developmental - surgery</topic><topic>Brachial Plexus - injuries</topic><topic>Child, Preschool</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Manipulation, Orthopedic</topic><topic>Medical sciences</topic><topic>Orthopedic surgery</topic><topic>Osteotomy - methods</topic><topic>Peripheral Nervous System Diseases - surgery</topic><topic>Prone Position</topic><topic>Radiography</topic><topic>Radius - surgery</topic><topic>Rotation</topic><topic>Supine Position</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Synostosis - surgery</topic><topic>Ulna - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lin, Henry H</creatorcontrib><creatorcontrib>Strecker, William B</creatorcontrib><creatorcontrib>Manske, Paul R</creatorcontrib><creatorcontrib>Schoenecker, Perry L</creatorcontrib><creatorcontrib>Seyer, Deborah M</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lin, Henry H</au><au>Strecker, William B</au><au>Manske, Paul R</au><au>Schoenecker, Perry L</au><au>Seyer, Deborah M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Surgical Technique of Radioulnar Osteoclasis to Correct Severe Forearm Rotation Deformities</atitle><jtitle>Journal of pediatric orthopaedics</jtitle><addtitle>J Pediatr Orthop</addtitle><date>1995-01</date><risdate>1995</risdate><volume>15</volume><issue>1</issue><spage>53</spage><epage>58</epage><pages>53-58</pages><issn>0271-6798</issn><eissn>1539-2570</eissn><coden>JPORDO</coden><abstract>SUMMARYTwenty-six forearms in 23 patients with marked pronation or supination deformities were treated with osteoclasis. Etiologies included 12 radioulnar synos-toses, five brachial plexus injuries, three hemiplegias, two hemimelias, and four other types of deformities. Drill-assisted osteotomy of both the radius and ulna was followed 10 days later by manipulation to the desired functional position. Dominant extremities were placed in 20° pronation, and nondominant extremities in 20° supination. Range of motion was not significantly changed, but the arc of motion occurred in a more functional hand position. Average correction for 15 pronation deformities was 81° and 69° for 11 supination deformities. Two nonunions healed after bone grafting and there were no instances of neuromuscular compromise. Functional improvement was obtained in 25 of 26 forearms.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott-Raven Publishers</pub><pmid>7883928</pmid><doi>10.1097/01241398-199501000-00012</doi><tpages>6</tpages></addata></record> |
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| ispartof | Journal of pediatric orthopaedics, 1995-01, Vol.15 (1), p.53-58 |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Biological and medical sciences Bone Diseases, Developmental - diagnostic imaging Bone Diseases, Developmental - physiopathology Bone Diseases, Developmental - surgery Brachial Plexus - injuries Child, Preschool Female Humans Male Manipulation, Orthopedic Medical sciences Orthopedic surgery Osteotomy - methods Peripheral Nervous System Diseases - surgery Prone Position Radiography Radius - surgery Rotation Supine Position Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Synostosis - surgery Ulna - surgery |
| title | A Surgical Technique of Radioulnar Osteoclasis to Correct Severe Forearm Rotation Deformities |
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