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CC BY-NC-ND 4.0 · Revista Iberoamericana de Cirugía de la Mano 2023; 51(01): e010-e015
DOI: 10.1055/s-0043-1769600
Original Article

Ulna Shortening Osteotomy Combined Arthroscopy augmentation for Ulnar Impaction Syndrome: A prospective Analysis

Article in several languages: español | English

Authors

  • Marcio Aurelio Aita 

    1   Departamento de Cirugía, División de Ortopedia, Faculdade de Medicina do ABC, Santo Andre, SP, Brazil

  • Rodrigo Domiciano Cardoso 

    1   Departamento de Cirugía, División de Ortopedia, Faculdade de Medicina do ABC, Santo Andre, SP, Brazil

  • Clovis Rodrigo Braz Pereira da Silva

    1   Departamento de Cirugía, División de Ortopedia, Faculdade de Medicina do ABC, Santo Andre, SP, Brazil

  • Gabriel Costa Almeida 

    1   Departamento de Cirugía, División de Ortopedia, Faculdade de Medicina do ABC, Santo Andre, SP, Brazil

  • Bruno Gianordoli Biondi 

    1   Departamento de Cirugía, División de Ortopedia, Faculdade de Medicina do ABC, Santo Andre, SP, Brazil

  • Ricardo Kaempf Oliveira 

    2   Departamento de Ortopedia y Traumatología, Santa Casa de Porto Alegre, Centro Histórico, Porto Alegre, RS, Brazil


Funding This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.
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Abstract

Purpose This study aimed to show the clinical and patient-reported outcomes achieved with USO combined arthroscopy augmentation of UISs in active patients.

Materials and Methods In this prospective clinical study, 13 patients were assigned to undergo definitive ulnar shortening osteotomy (USO) combined arthroscopy augmentation to ulnar impaction syndrome (UIS). The grip strength, range of motion (ROM), Disabilities of the Arm, Shoulder, and Hand (QuickDASH) outcome measure, visual analog scale (VAS) score for pain, and radiographic characteristics were evaluated at 6 and 12 months.

Description of Technique A longitudinal incision is used to expose the ulna. A specific ulna shortening system is predrilled to performing osteotomies separated by the desired shortening length. After, performing wrist arthroscopy to perform microfracture technique in lunate, triquetrum, and ulna head with a specific puncture (Chondro Pick,20° by Arthrex®, Naples, USA). TFCC and LT (luno triquetrum) were repaired.

Results VAS 2.77. The mean QuickDASH was 4. Two patients showed delayed union and solved with non-surgical treatment.

Conclusion USO with arthroscopy augmentation were found to be safe and reliable definitive treatment methods for UIS in active patients. The VAS and grip strength results predict the restoration of the ability of active patients to independently perform ADLs.

Keywords

ulnar impaction syndrome - triangular fibrocartilage complex - ulnar shortening - osteotomy - arthroscopic debridement

Ethical Approval

The research here presented was approved by and was in accordance with the ethical standards of the Faculdade de Medicina do ABC Ethics Committee on human experimentation by No 509173159.0000.5484.


Informed Consent

An informed consent document was provided to all research participants, who read and signed it according to their will.




Publication History

Received: 05 April 2022

Accepted: 01 February 2023

Article published online:
07 June 2023

© 2023. SECMA Foundation. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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