Congenital radioulnar synostosis

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dc.contributor.author Yammine, K.
dc.contributor.author Salon, A.
dc.contributor.author Pouliquen, J.C.
dc.date.accessioned 2019-06-27T11:20:20Z
dc.date.available 2019-06-27T11:20:20Z
dc.date.copyright 1998 en_US
dc.date.issued 2019-06-27
dc.identifier.issn 1153-2424 en_US
dc.identifier.uri http://hdl.handle.net/10725/10917
dc.description.abstract 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°. en_US
dc.language.iso fr en_US
dc.title Congenital radioulnar synostosis en_US
dc.type Article en_US
dc.description.version Published en_US
dc.title.subtitle study of a series of 37 children and adolescents en_US
dc.author.school SOM en_US
dc.author.idnumber 201801808 en_US
dc.author.department N/A en_US
dc.description.embargo N/A en_US
dc.relation.journal Annales de Chirurgie de la Main et du Membre Supérieur en_US
dc.journal.volume 17 en_US
dc.journal.issue 4 en_US
dc.article.pages 300-308 en_US
dc.identifier.doi https://doi.org/10.1016/S0753-9053(98)80029-X en_US
dc.identifier.ctation 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. en_US
dc.author.email kaissar.yammine@lau.edu.lb en_US
dc.identifier.tou http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php en_US
dc.identifier.url https://www.sciencedirect.com/science/article/pii/S075390539880029X en_US
dc.author.affiliation Lebanese American University en_US

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