Elsevier

The Journal of Hand Surgery

Volume 8, Issue 6, November 1983, Pages 829-838
The Journal of Hand Surgery

Congenital radioulnar synostosis

https://doi.org/10.1016/S0363-5023(83)80078-1Get rights and content

Congenital radioulnar synostosis can be severely disabling, especially if it is bilateral or if severe hyperpronation exists. Functionally, patients with severe deformity have trouble getting a cup to the mouth, using eating utensils, or accepting objects in an open palm. Of 33 patients (17 bilateral and 7 unilateral) underwent derotational osteotomy, with the majority being performed through the synostosis held with, an intramedullary wire and secondary transfixing device. There were eight complications, four involving neurovascular compromise. In bilateral cases, the best end position appears to be 10% to 15% of pronation in the dominant extremity and neutral in the other. Eighty-two percent of the patients had good or excellent results.

References (34)

  • WE Blodgett

    Congenital luxation of the head of the radius. Report of two cases. Analysis of fifty-one cases. Summary. Certain other considerations. Conclusions

    Am J Orthop Surg

    (1905-1906)
  • JE Adams

    Congenital coalescence of radius and ulna child

    Proc Royal Soc Med London

    (1912-1913)
  • CB Davenport et al.

    Radio-ulnar synostosis

    Arch Surg

    (1924)
  • HGW Dawson

    A congenital deformity of the forearm and its operative treatment

    Br Med J

    (1912)
  • GF Thomas

    Congenital radio-ulnar synostosis

    Am J Roentgenol

    (1917)
  • JJ Clarke

    Congenital fusion of the upper end of the radius to the ulna

    Proc R Soc Med London

    (1913-1914)
  • S Fahistrom

    Radio-ulnar synostosis

    J Bone Joint Surg

    (1932)
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