Der Unfallchirurg

, Volume 115, Issue 5, pp 451–456 | Cite as

Posttraumatische proximale radioulnare Synostose

Operationstechnik und Literaturübersicht
Kasuistiken
First Online:

Zusammenfassung

Nach Frakturen im Ellenbogenbereich kann es in der Folge zur Ausbildung von Synostosen im proximalen radioulnaren Gelenk kommen, die zu einer ausgeprägten Einschränkung der Rotationsfähigkeit führen. Bei einer jungen Patientin mit kompletter Synostose wurde das Operationsverfahren nach Morrey durchgeführt, bei dem eine Resektionsosteotomie am proximalen Radius ohne Auflösung der Synostose vorgenommen wird. Anhand einer Literaturübersicht werden die verschiedenen Behandlungsmöglichkeiten proximaler radioulnarer Synostosen nach Trauma gegeneinander abgewogen.

Schlüsselwörter

Radioulnare Synostose Ellbogenfraktur Bewegungseinschränkung Pronation Supination 

Post-traumatic proximal radioulnar synostosis

Surgical technique and review of the literature

Abstract

Synostosis of the radioulnar joint can appear after severe fractures of the elbow, which leads to distinctive limitation in forearm rotation. We describe a surgical technique according to Morrey in a case of a young girl with resection osteotomy of the proximal radius without excision of the synostosis. Different therapeutic options for post-traumatic proximal radioulnar synostosis are discussed on the basis of the current literature.

Keywords

Radioulnar synostosis Elbow fracture Movement restriction Pronation Supination 
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Notes

Interessenkonflikt

Der korrespondierende Autor gibt für sich und seine Koautoren an, dass kein Interessenkonflikt besteht.

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Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  1. 1.Chirurgische Klinik und PoliklinikKlinikum der Universität MünchenMünchenDeutschland

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