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Posttraumatische proximale radioulnare Synostose

Operationstechnik und Literaturübersicht

Post-traumatic proximal radioulnar synostosis

Surgical technique and review of the literature

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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.

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.

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  1. Chirurgische Klinik und Poliklinik, Klinikum der Universität München, Nussbaumstraße 20, 80336, München, Deutschland

    M. Wierer, S. Huber-Wagner & W. Mutschler

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  1. M. Wierer
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  2. S. Huber-Wagner
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  3. W. Mutschler
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Correspondence to M. Wierer.

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Wierer, M., Huber-Wagner, S. & Mutschler, W. Posttraumatische proximale radioulnare Synostose. Unfallchirurg 115, 451–456 (2012). https://doi.org/10.1007/s00113-011-2000-3

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