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Treatment of the Associated Ulnar-Sided Problems

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Arthroscopic Management of Distal Radius Fractures

Abstract

Ulnar impaction, ulnar styloid impaction (USI), ligamentous injury, chondral lesions, associated TFC tear (triangular fibrocartilage) with or without instability [18–20], and sigmoid fossa derangements can all be associated with a radius malunion (Fig. 13.1). Although it is true that treatment of the radius malunion itself might partially correct some of the problems, particularly those caused by axial shortening (USI), many other will remain unaddressed, and will be a source of pain and patient dissatisfaction. On the other hand, the isolated treatment of the associated injuries can be sufficient to ease the patient’s symptoms without addressing the radius, and a less involved postoperative course. Arthroscopic exploration allows the assessment of the impact that those associated injuries might have on the patient’s symptoms and the degree of improvement by the radius osteotomy itself, and also helps to evaluate if additional maneuvers (arthroscopic or open) are needed for addressing concomitant injuries.

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Author information

Authors and Affiliations

  1. Wrist and Hand Surgery Service 1st Division of Orthopaedic and Trauma Center Spedali Civili of Brescia, Brescia, Italy

    Pier Paolo Borelli

  2. Rimini Hand Surgery & Rehabilitation Center, Rimini Multimedica Policlinic, Milano, Via Pietro da Rimini 4, 47900, Rimini, Italy

    Riccardo Luchetti

Authors
  1. Pier Paolo Borelli
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  2. Riccardo Luchetti
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Correspondence to Pier Paolo Borelli .

Editor information

Editors and Affiliations

  1. Calderón de la Barca 16-entlo., Santander, 39002, Spain

    Francisco Piñal

  2. Via Pietro da Rimini 4, Rimini, 47900, Italy

    Riccardo Luchetti

  3. Institut de la Main, Clinique Jouvenet, square Jouvenet 6, Paris CX, 75007, France

    Christophe Mathoulin

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Borelli, P.P., Luchetti, R. (2010). Treatment of the Associated Ulnar-Sided Problems. In: Piñal, F., Luchetti, R., Mathoulin, C. (eds) Arthroscopic Management of Distal Radius Fractures. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-05354-2_13

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  • DOI: https://doi.org/10.1007/978-3-642-05354-2_13

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-05353-5

  • Online ISBN: 978-3-642-05354-2

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