The Original Anatomic Reconstruction of Palmar and Dorsal Radioulnar Ligaments for Distal Radioulnar Joint Instability.

Autor: Hearon BF; Department of Orthopaedic Surgery, University of Kansas School of Medicine, Wichita, KS; Advanced Orthopaedic Associates, PA, Wichita, KS. Electronic address: bhearon@cox.net., Frantz LM; Department of Orthopaedic Surgery, University of Kansas School of Medicine, Wichita, KS., Morris HA; Department of Orthopaedic Surgery, University of Kansas School of Medicine, Wichita, KS; Advanced Orthopaedic Associates, PA, Wichita, KS.
Jazyk: angličtina
Zdroj: The Journal of hand surgery [J Hand Surg Am] 2020 Nov; Vol. 45 (11), pp. 1092.e1-1092.e8. Date of Electronic Publication: 2020 Sep 29.
DOI: 10.1016/j.jhsa.2020.08.001
Abstrakt: Thirty years ago, the first anatomic reconstruction of the palmar and dorsal radioulnar ligaments for chronic distal radioulnar joint (DRUJ) instability was proposed by Sanders. In this surgical technique, the midpoint of a free tendon autograft is firmly secured in a bony tunnel at the ulnar fovea. The 2 graft limbs anchored at the fovea traverse the DRUJ and are securely woven into the periarticular soft tissues radially, reproducing the ligamentous anatomy while not overconstraining the joint. This report documents the original anatomic DRUJ reconstruction technique described by Sanders and our procedure modifications.
(Copyright © 2020 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE