Ochoa CR, Chávez SJA

Language: Spanish
References: 16
Page: 91-95
PDF size: 242.43 Kb.

ABSTRACT

The Wafer procedure is an effective treatment for ulnar impaction syndrome, which decompresses the ulnocarpal junction through a limited open or arthroscopic approach. In comparison with other common decompressive procedures, the wafer procedure does not require bone healing or internal fixation and also provides excellent exposure of the proximal surface of the triangular fibrocartilage complex. Results of the wafer procedure have been good and few complications have been reported. We present the case of a female patient with a diagnosis of ulnar impaction in whom conservative medical treatment has failed and a Wafer arthroscopic procedure was performed with excellent clinical results.

REFERENCES

1. Bernstein MA, Nagle DJ, Martinez A, Stogin JM Jr, Wiedrich TA. A comparison of combined arthroscopic triangular fibrocartilage complex debridement and arthroscopic wafer distal ulna resection versus arthroscopic triangular fibrocartilage complex debridement and ulnar shortening osteotomy for ulnocarpal abutment syndrome. Arthroscopy. 2004; 20 (4): 392-401.

2. Hinzpeter KD. Diagnóstico y tratamiento del dolor cubital de muñeca en el deportista. Rev Med Clin Condes. 2012; 23 (3): 299-312.

3. Barbaric K, Rujevcan G, Labas M, Delimar D, Bicanic G. Ulnar shortening osteotomy after distal radius fracture malunion: review of literature. Open Orthop J. 2015; 9: 98-106.

4. Werner FW, Glisson RR, Murphy DJ, Palmer AK. Force transmission through the distal radioulnar carpal joint: effect of ulnar lengthening and shortening. Handchir Mikrochir Plast Chir. 1986; 18 (5): 304-308.

5. Milch H. Cuff resection of the ulna for malunited Colles' fracture. J Bone Joint Surg Am [Internet]. 1941; 23 (2): 311-313. Available in: https://journals.lww.com/jbjsjournal/Fulltext/1941/23020/CUFF_RESECTION_OF_THE_ULNA_FOR_MALUNITED_COLLES_.9.aspx

6. Yin HW, Qiu YQ, Shen YD, Xu JG, Gu YD, Xu WD. Arthroscopic distal metaphyseal ulnar shortening osteotomy for ulnar impaction syndrome: a different technique. J Hand Surg Am. 2013; 38 (11): 2257-2262.

7. Feldon P, Terrono AL, Belsky MR. Wafer distal ulna resection for triangular fibrocartilage tears and/or ulna impaction syndrome. J Hand Surg Am. 1992; 17 (4): 731-737.

8. Wnorowski DC, Palmer AK, Werner FW, Fortino MD. Anatomic and biomechanical analysis of the arthroscopic wafer procedure. Arthroscopy. 1992; 8 (2): 204-212.

9. Carratalá Baixauli V, Lucas García FJ, Sánchez Alepuz E. Dolor en el borde ulnar de la muñeca. Rev Esp Artrosc Cir Articul. 2014; 21 (1): 77-80.

10. Carratalá Baixauli V, Lucas FJ, Calero Ferrandis R, Sánchez Alepuz E. Síndrome de impactación ulnocarpiano, manejo artroscópico. Rev Esp Artrosc Cir Articul. 2014; 21 (1): 28-36.

11. Colantoni J, Chadderdon C, Gaston RG. Arthroscopic wafer procedure for ulnar impaction syndrome. Arthrosc Tech. 2014; 3 (1): e123-e125.

12. Tomaino MM, Shah M. Treatment of ulnar impaction syndrome with the wafer procedure. Am J Orthop (Belle Mead NJ). 2001; 30 (2): 129-133.

13. Constantine KJ, Tomaino MM, Herndon JH, Sotereanos DG. Comparison of ulnar shortening osteotomy and the wafer resection procedure as treatment for ulnar impaction syndrome. J Hand Surg Am. 2000; 25 (1): 55-60.

14. Beredjiklian PK, Bozentka DJ, Leung YL, Monaghan BA. Complications of wrist arthroscopy. J Hand Surg Am. 2004; 29 (3): 406-411.

15. Bickel KD. Arthroscopic treatment of ulnar impaction syndrome. J Hand Surg Am. 2008; 33 (8): 1420-1423.

16. Esplugas M, Aixala Llovet V. Lesiones del complejo del fibrocartílago triangular. Tipos de reparación. Rev Esp Artrosc Cir Articul. 2014; 21 (1): 14-27.