Espinosa-Gutiérrez A, Romo-Rodríguez R

Language: Spanish
References: 32
Page: 55-59
PDF size: 197.94 Kb.

ABSTRACT

Introduction: The distal radioulnar joint is of paramount importance for the proper function of the upper extremity. There is a wide variety of procedures for the treatment of its advanced pathology but none of them is capable of providing a stable load-bearing joint.
Clinical case: We present the case of a 54 year old man who was treated by a semiconstrained bipolar distal radioulnar joint arthroplasty (Aptis) who had a distal radio-ulnar impingement secondary to a distal ulnar resection (Darrach) previously performed to treat a fracture-dislocation of the distal radioulnar joint.
Conclusion: This case was the first semiconstrained bipolar distal radioulnar joint arthroplasty (Aptis) performed in México. This treatment is capable of providing provides a stable load-bearing joint.

REFERENCES

1. Kleinman WB. Stability of the distal radioulnar joint: Biomechanics, pathophysiology, physical diagnosis, and restoration of function what we have learned in 25 years. J Hand Surg 2007;32(7):1086-1106.

2. Scheker LR. Implant arthroplasty for the distal radioulnar joint. J Hand Surg 2008;33(9):1639-1644.

3. Gupta R, Allaire RB, Fornalki S, Osterman AL, Lee TQ. Kinematic analysis of the distal radioulnar joint after a simulated progressive ulnar-sided wrist injury. J Hand Surg 2002;27(5):854-862.

4. Darrach W. Partial Excision of the Lower Shaft of the Ulna for Deformity Following Colle´s Fracture 1913. Clin Orthop Relat Res 1992;275:3-4.

5. Dingman PV. Resection of the distal end of the ulna (Darrach operation). An End-Result Study of Twenty-Four Cases. J Bone Joint Surg 1952;34(4):893-900.

6. Kapandji I. The Kapandji-Sauvé operation: Its techniques and indications in non-reumatoid diseases. Ann Chirug Main 1986;5(3):181-193.

7. Slater RR Jr. The Sauvé-Kapandji procedure. J Hand Surg Am 2008;33(9):1632-1638.

8. Watanabe H, Berger RA, Berglund LJ, Zobitz ME, An KN. Contribution of the interosseous membrane to distal radioulnar joint constraint. J Hand Surg 2005; 30(6):1164-1171.

9. Palmer AK, Werner FW. Biomechanics of the Distal Radioulnar Joint. Clin Orthop 1984;187:26-35.

10. Johnson RK, Shrewsbury MM. The pronator quadratus in motions and in stabilization of the radius and ulna at the distal radioulnar joint. J Hand Surg 1976;1(3):205-209.

11. Viegas SF, Pogue DJ, Patterson RM, Peterson PD. Effects of radioulnar instability on the radiocarpal joint: A biomechanical study. J Hand Surg 1990;15(5):728-732.

12. Ward LD, Ambrose CG, Masson MV, Levaro F. The role of the distal radioulnar ligaments, interosseous membrane, and joint capsule in distal radioulnar joint stability. J Hand Surg 2000;25(2):341-351.

13. Henry MH. Management of Acute Triangular Fibrocartilage Complex Injury of the Wrist. J Am Acad Orthop Surg 2008;16(6):320-329.

14. Mikic ZD. Treatment of acute injuries of the triangular fibrocartilage complex associated with distal radioulnar joint instability. J Hand Surg 1995;20(2):319-323.

15. Adams BD, Berger RA. An anatomic reconstruction of the distal radioulnar ligaments for posttraumatic distal radioulnar joint instability. J Hand Surg 2002;27(2):243-251.

16. Wysocki RW, Richard MJ, Crowe MM, Leversedge FJ, Ruch DS. Arthroscopic Treatment of Peripheral Triangular Fibrocartilage Complex Tears With the Deep Fibers Intact. J Hand Surg 2012;37(3):509-516.

17. Bowers WH. Distal radioulnar joint arthroplasty: the hemiresectioninterposition technique. J Hand Surg 1985;10(2):169-178.

18. Willis AA, Berger RA, Cooney WP. Arthroplasty of the Distal Radioulnar Joint Using a New Ulnar head Endoprosthesis: Preliminary Report. J Hand Surg 2007:32(2):177-189.

19. Swanson AB. Implant arthroplasty for disabilities of the distal radioulnar joint. Use of a silicone rubber capping implant following resection of the ulnar head. Orthop Clin North Am 1973;4(2):373-382.

20. Bell MJ, Hill RJ, McMurtry RY. Ulnar impingement syndrome. J Bone Joint Surg 1985;67-B(1):126-129.

21. Lees VC, Scheker LR. The radiological demonstration of dynamic ulnar impingement. J Hand Surg Br 1997;22(4):448-450.

22. Af Ekenstam F, Hagert CG. Anatomical Studies on the Geometry and Stability of the Distal Radio Ulnar Joint. Scand J Plast Reconstr Surg 1985;19(1):17-25.

23. Af Ekenstam FW, Palmer AK, Glisson RR. The load on the radius and ulna in different positions of the wrist and forearm: A cadaver study. Acta Orthop Scand 1984;55(3):363-365.

24. Schuind F, An KN, Berglund L, Rey R, Cooney WP, Linscheid RL, et al. The distal radioulnar ligaments: A biomechanical study. J Hand Surg 1991;16(6):1106-1114.

25. Hagert CG. Distal radius fracture and the distal radioulnar joint–anatomical considerations. Handchir Mikrochir Plast Chir 1994;26(1):22-26.

26. Kleinman WB, Graham TJ. The distal radioulnar joint capsule: Clinical anatomy and role in posttraumatic limitation of forearm rotation. J Hand Surg 1998;23(4):588-599.

27. Tulipan DJ, Eaton RG, Eberhart RE: The Darrach procedure defended: Technique redefined and long-term follow-up. J Hand Surg 1991;16(3):438-444.

28. Sauvé L, Kapandji M. Nouvelle technique de traitment Chirurgical des luxations récidivantes isolées de l’extrémité infériure du cubitus. J Chir 1936;7:589-594.

29. Sanders RA, Frederick HA, Hontas RB. The Sauvé-Kapandji procedure: A salvage operation for the distal radioulnar joint. J Hand Surg 1991;16(6):1125-1129.

30. Vincent KA, Szabo RM, Agee JM. The Sauvé-Kapandji procedure for reconstruction of the rheumatoid distal radioulnar joint. J Hand Surg 1993;18(6):978-983.

31. Watson HK, Ryu J, Burgess RC. Matched distal ulnar resection. J Hand Surg Am 1986;11(6):812-817.

32. van Shoonhoven J, Fernandez DL, Bowers WH, Herbert TJ. Salvage of failed resection arthroplasties of the distal radioulnar joint using a new ulnar head prosthesis. J Hand Surg 2000;25(3):438-446.