Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
2004-11-22
pubmed:abstractText
Fifteen adult patients with an unstable ununited fracture of the distal third of the radius and severe radial deviation deformity resembling a radial club hand were retrospectively reviewed at an average of 25 months after operative treatment. There were eight women and seven men with an average age of 57 years (range, 33-79 years). The average duration of nonunion was 56 months (range, 6-252 months). Six patients had a concomitant fracture of the ulna and four had dislocation of the distal radioulnar joint. Three patients were treated with wrist arthrodesis and 12 with plate fixation and autogenous bone grafting. The distal ulna was excised and used for bone graft in eight patients. Correction of deformity was facilitated by z-lengthening of the brachioradialis and flexor carpal radialis in four patients and distraction histogenesis (llizarov) in two patients. One patient failed to heal the fracture and was treated with wrist arthrodesis. Functional alignment and use of the hand was restored in all patients.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:issn
1548-825X
pubmed:author
pubmed:issnType
Print
pubmed:volume
13
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
161-5
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:15559692-Adult, pubmed-meshheading:15559692-Aged, pubmed-meshheading:15559692-Female, pubmed-meshheading:15559692-Fracture Fixation, Internal, pubmed-meshheading:15559692-Fracture Healing, pubmed-meshheading:15559692-Fractures, Malunited, pubmed-meshheading:15559692-Hand Deformities, Acquired, pubmed-meshheading:15559692-Humans, pubmed-meshheading:15559692-Injury Severity Score, pubmed-meshheading:15559692-Male, pubmed-meshheading:15559692-Middle Aged, pubmed-meshheading:15559692-Orthopedic Procedures, pubmed-meshheading:15559692-Radius Fractures, pubmed-meshheading:15559692-Range of Motion, Articular, pubmed-meshheading:15559692-Recovery of Function, pubmed-meshheading:15559692-Retrospective Studies, pubmed-meshheading:15559692-Risk Assessment, pubmed-meshheading:15559692-Sampling Studies, pubmed-meshheading:15559692-Treatment Outcome, pubmed-meshheading:15559692-Wrist Injuries
pubmed:year
2004
pubmed:articleTitle
Posttraumatic radial club hand.
pubmed:affiliation
Harvard Medical School, Hand and Upper Extremity Service, Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, MA, USA. dring@partners.org
pubmed:publicationType
Journal Article, Comparative Study