Treatment of type II symptomatic ulnar styloid nonunions with reinsertion of the triangular fibrocartilage complex
Abstract Purpose The purpose of this retrospective study was to introduce an alternative technique for the treatment of type II symptomatic ulnar styloid nonunion by the reinsertion of the triangular fibrocartilage complex and the ulnar collateral ligament. Methods Between March 2009 and May 2017, 4...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-08-01
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| Series: | BMC Musculoskeletal Disorders |
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| Online Access: | https://doi.org/10.1186/s12891-023-06718-x |
| _version_ | 1797578601017638912 |
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| author | Xiaofei Yu Yadong Yu Xu Zhang Jia Li Tong Zhou Huan Chen |
| author_facet | Xiaofei Yu Yadong Yu Xu Zhang Jia Li Tong Zhou Huan Chen |
| author_sort | Xiaofei Yu |
| collection | DOAJ |
| description | Abstract Purpose The purpose of this retrospective study was to introduce an alternative technique for the treatment of type II symptomatic ulnar styloid nonunion by the reinsertion of the triangular fibrocartilage complex and the ulnar collateral ligament. Methods Between March 2009 and May 2017, 45 patients (34 males and 11 females) suffering from the nonunion of type II ulnar styloid fractures all underwent the subperiosteal resection of the avulsed fragments and the reinsertion of the TFCC and ulnar collateral ligament. Outcome assessments included the ranges of motion of the wrist, grip strength, pain, and Mayo wrist score. The preoperative and postoperative parameters were compared. A P-value less than 0.05 was considered to be statistically significant. Result The mean follow-up period was 21.66 ± 7.93 months (range, 12 to 26 months). At the final follow-up, the mean preoperative flexion and extension were 79.32 ± 4.52° and 74.40 ± 4.36° respectively. The mean preoperative pain score, grip strength, and Mayo wrist score were 32.48 ± 4.00; 23.88 ± 8.38 kg, and 77.72 ± 8.31 respectively. The mean postoperative flexion and extension of the wrist were 80.56 ± 6.32° and 75.43 ± 3.12° respectively. The mean postoperative pain score, grip strength, and Mayo wrist score were 12.41 ± 3.27, 26.31 ± 8.30 kg, and 90.71 ± 7.97 respectively. There were significant differences in pain, grip strength, and Mayo wrist score (P < 0.05), but no significant differences concerning the range of motion of the wrist. Conclusion In the treatment of the nonunion of type II ulnar styloid fractures, the resection of the avulsed fragments followed by the reinsertion of the TFCC and the ulnar collateral ligament with an anchor was a reliable alternative technique, bringing the satisfactory function of the wrist. |
| first_indexed | 2024-03-10T22:25:09Z |
| format | Article |
| id | doaj.art-6b3be299c82d404a95714e101e2bb6c8 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-03-10T22:25:09Z |
| publishDate | 2023-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-6b3be299c82d404a95714e101e2bb6c82023-11-19T12:08:32ZengBMCBMC Musculoskeletal Disorders1471-24742023-08-012411810.1186/s12891-023-06718-xTreatment of type II symptomatic ulnar styloid nonunions with reinsertion of the triangular fibrocartilage complexXiaofei Yu0Yadong Yu1Xu Zhang2Jia Li3Tong Zhou4Huan Chen5Department of Hand Surgery, Third Hospital of Heibei Medical UniversityDepartment of Hand Surgery, Third Hospital of Heibei Medical UniversityDepartment of Hand Surgery, Third Hospital of Heibei Medical UniversityDepartment of Hand Surgery, Third Hospital of Heibei Medical UniversityThe Second Hospital of TangshanThe Second Affiliated Hospital of Wannan Medical CollegeAbstract Purpose The purpose of this retrospective study was to introduce an alternative technique for the treatment of type II symptomatic ulnar styloid nonunion by the reinsertion of the triangular fibrocartilage complex and the ulnar collateral ligament. Methods Between March 2009 and May 2017, 45 patients (34 males and 11 females) suffering from the nonunion of type II ulnar styloid fractures all underwent the subperiosteal resection of the avulsed fragments and the reinsertion of the TFCC and ulnar collateral ligament. Outcome assessments included the ranges of motion of the wrist, grip strength, pain, and Mayo wrist score. The preoperative and postoperative parameters were compared. A P-value less than 0.05 was considered to be statistically significant. Result The mean follow-up period was 21.66 ± 7.93 months (range, 12 to 26 months). At the final follow-up, the mean preoperative flexion and extension were 79.32 ± 4.52° and 74.40 ± 4.36° respectively. The mean preoperative pain score, grip strength, and Mayo wrist score were 32.48 ± 4.00; 23.88 ± 8.38 kg, and 77.72 ± 8.31 respectively. The mean postoperative flexion and extension of the wrist were 80.56 ± 6.32° and 75.43 ± 3.12° respectively. The mean postoperative pain score, grip strength, and Mayo wrist score were 12.41 ± 3.27, 26.31 ± 8.30 kg, and 90.71 ± 7.97 respectively. There were significant differences in pain, grip strength, and Mayo wrist score (P < 0.05), but no significant differences concerning the range of motion of the wrist. Conclusion In the treatment of the nonunion of type II ulnar styloid fractures, the resection of the avulsed fragments followed by the reinsertion of the TFCC and the ulnar collateral ligament with an anchor was a reliable alternative technique, bringing the satisfactory function of the wrist.https://doi.org/10.1186/s12891-023-06718-xUlnar styloid fractureNonunionUlnar wrist painDistal radioulnar joint |
| spellingShingle | Xiaofei Yu Yadong Yu Xu Zhang Jia Li Tong Zhou Huan Chen Treatment of type II symptomatic ulnar styloid nonunions with reinsertion of the triangular fibrocartilage complex BMC Musculoskeletal Disorders Ulnar styloid fracture Nonunion Ulnar wrist pain Distal radioulnar joint |
| title | Treatment of type II symptomatic ulnar styloid nonunions with reinsertion of the triangular fibrocartilage complex |
| title_full | Treatment of type II symptomatic ulnar styloid nonunions with reinsertion of the triangular fibrocartilage complex |
| title_fullStr | Treatment of type II symptomatic ulnar styloid nonunions with reinsertion of the triangular fibrocartilage complex |
| title_full_unstemmed | Treatment of type II symptomatic ulnar styloid nonunions with reinsertion of the triangular fibrocartilage complex |
| title_short | Treatment of type II symptomatic ulnar styloid nonunions with reinsertion of the triangular fibrocartilage complex |
| title_sort | treatment of type ii symptomatic ulnar styloid nonunions with reinsertion of the triangular fibrocartilage complex |
| topic | Ulnar styloid fracture Nonunion Ulnar wrist pain Distal radioulnar joint |
| url | https://doi.org/10.1186/s12891-023-06718-x |
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