Ulnar Head Arthroplasty with Posterior Interosseous Nerve Neurectomy: A Case Report
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.17/3140 |
Resumo: | BACKGROUND: Distal Radioulnar joint (DRUJ) arthropathy can occur as a consequence of multiple mechanisms, including trauma, inflammatory or degenerative arthritis or even congenital anomalies. Ulnar head arthroplasty has been proposed as a viable therapeutic option, potentially restoring wrist function and improving pain control. This can also be achieved by complete wrist neurectomy but it has several risks associated with the procedure. A selective neurectomy may be more effective. CASE PRESENTATION: We report the case of a 51-year-old man, Tool-Colector, who suffered from constant diffuse left wrist pain aggravated with activities and had a swollen and tender wrist at physical examination with limited range of motion on prono-supination. Radiographic and magnetic resonance imaging showed degenerative changes in the radiocarpal joint and distal radioulnar joint. In order to preserve the remaining mobility and reduce the wrist pain we proceeded with an ulnar head arthroplasty and a posterior interosseous nerve neurectomy, through a single skin incision in the dorso-ulnar side of the wrist. Afterwards, the patient followed a strict rehabilitation program with a hand therapist. Six months later he returned to his previous job with no limitations. CONCLUSIONS: Ulnar head arthroplasty seems to be a very good option in the treatment of severe DRUJ arthrosis. It significantly improves pain control while maintains or even improves range of motion. Posterior interosseous nerve neurectomy is a simple technique and highly effective. |
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Ulnar Head Arthroplasty with Posterior Interosseous Nerve Neurectomy: A Case ReportCHLC CPRDistal Radioulnar ArthroplastyDistal Radioulnar JointPosterior Interosseous Nerve NeurectomyUlnar Head ArthroplastyUlnar Head ImplantBACKGROUND: Distal Radioulnar joint (DRUJ) arthropathy can occur as a consequence of multiple mechanisms, including trauma, inflammatory or degenerative arthritis or even congenital anomalies. Ulnar head arthroplasty has been proposed as a viable therapeutic option, potentially restoring wrist function and improving pain control. This can also be achieved by complete wrist neurectomy but it has several risks associated with the procedure. A selective neurectomy may be more effective. CASE PRESENTATION: We report the case of a 51-year-old man, Tool-Colector, who suffered from constant diffuse left wrist pain aggravated with activities and had a swollen and tender wrist at physical examination with limited range of motion on prono-supination. Radiographic and magnetic resonance imaging showed degenerative changes in the radiocarpal joint and distal radioulnar joint. In order to preserve the remaining mobility and reduce the wrist pain we proceeded with an ulnar head arthroplasty and a posterior interosseous nerve neurectomy, through a single skin incision in the dorso-ulnar side of the wrist. Afterwards, the patient followed a strict rehabilitation program with a hand therapist. Six months later he returned to his previous job with no limitations. CONCLUSIONS: Ulnar head arthroplasty seems to be a very good option in the treatment of severe DRUJ arthrosis. It significantly improves pain control while maintains or even improves range of motion. Posterior interosseous nerve neurectomy is a simple technique and highly effective.ElsevierRepositório do Centro Hospitalar Universitário de Lisboa Central, EPEMata Ribeiro, LBotton, M2018-12-19T12:42:30Z20182018-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.17/3140engInt J Surg Case Rep. 2018;51:340-343.10.1016/j.ijscr.2018.09.017info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-03-10T09:41:29Zoai:repositorio.chlc.min-saude.pt:10400.17/3140Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T17:20:28.462158Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Ulnar Head Arthroplasty with Posterior Interosseous Nerve Neurectomy: A Case Report |
title |
Ulnar Head Arthroplasty with Posterior Interosseous Nerve Neurectomy: A Case Report |
spellingShingle |
Ulnar Head Arthroplasty with Posterior Interosseous Nerve Neurectomy: A Case Report Mata Ribeiro, L CHLC CPR Distal Radioulnar Arthroplasty Distal Radioulnar Joint Posterior Interosseous Nerve Neurectomy Ulnar Head Arthroplasty Ulnar Head Implant |
title_short |
Ulnar Head Arthroplasty with Posterior Interosseous Nerve Neurectomy: A Case Report |
title_full |
Ulnar Head Arthroplasty with Posterior Interosseous Nerve Neurectomy: A Case Report |
title_fullStr |
Ulnar Head Arthroplasty with Posterior Interosseous Nerve Neurectomy: A Case Report |
title_full_unstemmed |
Ulnar Head Arthroplasty with Posterior Interosseous Nerve Neurectomy: A Case Report |
title_sort |
Ulnar Head Arthroplasty with Posterior Interosseous Nerve Neurectomy: A Case Report |
author |
Mata Ribeiro, L |
author_facet |
Mata Ribeiro, L Botton, M |
author_role |
author |
author2 |
Botton, M |
author2_role |
author |
dc.contributor.none.fl_str_mv |
Repositório do Centro Hospitalar Universitário de Lisboa Central, EPE |
dc.contributor.author.fl_str_mv |
Mata Ribeiro, L Botton, M |
dc.subject.por.fl_str_mv |
CHLC CPR Distal Radioulnar Arthroplasty Distal Radioulnar Joint Posterior Interosseous Nerve Neurectomy Ulnar Head Arthroplasty Ulnar Head Implant |
topic |
CHLC CPR Distal Radioulnar Arthroplasty Distal Radioulnar Joint Posterior Interosseous Nerve Neurectomy Ulnar Head Arthroplasty Ulnar Head Implant |
description |
BACKGROUND: Distal Radioulnar joint (DRUJ) arthropathy can occur as a consequence of multiple mechanisms, including trauma, inflammatory or degenerative arthritis or even congenital anomalies. Ulnar head arthroplasty has been proposed as a viable therapeutic option, potentially restoring wrist function and improving pain control. This can also be achieved by complete wrist neurectomy but it has several risks associated with the procedure. A selective neurectomy may be more effective. CASE PRESENTATION: We report the case of a 51-year-old man, Tool-Colector, who suffered from constant diffuse left wrist pain aggravated with activities and had a swollen and tender wrist at physical examination with limited range of motion on prono-supination. Radiographic and magnetic resonance imaging showed degenerative changes in the radiocarpal joint and distal radioulnar joint. In order to preserve the remaining mobility and reduce the wrist pain we proceeded with an ulnar head arthroplasty and a posterior interosseous nerve neurectomy, through a single skin incision in the dorso-ulnar side of the wrist. Afterwards, the patient followed a strict rehabilitation program with a hand therapist. Six months later he returned to his previous job with no limitations. CONCLUSIONS: Ulnar head arthroplasty seems to be a very good option in the treatment of severe DRUJ arthrosis. It significantly improves pain control while maintains or even improves range of motion. Posterior interosseous nerve neurectomy is a simple technique and highly effective. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-12-19T12:42:30Z 2018 2018-01-01T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.17/3140 |
url |
http://hdl.handle.net/10400.17/3140 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Int J Surg Case Rep. 2018;51:340-343. 10.1016/j.ijscr.2018.09.017 |
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info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Elsevier |
publisher.none.fl_str_mv |
Elsevier |
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reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799131300715560960 |