Medizinische Universität Graz - Research portal
Selected Publication:
Khosravi, I.
Retrospective Analysis of Operative Treatment after Non-Union of the Styloid Process in Pediatric Patients with Forearm Fractures and Distal Radio-ulnar Joint Instability
Humanmedizin; [ Diplomarbeit ] Medical University of Graz; 2014. pp. 82
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- Authors Med Uni Graz:
- Advisor:
- Eberl Robert
- Singer Georg
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- Abstract:
- Abstract Introduction Distal forearm fractures represent one of the most common fractures in children and adolescents. A fall on the outstretched forearm can lead to distal radius fractures in combination with fractures of the ulnar styloid process. Non-unions of the ulnar styloid process can be associated with instabilities and chronic wrist pain. The aim of this study was to describe the outcome of operative treatment of painful non-unions of the ulnar styloid process. Patients and Methods All patients with a painful non-union of the ulnar styloid process following displaced distal radius fracture that were treated surgically were included. DASH, Mayo, grip strength, Range of Motion (ROM) of pro- and supination and the gliding test were analyzed retrospectively. To describe the incidence of non-union of the ulnar styloid process all patients who presented with displaced fractures of the radius during the time from 2008 to 2012 were analyzed and scanned for an ulnar styloid process injury. Results Out of 673 patients with displaced fractures of the radius 12 patients developed a non-union of the ulnar styloid process. 6 of these patients had chronic pain and therefore were treated surgically. The beneficial effect of operative treatment could be demonstrated with a significant improvement of Mayo (from a preoperative mean of 62.5 to a postoperative mean of 95.83) and DASH Score (from a preoperative mean of 32.05 to a postoperative mean of 10.94). Likewise, the ROM and grip strength significantly improved when comparing pre- to postoperative values. Discussion In cases with a painful non-union of the ulnar styloid process following displaced distal forearm fractures operative treatment can lead to a significant improvement of subjective complaints as well as ROM and stability.