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there are many management options of ulnocarpal abutment depends on clinical evaluation and imaging of this joint. Arthroscopic treatment is the simplest solution for these conditions.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| group 1 | Active Comparator | wafer group procedure using an arthroscope through portal(radial to extensor carpi ulnaris, debridement of triangular fibro-cartilage complex 3-4 mm is shaved from the dome of the ulna by 2.9 bur. |
|
| group 2 | Active Comparator | ulnar shortening group :this is the most logical technique, dorsoulnar incision is made on the distal one-third of the forearm then a 6 hole 3.5 mm Dcp plate is position,osteotomy using oscillating saw in z-shaped manner. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| wafer procedure | Procedure | wrist arthroscopy and debridement of Triangular fibrocartilage and shortening of the head ulna by burr |
|
| Measure | Description | Time Frame |
|---|---|---|
| mayo scoring system | follow up of the pain( nonpain,mild occasional, moderate and sever graded as 1,2,3,4 respectively | 6 month |
| mayo scoring system | Range of motion of the wrist compared to the normal side(100 ,75-99,50-74,25-9,0-24% | 6 month |
| mayo scoring system | grip strength | 6 month |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Amr El-Sayed Ali | Contact | 00201099021770 | amrelmicro@YAHOO.com | |
| waleed riad saleh | Contact | 00201142123037 | wareethrs@yahoo.com |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25080480 | Background | Stockton DJ, Pelletier ME, Pike JM. Operative treatment of ulnar impaction syndrome: a systematic review. J Hand Surg Eur Vol. 2015 Jun;40(5):470-6. doi: 10.1177/1753193414541749. Epub 2014 Jul 30. | |
| 28119797 | Background | Kaufman D, Etcheson J, Yao J. Microfracture for Ulnar Impaction Syndrome: Surgical Technique and Outcomes with Minimum 2-Year Follow-up. J Wrist Surg. 2017 Feb;6(1):60-64. doi: 10.1055/s-0036-1586496. Epub 2016 Aug 5. |
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| ID | Term |
|---|---|
| D001182 | Arthroscopy |
| ID | Term |
|---|---|
| D004724 | Endoscopy |
| D003949 | Diagnostic Techniques, Surgical |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
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| arthroscopy and ulnar shortening osteotomy | Procedure | wrist arthroscopy,debride debridement of Triangular fibrocartilage and shortening of the ulna by osteotomy and plate |
|
| 24749031 | Background | Colantoni J, Chadderdon C, Gaston RG. Arthroscopic wafer procedure for ulnar impaction syndrome. Arthrosc Tech. 2014 Jan 24;3(1):e123-5. doi: 10.1016/j.eats.2013.09.008. eCollection 2014 Feb. |
| D019060 | Minimally Invasive Surgical Procedures |
| D013514 | Surgical Procedures, Operative |
| D019637 | Orthopedic Procedures |