Universität zu Köln

Spies, Christian K., Mueller, Lars P., Unglaub, Frank, Hahn, Peter, Klum, Matthias and Oppermann, Johannes (2014). Anatomical transosseous fixation of the deep and superficial fibers of the radioulnar ligaments. Arch. Orthop. Trauma Surg., 134 (12). S. 1783 - 1789. NEW YORK: SPRINGER. ISSN 1434-3916

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Abstract

Introduction The triangular fibrocartilage complex is in conjunction with the interosseous membrane the most important stabilizer of the distal radioulnar joint. Lesions of the triangular fibrocartilage complex may cause instability of the distal radioulnar joint with serious consequences. Therefore, the goal is to reconstruct and provide stability to prevent further harm. Surgical technique Based on the anatomical configuration of the radioulnar ligaments, we present a technique which addresses both the deep and the superficial fibers of the radioulnar ligaments. This surgical procedure can be performed either openly or arthroscopically assisted. Two osseous 2-mm tunnels starting from the ulnar neck to the foveal surface are created. A nonabsorbable suture is passed through the tunnels and the triangular fibrocartilage using a 20-gauge venipuncture needle in order to attach the deep fibers. Then a third osseous tunnel starting from the lateral base of the styloid process to the medial aspect is created. The suture is passed through this tunnel and through the triangular fibrocartilage and around the styloid process palmarily using the same needle as before in order to anchor the superficial fibers anatomically. After reducing the ulna head the sutures are tightened. Conclusion This technique is quite simple and addresses the anatomical configuration of the radioulnar ligaments.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Spies, Christian K. UNSPECIFIED UNSPECIFIED UNSPECIFIED Mueller, Lars P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Unglaub, Frank UNSPECIFIED UNSPECIFIED UNSPECIFIED Hahn, Peter UNSPECIFIED UNSPECIFIED UNSPECIFIED Klum, Matthias UNSPECIFIED UNSPECIFIED UNSPECIFIED Oppermann, Johannes UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-422052
DOI:	10.1007/s00402-014-2103-8
Journal or Publication Title:	Arch. Orthop. Trauma Surg.
Volume:	134
Number:	12
Page Range:	S. 1783 - 1789
Date:	2014
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1434-3916
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language TRIANGULAR FIBROCARTILAGE COMPLEX; DORSAL CAPSULAR IMBRICATION; EXTENSOR CARPI ULNARIS; POSTTRAUMATIC INSTABILITY; JOINT; WRIST; STABILITY; LESIONS; TEARS; INJURY Multiple languages Orthopedics; Surgery Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/42205