Advertisement
Research Article| Volume 2, ISSUE 3, P169-174, May 1977

Download started.

Ok

Congenital deficiency of the ulna

      This paper is only available as a PDF. To read, Please Download here.
      Twenty-three patients with ulnar ray deficiency were studied and the deformities described by combining Kummel’s and Swanson's classifications. An individualized, functionally oriented management program is recommended with early resection of the fibrocartilaginous remnant to prevent shortening, radial bowing, and possible malrotation. Rotational deformity can be corrected by wedge osteotomy, rotation osteotomy, or proximal radial ulnar synostosis. Improved motion at the elbow can be obtained by release of contractures or resection of the radial head. Wrist deformity may require resection of the ulnar remnant and a wedge osteotomy of the radius.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Hand Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Henkel L
        • Willert HG
        Dysmelia.
        J Bone Joint Surg. 1969; 5lB: 399-414
        • Lauren CA
        • Farmer AW
        Congenital absence of the ulna.
        Canad J Surg. 1959; 2: 204-207
        • Birch-Jensen A
        Congenital deformities of the upper extremities. Ejnar Munksgaard Forlag, Copenhagen1950
        • Rabaud E
        • Havelocque A
        Absence congenitale du cubitus, du radius, du tibia, et du berone.
        Rev Orthop. 1924; 11: 21
        • Klippel M
        • Dainville F
        • Feil A
        L'absence congenitale du cubitus; un neuveau cas.
        Paris Med. 1925; 55: 107
        • Lausecker H
        Der Angeborene Defektder Ulna.
        Virchows Arch. 1954; 325: 211-216
        • Spinner M
        • Freundlich BD
        • Abels E
        Management of moderate longtitudinal arrest of development of the ulna.
        Clin Orthop. 1970; 69: 199-202
        • Straub LR
        Congenital absence of the radius and of the ulna.
        J Bone Joint Surg. 1972; 54A: 907
        • Riordan DC
        • Mills EH
        • Allredge RH
        Congenital absence of the ulna.
        J Bone Joint Surg. 1961; 43A: 614
        • Watson HK
        • Bohne WH
        The role of the fibrous band in ulnar deficient extremities.
        J Bone Joint Surg. 1971; 53A: 816
        • Roberts AS
        Contributions to orthopaedic surgery. Dornan, Philadelphia1898: 293
        • Duraiswami PK
        Experimental causation of congenital skeletal defects and its significance in orthopaedic surgery.
        J Bone Joint Surg. 1952; 34B: 646
        • Swanson AB
        A classification of limb malformation on the basis of embryologic failures.
        Inter-clin Info Bull NY U Postgrad Med Sch. 1966; 6: 3
        • Frantz CH
        • O'Rahilly R
        Congenital skeletal limb deficiencies.
        J Bone Joint Surg. 1961; 43A: 1202
        • Swanson AB
        • Barsky AJ
        • Entin MA
        Classification of limb malformations on the basis of embryo logical failures.
        Surg Clin N Am. 1968; 48: 1169-1179
        • Kummel W
        Bil. Misshildungen der Extremitaten durch Defeck Verwachsungand Uberzahl.
        Cassel. 1895;
        • Kelikian H
        Congenital deformities of the hand and forearm. WB Saunders Co, Philadelphia1974
        • Piulachs M
        Absence congenital partielle du cubitus (une absence totale et une absence partielle).
        Rev Orthop. 1924; 11: 21
        • Aitken GT
        Surgical amputation in children.
        J Bone Joint Surg. 1963; 45A: 1735
        • Straub LR
        Congenital absence of the ulna.
        Am J Surg. 1965; 109: 300