Background: Many solutions have been proposed in treating of forearm supination. Comparing with other supination function reconstructions, pronator teres rerouting is believed to be less effective due to its insufficient supination strength. The aim of this study is to introduce a modified procedure, and compare its result with two previous approaches.
Patients And Methods: From 2015 to 2020, 11 patients have restored forearm supination by rerouting of the pronator teres weave sutured with allogeneic tendons. The average follow-up period was 17.5 months (12 to 24). The range of active supination at the final follow-up was recorded.
Results: Almost all patients acquired good supination range. The average active post-operative supination was 72.7° (60° to 80°) at the final follow-up. No complication was observed. All patients retained full range of pronation.
Conclusions: This study provides a modified supination function reconstruction with simple operating, fine results, low risks, and no affecting of pronation function. The use of allogeneic tendon makes up for the muscles with insufficient length, making it valuable to reconsider those rebuilding operations that were once considered unpromising by many.
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http://dx.doi.org/10.1186/s12891-021-04692-w | DOI Listing |
JBJS Case Connect
January 2025
Department of Orthopaedic Surgery, Maulana Azad Medical College & Associated Lok Nayak Hospital, New Delhi, India.
Case: We present an unusual case of metachronous multicentric giant cell tumor (GCT) of forearm bones in a 38-year-old male patient with an 8-year follow-up. The diagnosis was established by imaging and histopathology. He underwent multiple surgeries with extraperiosteal resection of lesions with free fibular grafts.
View Article and Find Full Text PDFJ Am Acad Orthop Surg Glob Res Rev
March 2025
From the Department of Orthopaedic Surgery, Graduate School of Medicine, Osaka University, Japan (Dr. Kondo, Dr. Shiode, Dr. Miyamura, Dr. Kazui, Dr. Yamamoto, Dr. Miyake, Dr. Iwahashi, Dr. Tanaka, Dr. Murase, Dr. Okada, and Dr. Oka); the Department of Orthopaedic Surgery, Bellland General Hospital, Japan (Dr. Murase); and the Department of Orthopaedic Biomaterial Science, Graduate School of Medicine, Osaka University, Japan (Dr. Oka).
Malunion after distal radial fractures with intra-articular and extra-articular deformities is difficult to treat. We report two cases of simultaneous intra-articular and extra-articular corrective osteotomies for malunion after distal radius fractures using a patient-matched surgical guide and plate (patient-matched instruments [PMIs]) created based on a preoperative computer simulation. Both patients experienced pain and limited range of motion in the wrist and forearm.
View Article and Find Full Text PDFCureus
February 2025
Osteopathic Medicine, Touro College of Osteopathic Medicine, Middletown, USA.
Distal radius fractures (DRFs) are a commonly treated injury in orthopedics. DRFs have a high incidence across patient demographics, including pediatrics, young patients in high-energy trauma, and geriatric patients in low-energy trauma. While DRFs occur across a large range of age groups, they are especially consequential in geriatric patients with osteoporosis.
View Article and Find Full Text PDFAs a primary effector of humans, the hand plays a crucial role in many aspects of daily life. Recognizing multidegree-of-freedom hand movements from muscle activity helps infer human motion intentions. Solving this problem has direct applications in prosthetic and exoskeleton control.
View Article and Find Full Text PDFWrist arthroscopic procedures using ulnar wrist portals, such as the 6-ulnar and direct foveal portals, have a risk of injuring the dorsal sensory branch of the ulnar nerve. This study investigated the anatomy of the dorsal sensory branch of the ulnar nerve and its positional changes during supination, neutral rotation and pronation at specific landmarks to find an optimal forearm position to minimize the risk of iatrogenic nerve injury during arthroscopy. The concept of 'nerve density' was introduced to quantify the likelihood of encountering the dorsal sensory branch of the ulnar nerve within different sectors, correlating to the risk of nerve injury.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!