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Radial Club Hand Treated by Paley Ulnarization Generation 3: Is This the New Centralization?
- Source :
- Children, Vol 8, Iss 562, p 562 (2021), Children, Volume 8, Issue 7
- Publication Year :
- 2021
- Publisher :
- MDPI AG, 2021.
-
Abstract
- (1) Background: Patients treated with the two previous generations of ulnarization developed a bump related to the ulnar head becoming prominent on the radial side of the hand. To finally remedy this problem, a third generation of ulnarization was developed to keep the ulnar head contained. While still ulnar to the wrist center, the center of the wrist remains ulnar to the ulnar head, with the ulnar head articulating directly with the trapezoid and when present the trapezium. (2) Methods: Between 2019 and 2021, 22 radial club hands in 17 patients were surgically corrected with this modified version of ulnarization. (3) Results: In all 17 patients, the mean HFA (hand–forearm-angle) correction was 68.5° (range 12.2°–88.7°). The mean ulna growth was 1.3 cm per year (range 0.2–2 cm). There were no recurrent radial deviation deformities more than 15° of the HFA. (4) Conclusions: This new version of ulnarization may solve the problem of the ulna growing past the carpus creating a prominent ulnar bump. The results presented are preliminary but promising. Longer-term follow-up is needed to fully evaluate this procedure.
- Subjects :
- radial club hand
Ulnar head
radialization
Radial aplasia
Wrist
Pediatrics
Article
RJ1-570
03 medical and health sciences
0302 clinical medicine
Radial club hand
centralization
radial longitudinal defect
Radial deviation
Medicine
030212 general & internal medicine
Orthodontics
030222 orthopedics
business.industry
Ulna
medicine.disease
Third generation
ulnarization
radial aplasia
medicine.anatomical_structure
Pediatrics, Perinatology and Child Health
business
Subjects
Details
- Language :
- English
- ISSN :
- 22279067
- Volume :
- 8
- Issue :
- 562
- Database :
- OpenAIRE
- Journal :
- Children
- Accession number :
- edsair.doi.dedup.....8ce68ab208abf2661b30a87ede5ca167