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Archives of Orthopaedic and Trauma Surgery

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01-12-2014 | Handsurgery

Anatomical transosseous fixation of the deep and superficial fibers of the radioulnar ligaments

Authors: Christian K. Spies, Lars P. Müller, Frank Unglaub, Peter Hahn, Matthias Klum, Johannes Oppermann

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 12/2014

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.

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Title: Anatomical transosseous fixation of the deep and superficial fibers of the radioulnar ligaments
Authors: Christian K. Spies
Lars P. Müller
Frank Unglaub
Peter Hahn
Matthias Klum
Johannes Oppermann
Publication date: 01-12-2014
Publisher: Springer Berlin Heidelberg
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 12/2014
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-014-2103-8

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Anatomical transosseous fixation of the deep and superficial fibers of the radioulnar ligaments

Abstract

Introduction

Surgical technique

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction

Surgical technique

Conclusion

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