B1 Non-refereed article in a scientific journal

Arthroscopic Oblique Partial Ulnar Styloid Resection for Ulnar Styloid Impaction Syndrome




AuthorsPääkkönen Markus

PublisherTHIEME MEDICAL PUBL INC

Publication year2022

JournalJournal of Wrist Surgery

Journal name in sourceJOURNAL OF WRIST SURGERY

Journal acronymJ WRIST SURG

Volume11

Issue3

First page 269

Last page271

Number of pages3

ISSN2163-3916

eISSN2163-3916

DOIhttps://doi.org/10.1055/s-0041-1730345


Abstract

Background Open or arthroscopic partial resection of the elongated ulnar styloid is the surgical treatment of choice for ulnar styloid impaction syndrome.Case Description A patient with a severely elongated processus styloideus ulnae (PSU) with a chronic impaction of the distal-radial margin against the triquetrum suffered a traumatic triangular fibrocartilage complex (TFCC) Palmer 1B rupture and DRUJ instability. The length of the PSU was 9mm. After failed conservative treatment, a partial oblique arthroscopic resection of the PSU and simultaneous TFCC reinsertion were performed with uneventful recovery.

Literature Review Arthroscopic resection has emerged as an alternative to the traditional open PSU resection for the treatment of styloid impaction syndrome. A transverse resection is described as the treatment of choice. Regarding the extent of resection subtotal ligament sparing resection or resection to the lower margin have been suggested.

Clinical Relevance Surgical planning of PSU resection should take into consideration the anatomy of the impingement. The extent of resection should be planned individually, and sometimes an oblique resection may be the preferred option.



Last updated on 2024-26-11 at 21:35