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J Wrist Surg
DOI: 10.1055/s-0044-1787156
Special Review Article

Guidelines for the Diagnosis and Treatment of Ulnar Impaction Syndrome (2024)

Wendong Xu
1   Department of Hand Surgery, Huashan Hospital, Fudan University, Shanghai, People's Republic of China
2   Asian Pacific Wrist Association (APWA), Hongkong SAR, People's Republic of China
,
Pak Cheong Ho
2   Asian Pacific Wrist Association (APWA), Hongkong SAR, People's Republic of China
3   Department of Orthopedics and Traumatology, Prince of Wales Hospital, Chinese University of Hong Kong, Hongkong SAR, People's Republic of China
,
Toshiyasu Nakamura
2   Asian Pacific Wrist Association (APWA), Hongkong SAR, People's Republic of China
4   Department of Orthopedic Surgery, School of Medicine, International University of Health and Welfare, Tokyo, Japan
,
Jeffrey Oscar Ecker
2   Asian Pacific Wrist Association (APWA), Hongkong SAR, People's Republic of China
5   Hand and Upper Limb Centre and Wrist + Hand Institute, Perth, Australia
,
Keiji Fujio
2   Asian Pacific Wrist Association (APWA), Hongkong SAR, People's Republic of China
6   Department of Orthopedics, Kyoto University, Kyoto, Japan
,
Joo Yup Lee
2   Asian Pacific Wrist Association (APWA), Hongkong SAR, People's Republic of China
7   Department of Orthopedic Surgery, Eunpyeong St. Mary's Hospital, Seoul, South Korea
,
Shanlin Chen
2   Asian Pacific Wrist Association (APWA), Hongkong SAR, People's Republic of China
8   Department of Hand Surgery, Beijing Ji Shui Tan Hospital, Beijing, People's Republic of China
,
Siu Cheong Jeffrey Justin Koo
2   Asian Pacific Wrist Association (APWA), Hongkong SAR, People's Republic of China
9   Department of Orthopedics and Traumatology, Alice Ho Miu Ling Nethersole Hospital, Hongkong SAR, People's Republic of China
,
Ping Tak Chan
2   Asian Pacific Wrist Association (APWA), Hongkong SAR, People's Republic of China
10   Department of Orthopedics and Traumatology, Tuen Mun Hospital, Hongkong SAR, People's Republic of China
,
Andrew Yuan Hui Chin
2   Asian Pacific Wrist Association (APWA), Hongkong SAR, People's Republic of China
11   Department of Hand and Reconstructive Microsurgery, Singapore General Hospital, Singapore, Singapore
,
Young Kuen Lee
2   Asian Pacific Wrist Association (APWA), Hongkong SAR, People's Republic of China
12   Department of Orthopedic Surgery, Chonbuk National University Medical School, Jeonju, Korea
,
Jui Tien Shih
2   Asian Pacific Wrist Association (APWA), Hongkong SAR, People's Republic of China
13   Department of Orthopedic Surgery, Centre for Sports Medicine Armed Forces Taoyuan General Hospital, Taoyuan, Taiwan, People's Republic of China
,
Wing Lim Tse
2   Asian Pacific Wrist Association (APWA), Hongkong SAR, People's Republic of China
14   Department of Orthopedics and Traumatology, Prince of Wales Hospital, Hongkong SAR, People's Republic of China
,
Abhijeet L. Wahegaonkar
2   Asian Pacific Wrist Association (APWA), Hongkong SAR, People's Republic of China
15   Division of Hand and Microvascular Services, Sancheti Hospital, Pune, Maharashtra, India
,
Yaolong Chen
16   Research Unit of Evidence-Based Evaluation and Guidelines, Chinese Academy of Medical Sciences (2021RU017), School of Basic Medical Sciences, Lanzhou University, Lanzhou, People's Republic of China
17   WHO Collaborating Center for Guideline Implementation and Knowledge Translation, Lanzhou University, Lanzhou, People's Republic of China
18   Lanzhou University GRADE Center, Lanzhou, People's Republic of China
› Author Affiliations Funding New clinical methods for restoring functions in paralyzed limbs and lost speech, along with the development of new brain–computer interface neuroregulation technologies (2022YFC3602700 and 2022YFC3602701).
› Further Information
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Abstract

Background: Ulnar impaction syndrome (UIS), also known as ulnar impaction or ulnar abutment, is a degenerative condition causing pain on the ulnar side of the wrist. It can lead to wrist bone necrosis, resulting in wrist joint stability disruption and a significant wrist function impairment. The global understanding of this condition varies, contributing to substantial differences in clinical outcomes.

Purposes: This paper underscores the necessity of developing evidence-based clinical guidelines for UIS to guide clinicians in their diagnostic and therapeutic approaches.

Methods: In collaboration with the Asian Pacific Wrist Association, a team of experts from various fields within the Hand Surgery Department at Huashan Hospital has collectively formulated the “Clinical Practice Guidelines for Ulnar Impaction Syndrome (2024)” (hereinafter referred to as the “Guidelines”). The development process adhered to the guidelines outlined in the World Health Organization's handbook for guideline development.

Results: Ten key questions and 21 recommendations are formed. The Guidelines provide recommendations for UIS diagnosis, criteria for selecting conservative or surgical interventions, options for surgical procedures, and address various related issues.

Conclusions: The collaborative effort aims to standardize clinical practices, enhance diagnostic accuracy, and improve treatment outcomes for individuals affected by UIS, with these recommendations intended to serve as a valuable reference for healthcare professionals.

Keywords

ulnar impaction syndrome - diagnosis - treatment - guidelines

Ethical Review Committee Statement

Not applicable.


Work Location Statement

The guideline is developed in Shanghai, China.


Author Contributions

Wendong Xu initiated the guideline and wrote the manuscript. Yaolong Chen was responsible for the methodology. All authors contributed to the scoping of the guidelines and development of the key questions and recommendations. All authors approved the final manuscript.




Publication History

Received: 24 February 2024

Accepted: 29 April 2024

Article published online:
27 May 2024

© 2024. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

  • References

  • 1 Milch H. Cuff resection of the ulna for malunited Colles' fracture. Bone Joint Surg 1941; 23: 311-313
    PubMedGoogle Scholar
  • 2 Sammer DM, Rizzo M. Ulnar impaction. Hand Clin 2010; 26 (04) 549-557
    CrossrefPubMedGoogle Scholar
  • 3 Isa AD, Mcgregor ME, Padmore CE. et al. An in vitro study to determine the effect of ulnar shortening on distal forearm loading during wrist and forearm motion: implications in the treatment of ulnocarpal impaction. J Hand Surg Am 2019; 44 (08) 669-679
    CrossrefPubMedGoogle Scholar
  • 4 WHO. WHO Handbook for Guideline Development. 2nd ed.. Geneva: WHO Press; 2014
    Google Scholar
  • 5 Brouwers MC, Kerkvliet K, Spithoff K. AGREE Next Steps Consortium. The AGREE Reporting Checklist: a tool to improve reporting of clinical practice guidelines. BMJ 2016; 354: i4852
    PubMedGoogle Scholar
  • 6 Chen Y, Yang K, Marušic A. et al; RIGHT (Reporting Items for Practice Guidelines in Healthcare) Working Group. A reporting tool for practice guidelines in health care: the RIGHT statement. Ann Intern Med 2017; 166 (02) 128-132
    CrossrefPubMedGoogle Scholar
  • 7 OCEMB. Levels of evidence; (Mar 2009). Accessed October 8, 2023 at: https://www.cebm.ox.ac.uk/resources/levels-of-evidence/oxford-centre-for-evidence-based-medicine-levels-of-evidence-march-2009
    PubMedGoogle Scholar
  • 8 Jawed A, Ansari MT, Gupta V. TFCC injuries: how we treat?. J Clin Orthop Trauma 2020; 11 (04) 570-579
    CrossrefPubMedGoogle Scholar
  • 9 Skalski MR, White EA, Patel DB. et al. The traumatized TFCC: an illustrated review of the anatomy and injury patterns of the triangular fibrocartilage complex. Curr Probl Diagn Radiol 2016; 45 (01) 39-50
    CrossrefPubMedGoogle Scholar
  • 10 Palmer AK. Triangular fibrocartilage complex lesions: a classification. J Hand Surg Am 1989; 14 (04) 594-606
    CrossrefPubMedGoogle Scholar
  • 11 Tomaino MM, Elfar J. Ulnar impaction syndrome. Hand Clin 2005; 21 (04) 567-575
    CrossrefPubMedGoogle Scholar
  • 12 Yu H, Wang T, Wang Y, Zhu Y. Ulnar shortening osteotomy vs. wafer resection for ulnar impaction syndrome: a systematic review and meta-analysis. Int J Surg 2022; 104: 106725
    CrossrefPubMedGoogle Scholar
  • 13 af Ekenstam FW, Palmer AK, Glisson RR. The load on the radius and ulna in different positions of the wrist and forearm. A cadaver study. Acta Orthop Scand 1984; 55 (03) 363-365
    CrossrefPubMedGoogle Scholar
  • 14 Cardoso ANP, Viegas R, Gamelas P, Falcão P, Baptista C, Silva FS. Ulnar shortening osteotomy: our experience. Rev Bras Ortop 2020; 55 (05) 612-619
    PubMedGoogle Scholar
  • 15 Nakamura R, Horii E, Imaeda T, Nakao E, Kato H, Watanabe K. The ulnocarpal stress test in the diagnosis of ulnar-sided wrist pain. J Hand Surg [Br] 1997; 22 (06) 719-723
    CrossrefPubMedGoogle Scholar
  • 16 Sachar K. Ulnar-sided wrist pain: evaluation and treatment of triangular fibrocartilage complex tears, ulnocarpal impaction syndrome, and lunotriquetral ligament tears. J Hand Surg Am 2012; 37 (07) 1489-1500
    CrossrefPubMedGoogle Scholar
  • 17 Shin EK. Impaction syndromes about the wrist. Curr Rev Musculoskelet Med 2023; 16 (01) 1-8
    CrossrefPubMedGoogle Scholar
  • 18 DaSilva MF, Goodman AD, Gil JA, Akelman E. Evaluation of ulnar-sided wrist pain. J Am Acad Orthop Surg 2017; 25 (08) e150-e156
    CrossrefPubMedGoogle Scholar
  • 19 Friedman SL, Palmer AK. The ulnar impaction syndrome. Hand Clin 1991; 7 (02) 295-310
    CrossrefPubMedGoogle Scholar
  • 20 Imaeda T, Nakamura R, Shionoya K, Makino N. Ulnar impaction syndrome: MR imaging findings. Radiology 1996; 201 (02) 495-500
    CrossrefPubMedGoogle Scholar
  • 21 Cerezal L, del Piñal F, Abascal F. MR imaging findings in ulnar-sided wrist impaction syndromes. Magn Reson Imaging Clin N Am 2004; 12 (02) 281-299 , vi
    CrossrefPubMedGoogle Scholar
  • 22 Tomaino MM. Ulnar impaction syndrome in the ulnar negative and neutral wrist. Diagnosis and pathoanatomy. J Hand Surg [Br] 1998; 23 (06) 754-757
    CrossrefPubMedGoogle Scholar
  • 23 Roh YH, Kim S, Gong HS, Baek GH. Prognostic value of clinical and radiological findings for conservative treatment of idiopathic ulnar impaction syndrome. Sci Rep 2018; 8 (01) 9891
    CrossrefPubMedGoogle Scholar
  • 24 Ikeda M, Kobayashi Y, Saito I, Ishii T, Shimizu A, Mochida J. Conservative treatment using a newly designed custom-made wrist splint for ulnocarpal abutment syndrome. Prosthet Orthot Int 2015; 39 (06) 496-501
    CrossrefPubMedGoogle Scholar
  • 25 Terzis A, Koehler S, Sebald J, Sauerbier M. Ulnar shortening osteotomy as a treatment of symptomatic ulnar impaction syndrome after malunited distal radius fractures. Arch Orthop Trauma Surg 2020; 140 (05) 681-695
    CrossrefPubMedGoogle Scholar
  • 26 Cha SM, Shin HD, Kim KC, Park E. Ulnar shortening for adolescent ulnar impaction syndrome: radiological and clinical outcomes. J Hand Surg Am 2012; 37 (12) 2462-2467
    CrossrefPubMedGoogle Scholar
  • 27 Roulet S, Gubbiotti L, Lakhal W. et al. Ulna shortening osteotomy for ulnar impaction syndrome: Impact of distal radioulnar joint morphology on clinical outcome. Orthop Traumatol Surg Res 2021; 107 (05) 102970
    CrossrefPubMedGoogle Scholar
  • 28 Im JH, Lee JY, Kang HV. The combined procedure of ulnar metaphyseal shortening osteotomy with triangular fibrocartilage complex foveal knotless repair. J Hand Surg Am 2021; 46 (09) 822.e1-822.e7
    CrossrefPubMedGoogle Scholar
  • 29 Nishiwaki M, Nakamura T, Nakao Y, Nagura T, Toyama Y. Ulnar shortening effect on distal radioulnar joint stability: a biomechanical study. J Hand Surg Am 2005; 30 (04) 719-726
    CrossrefPubMedGoogle Scholar
  • 30 Auzias P, Delarue R, Camus EJ, Van Overstraeten L. Ulna shortening osteotomy versus arthroscopic wafer procedure in the treatment of ulnocarpal impingement syndrome. Hand Surg Rehabil 2021; 40 (02) 156-161
    CrossrefPubMedGoogle Scholar
  • 31 Feldon P, Terrono AL, Belsky MR. The “wafer” procedure. Partial distal ulnar resection. Clin Orthop Relat Res 1992; 275 (275) 124-129
    PubMedGoogle Scholar
  • 32 Sagerman SD, Zogby RG, Palmer AK, Werner FW, Fortino MD. Relative articular inclination of the distal radioulnar joint: a radiographic study. J Hand Surg Am 1995; 20 (04) 597-601
    CrossrefPubMedGoogle Scholar
  • 33 Tolat AR, Stanley JK, Trail IA. A cadaveric study of the anatomy and stability of the distal radioulnar joint in the coronal and transverse planes. J Hand Surg [Br] 1996; 21 (05) 587-594
    CrossrefPubMedGoogle Scholar
  • 34 Owens J, Compton J, Day M, Glass N, Lawler E. Nonunion rates among ulnar-shortening osteotomy for ulnar impaction syndrome: a systematic review. J Hand Surg Am 2019; 44 (07) 612.e1-612.e12
    CrossrefPubMedGoogle Scholar
  • 35 Baek GH, Lee HJ, Gong HS. et al. Long-term outcomes of ulnar shortening osteotomy for idiopathic ulnar impaction syndrome: at least 5-years follow-up. Clin Orthop Surg 2011; 3 (04) 295-301
    CrossrefPubMedGoogle Scholar
  • 36 Megerle K, Hellmich S, Germann G, Sauerbier M. Hardware location and clinical outcome in ulna shortening osteotomy. Plast Reconstr Surg Glob Open 2015; 3 (10) e549
    CrossrefPubMedGoogle Scholar
  • 37 Constantine KJ, Tomaino MM, Herndon JH, Sotereanos DG. Comparison of ulnar shortening osteotomy and the wafer resection procedure as treatment for ulnar impaction syndrome. J Hand Surg Am 2000; 25 (01) 55-60
    CrossrefPubMedGoogle Scholar
  • 38 Loh YC, Van Den Abbeele K, Stanley JK, Trail IA. The results of ulnar shortening for ulnar impaction syndrome. J Hand Surg [Br] 1999; 24 (03) 316-320
    CrossrefPubMedGoogle Scholar
  • 39 Darrow Jr JC, Linscheid RL, Dobyns JH, Mann III JM, Wood MB, Beckenbaugh RD. Distal ulnar recession for disorders of the distal radioulnar joint. J Hand Surg Am 1985; 10 (04) 482-491
    CrossrefPubMedGoogle Scholar
  • 40 Rayhack JM, Gasser SI, Latta LL, Ouellette EA, Milne EL. Precision oblique osteotomy for shortening of the ulna. J Hand Surg Am 1993; 18 (05) 908-918
    CrossrefPubMedGoogle Scholar
  • 41 Wehbé MA, Cautilli DA. Ulnar shortening using the AO small distractor. J Hand Surg Am 1995; 20 (06) 959-964
    CrossrefPubMedGoogle Scholar
  • 42 Köppel M, Hargreaves IC, Herbert TJ. Ulnar shortening osteotomy for ulnar carpal instability and ulnar carpal impaction. J Hand Surg Br Eur Volume 1997; 22 (04) 451-456
    CrossrefPubMedGoogle Scholar
  • 43 Mizuseki T, Tsuge K, Ikuta Y. Precise ulna-shortening osteotomy with a new device. J Hand Surg Am 2001; 26 (05) 931-939
    CrossrefPubMedGoogle Scholar
  • 44 Hama S, Moriya K, Koda H, Tsubokawa N, Maki Y, Nakamura H. The duration of bone healing and nonunion ratio after ulnar shortening osteotomy using a 5-hole forearm compression plate with transverse osteotomy. Hand (N Y) 2023; (e-pub ahead of print) DOI: 10.1177/15589447231218402.
    CrossrefPubMedGoogle Scholar
  • 45 Doherty C, Gan BS, Grewal R. Ulnar shortening osteotomy for ulnar impaction syndrome. J Wrist Surg 2014; 3 (02) 85-90
    Article in Thieme ConnectPubMedGoogle Scholar
  • 46 Iniesta A, Bonev B, Curvale C, Legré R, Gay A. Outcomes of ulnar shortening osteotomy using a new compression plate. Hand Surg Rehabil 2020; 39 (01) 19-22
    CrossrefPubMedGoogle Scholar
  • 47 Clark SM, Geissler WB. Results of ulnar shortening osteotomy with a new plate compression system. Hand (N Y) 2012; 7 (03) 281-285
    CrossrefPubMedGoogle Scholar
  • 48 Schmidle G, Arora R, Gabl M. Ulnar shortening with the ulna osteotomy locking plate. Oper Orthop Traumatol 2012; 24 (03) 284-292
    CrossrefPubMedGoogle Scholar
  • 49 Viswanath P, Monaco NA, Lubahn JD. Patient-related factors influencing ulnar-shortening osteotomy outcomes using the trimed dynamic compression plate. Orthopedics 2015; 38 (02) e106-e111
    CrossrefPubMedGoogle Scholar
  • 50 Collins M, Hart A, Hines J, Steffen T, Harvey EJ, Martineau PA. Distal ulna fractures: A biomechanical comparison of locking versus nonlocking plating constructs. J Orthop Trauma 2014; 28 (08) 470-475
    CrossrefPubMedGoogle Scholar
  • 51 Feldon P, Terrono AL, Belsky MR. Wafer distal ulna resection for triangular fibrocartilage tears and/or ulna impaction syndrome. J Hand Surg Am 1992; 17 (04) 731-737
    CrossrefPubMedGoogle Scholar
  • 52 Schuurman AH, Bos KE. The ulno-carpal abutment syndrome. Follow-up of the wafer procedure. J Hand Surg [Br] 1995; 20 (02) 171-177
    CrossrefPubMedGoogle Scholar
  • 53 Bickel KD. Arthroscopic treatment of ulnar impaction syndrome. J Hand Surg Am 2008; 33 (08) 1420-1423
    CrossrefPubMedGoogle Scholar
  • 54 Nagle DJ, Bernstein MA. Laser-assisted arthroscopic ulnar shortening. Arthroscopy 2002; 18 (09) 1046-1051
    CrossrefPubMedGoogle Scholar
  • 55 Afifi A, Ali AM, Abdelaziz A, Abuomira IE, Saleh WR, Yehya M. Arthroscopic wafer procedure versus ulnar shortening osteotomy for treatment of idiopathic ulnar impaction syndrome: a randomized controlled trial. J Hand Surg Am 2022; 47 (08) 745-751
    CrossrefPubMedGoogle Scholar
  • 56 Oh WT, Kang HJ, Chun YM, Koh IH, An HM, Choi YR. Arthroscopic wafer procedure versus ulnar shortening osteotomy as a surgical treatment for idiopathic ulnar impaction syndrome. Arthroscopy 2018; 34 (02) 421-430
    CrossrefPubMedGoogle Scholar
  • 57 Lapner PC, Poitras P, Backman D, Giachino AA, Conway AF. The effect of the wafer procedure on pressure in the distal radioulnar joint. J Hand Surg Am 2004; 29 (01) 80-84
    CrossrefPubMedGoogle Scholar
  • 58 Slade III JF, Gillon TJ. Osteochondral shortening osteotomy for the treatment of ulnar impaction syndrome: a new technique. Tech Hand Up Extrem Surg 2007; 11 (01) 74-82
    CrossrefPubMedGoogle Scholar
  • 59 Khouri JS, Hammert WC. Distal metaphyseal ulnar shortening osteotomy: technique, pearls, and outcomes. J Wrist Surg 2014; 3 (03) 175-180
    Article in Thieme ConnectPubMedGoogle Scholar
  • 60 Kubo N, Moritomo H, Arimitsu S, Nishimoto S, Yoshida T. Distal ulnar metaphyseal wedge osteotomy for ulnar abutment syndrome. J Wrist Surg 2019; 8 (05) 352-359
    Article in Thieme ConnectPubMedGoogle Scholar
  • 61 Luo TD, De Gregorio M, Zuskov A. et al. Distal metaphyseal osteotomy allows for greater ulnar shortening compared to diaphyseal osteotomy for ulnar impaction syndrome: A biomechanical study. J Wrist Surg 2020; 9 (02) 100-104
    Article in Thieme ConnectPubMedGoogle Scholar
  • 62 Marquez-Lara A, Nuñez Jr FA, Kiymaz T, Nuñez Sr FA, Li Z. Metaphyseal versus diaphyseal ulnar shortening osteotomy for treatment of ulnar impaction syndrome: a comparative study. J Hand Surg Am 2017; 42 (06) 477.e1-477.e8
    CrossrefPubMedGoogle Scholar
  • 63 Zhou JY, Frey CS, Shah KN, Ostergaard PJ, Yao J. Antegrade fixation of distal metaphyseal ulnar shortening osteotomy. Tech Hand Up Extrem Surg 2023; 27 (03) 182-188
    CrossrefPubMedGoogle Scholar
  • 64 Frey CS, Zhou JY, Shah KN. et al. Distal metaphyseal ulnar shortening osteotomy fixation: a biomechanical analysis. J Hand Surg Am 2023; (e-pub ahead of print) DOI: 10.1016/j.jhsa.2022.11.007.
    CrossrefPubMedGoogle Scholar
  • 65 Verhiel SHWL, Ritt MJPF, Chen NC. Predictors of secondary ulnar shortening and reoperation after arthroscopic TFCC debridement. Hand (N Y) 2022; 17 (06) 1147-1153
    CrossrefPubMedGoogle Scholar
  • 66 Shim JI, Im JH, Lee JY, Kang HV, Cho SH. Changes in ulnar variance after a triangular fibrocartilage complex tear. J Wrist Surg 2019; 8 (01) 30-36
    Article in Thieme ConnectPubMedGoogle Scholar
  • 67 Kim BS, Song HS. A comparison of ulnar shortening osteotomy alone versus combined arthroscopic triangular fibrocartilage complex debridement and ulnar shortening osteotomy for ulnar impaction syndrome. Clin Orthop Surg 2011; 3 (03) 184-190
    CrossrefPubMedGoogle Scholar
  • 68 Tatebe M, Yamamoto M, Kurimoto S, Iwatsuki K, Yoneda H, Hirata H. Do triangular fibrocartilage complex foveal injuries affect the clinical outcome of ulnar shortening osteotomy for ulnar impaction syndrome?. J Orthop Sci 2023; 28 (02) 364-369
    CrossrefPubMedGoogle Scholar
  • 69 Moritomo H. The distal interosseous membrane: current concepts in wrist anatomy and biomechanics. J Hand Surg Am 2012; 37 (07) 1501-1507
    CrossrefPubMedGoogle Scholar
  • 70 Ryoo HJ, Kim YB, Kwak D, Choi IC, Park JW. Ulnar positive variance associated with TFCC foveal tear. Skeletal Radiol 2023; 52 (08) 1485-1491
    CrossrefPubMedGoogle Scholar
  • 71 Nguyen MH, Lipari N, O'Brien AL, Samade R, Jain SA. Darrach vs. Sauve-Kapandji: A comprehensive meta-analysis of surgical outcomes in distal radioulnar joint (DRUJ) dysfunction. Indian J Orthop 2023; 57 (04) 565-570
    CrossrefPubMedGoogle Scholar
  • 72 Kessler I, Hecht O. Present application of the Darrach procedure. Clin Orthop Relat Res 1970; 72 (72) 254-260
    PubMedGoogle Scholar
  • 73 Haferkamp H. Die Arthrodese des distalen Radioulnargelenks mit gleichzeitiger Ellensegmentresektion nach Kapandji-Sauvé. [Kapandji-Sauvé procedure with distal radioulnar fusion and segmental resection of the ulna] Oper Orthop Traumatol 2012; 24 (01) 13-22
    CrossrefPubMedGoogle Scholar
  • 74 Lichtman DM, Ganocy TK, Kim DC. The indications for and techniques and outcomes of ablative procedures of the distal ulna. The Darrach resection, hemiresection, matched resection, and Sauvé-Kapandji procedure. Hand Clin 1998; 14 (02) 265-277
    CrossrefPubMedGoogle Scholar
  • 75 Lluch A. The Sauvé-Kapandji procedure: indications and tips for surgical success. Hand Clin 2010; 26 (04) 559-572
    CrossrefPubMedGoogle Scholar
  • 76 Fernandez DL, Joneschild ES, Abella DM. Treatment of failed Sauvé-Kapandji procedures with a spherical ulnar head prosthesis. Clin Orthop Relat Res 2006; 445 (445) 100-107
    CrossrefPubMedGoogle Scholar
  • 77 Atwal NS, Clark DA, Amirfeyz R, Bhatia R. Salvage of a failed Sauve-Kapandji procedure using a total distal radio-ulnar joint replacement. Hand Surg 2010; 15 (02) 119-122
    CrossrefPubMedGoogle Scholar
  • 78 Moore R, O'Leary R, Gonzalez G, Herrera FA. Sauvé-Kapandji and Darrach salvage procedure rates and perioperative parameters for distal radioulnar joint arthritis and instability. Hand (N Y) 2022; 17 (1_suppl): 6S-11S
    CrossrefPubMedGoogle Scholar
  • 79 Verhiel SHWL, Özkan S, Ritt MJPF, Chen NC, Eberlin KR. A comparative study between Darrach and Sauvé-Kapandji procedures for post-traumatic distal radioulnar joint dysfunction. Hand (N Y) 2021; 16 (03) 375-384
    CrossrefPubMedGoogle Scholar
  • 80 Carl HM, Lifchez SD. Functional and radiographic outcomes of the Sauvé-Kapandji and Darrach procedures in rheumatoid arthritis. J Hand Microsurg 2019; 11 (02) 71-79
    Article in Thieme ConnectPubMedGoogle Scholar
  • 81 Minami A, Iwasaki N, Ishikawa J, Suenaga N, Yasuda K, Kato H. Treatments of osteoarthritis of the distal radioulnar joint: long-term results of three procedures. Hand Surg 2005; 10 (2-3): 243-248
    CrossrefPubMedGoogle Scholar
  • 82 Yayac M, Padua FG, Banner L. et al. Treatment outcomes in patients undergoing surgical treatment for arthritis of the distal radioulnar joint. J Wrist Surg 2020; 9 (03) 230-234
    Article in Thieme ConnectPubMedGoogle Scholar
  • 83 Pereira GF, Fletcher AN, O'Donnell JA. et al. Ulnar resection length: a risk factor for nonunion in ulnar shortening osteotomy. Hand (N Y) 2024; 19 (01) 74-81
    CrossrefPubMedGoogle Scholar
  • 84 Teunissen JS, Wouters RM, Al Shaer S. et al; Hand-Wrist Study Group. Outcomes of ulna shortening osteotomy: a cohort analysis of 106 patients. J Orthop Traumatol 2022; 23 (01) 1
    CrossrefPubMedGoogle Scholar
  • 85 Blackburn J, Saqib R, Rooker J, Baumann A, Amirfeyz R. The effect of early active mobilization on union rate after ulnar shortening osteotomy. J Wrist Surg 2019; 8 (01) 72-75
    Article in Thieme ConnectPubMedGoogle Scholar
  • 86 Smet LD, Vandenberghe L, Degreef I. Ulnar impaction syndrome: ulnar shortening vs. arthroscopic wafer procedure. J Wrist Surg 2014; 3 (02) 98-100
    Article in Thieme ConnectPubMedGoogle Scholar
  • 87 Tomaino MM, Weiser RW. Combined arthroscopic TFCC debridement and wafer resection of the distal ulna in wrists with triangular fibrocartilage complex tears and positive ulnar variance. J Hand Surg Am 2001; 26 (06) 1047-1052
    CrossrefPubMedGoogle Scholar
  • 88 Meftah M, Keefer EP, Panagopoulos G, Yang SS. Arthroscopic wafer resection for ulnar impaction syndrome: prediction of outcomes. Hand Surg 2010; 15 (02) 89-93
    CrossrefPubMedGoogle Scholar
  • 89 Bernstein MA, Nagle DJ, Martinez A, Stogin Jr JM, Wiedrich TA. A comparison of combined arthroscopic triangular fibrocartilage complex debridement and arthroscopic wafer distal ulna resection versus arthroscopic triangular fibrocartilage complex debridement and ulnar shortening osteotomy for ulnocarpal abutment syndrome. Arthroscopy 2004; 20 (04) 392-401
    CrossrefPubMedGoogle Scholar
  • 90 Imai H, Takahara M, Kondo M. Ulnar shortening osteotomy for ulnar abutment syndrome: the results of metaphyseal and diaphyseal osteotomies. J Hand Surg Asian Pac Vol 2020; 25 (04) 474-480
    CrossrefPubMedGoogle Scholar