Abstract
Post-traumatic radioulnar synostosis is usually a real functional handicap. It can occur at any level between the elbow and the wrist and may be complete or incomplete.
A proximal synostosis can occur post fracture or distal biceps repair. Management always entails excision of the HO; however, there can be a recurrence of the HO. The risk of this can be lessened with perioperative radiotherapy, interposition between the resected osseous surfaces, and NSAIDs.
The anconeus can be mobilized as a vascular muscle pedicle flap, proximally or distally, and be interposed between the radius and ulna at the synostosis site. Postoperative management involves physiotherapy, a CPM machine, and rotation assist splints.
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Bell, S. (2020). Radio Ulnar Synostosis. In: Bain, G., Eygendaal, D., van Riet, R. (eds) Surgical Techniques for Trauma and Sports Related Injuries of the Elbow. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-58931-1_97
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DOI: https://doi.org/10.1007/978-3-662-58931-1_97
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