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Arthroscopic Wafer and Ulnar Shortening in Ulnar Abutment

Not Applicable
Conditions
Wrist Impaction
Interventions
Procedure: wafer procedure
Procedure: arthroscopy and ulnar shortening osteotomy
Registration Number
NCT03168646
Lead Sponsor
Assiut University
Brief Summary

there are many management options of ulnocarpal abutment depends on clinical evaluation and imaging of this joint. Arthroscopic treatment is the simplest solution for these conditions.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
30
Inclusion Criteria
  • obvious ulnar abutment syndrome with ulnar side wrist pain
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Exclusion Criteria
  • ulnar minus or neutral variance
  • central and radial wrist pain
  • osteoarthritis of the wrist.
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
group 1wafer procedurewafer group procedure using an arthroscope through portal(radial to extensor carpi ulnaris, debridement of triangular fibro-cartilage complex 3-4 mm is shaved from the dome of the ulna by 2.9 bur.
group 2arthroscopy and ulnar shortening osteotomyulnar shortening group :this is the most logical technique, dorsoulnar incision is made on the distal one-third of the forearm then a 6 hole 3.5 mm Dcp plate is position,osteotomy using oscillating saw in z-shaped manner.
Primary Outcome Measures
NameTimeMethod
mayo scoring system6 month

grip strength

Secondary Outcome Measures
NameTimeMethod
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