Treatment of multiple hereditary osteochondromas of the forearm in children: a study of surgical procedures Export

@article{174, abstract = {We have evaluated the clinical outcomes of simple excision, ulnar lengthening and the Sauve-Kapandji procedure in the treatment of deformities of the forearm in patients with multiple hereditary osteochondromas. The medical records of 29 patients (33 forearms) were reviewed; 22 patients (22 forearms) underwent simple excision (four with ulnar lengthening) and seven the Sauve-Kapandji procedure.Simple excision increased the mean supination of the forearm from 63.2 degrees to 75.0 degrees (p = 0.049). Ulnar lengthening did not significantly affect the clinical outcome. The Sauve-Kapandji technique improved the mean pronation from 33.6 degrees to 55.0 degrees (p = 0.047) and supination from 70.0 degrees to 81.4 degrees (p = 0.045). Simple excision may improve the range of movement of the forearm but will not halt the progression of disease, particularly in younger patients. No discernable clinical or radiological improvement was noted with ulnar lengthening. The Sauve-Kapandji procedure combined with simple excision of osteochondromas can improve stability of the wrist, movement of the forearm and the radiological appearance.}, address = {Department of Orthopaedic Surgery UCLA, Centre for Health Sciences, 10833 LeConte Avenue, Los Angeles 90095, California, USA. eshin@mednet.ucla.edu}, author = {Shin, E. K. and Jones, N. F. and Lawrence, J. F.}, citeulike-article-id = {2867691}, comment = {PUBM: Print; JID: 0375355; ppublish}, isbn = {0301-620X (Print)}, journal = {Journal of Bone and Joint Surgery. British volume}, keywords = {exostoses, journal-club-2006, osteochondromas}, number = {2}, pages = {255--260}, posted-at = {2008-06-05 21:54:52}, priority = {2}, title = {Treatment of multiple hereditary osteochondromas of the forearm in children: a study of surgical procedures}, volume = {88} }

TY - JOUR ID - 174 L3 - citeulike-article-id:2867691 N2 - We have evaluated the clinical outcomes of simple excision, ulnar lengthening and the Sauve-Kapandji procedure in the treatment of deformities of the forearm in patients with multiple hereditary osteochondromas. The medical records of 29 patients (33 forearms) were reviewed; 22 patients (22 forearms) underwent simple excision (four with ulnar lengthening) and seven the Sauve-Kapandji procedure.Simple excision increased the mean supination of the forearm from 63.2 degrees to 75.0 degrees (p = 0.049). Ulnar lengthening did not significantly affect the clinical outcome. The Sauve-Kapandji technique improved the mean pronation from 33.6 degrees to 55.0 degrees (p = 0.047) and supination from 70.0 degrees to 81.4 degrees (p = 0.045). Simple excision may improve the range of movement of the forearm but will not halt the progression of disease, particularly in younger patients. No discernable clinical or radiological improvement was noted with ulnar lengthening. The Sauve-Kapandji procedure combined with simple excision of osteochondromas can improve stability of the wrist, movement of the forearm and the radiological appearance. IS - 2 JF - Journal of Bone and Joint Surgery. British volume SN - 0301-620X (Print) AD - Department of Orthopaedic Surgery UCLA, Centre for Health Sciences, 10833 LeConte Avenue, Los Angeles 90095, California, USA. eshin@mednet.ucla.edu EP - 260 TI - Treatment of multiple hereditary osteochondromas of the forearm in children: a study of surgical procedures VL - 88 SP - 255 KW - exostoses KW - journal-club-2006 KW - osteochondromas N1 - PUBM: Print; JID: 0375355; ppublish AU - Shin, EK AU - Jones, NF AU - Lawrence, JF ER -