Logo of The Journal of Bone & Joint Surgery (Br)
Quick search:        
          Advanced Search
Guest Access | Sign In
Journal of Bone and Joint Surgery - British Volume, Vol 88-B, Issue 2, 255-260.
doi: 10.1302/0301-620X.88B2.16794  
Copyright © 2006 by British Editorial Society of Bone and Joint Surgery
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow FrenchSpanishGermanItalianRomanianPolishRussianCzech
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow My Folders
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via ISI Web of Science (3)
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Shin, E. K.
Right arrow Articles by Lawrence, J. F.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Shin, E. K.
Right arrow Articles by Lawrence, J. F.

Treatment of multiple hereditary osteochondromas of the forearm in children

A STUDY OF SURGICAL PROCEDURES

E. K. Shin, MD, Resident1; N. F. Jones, MD, Professor and Director2; and J. F. Lawrence, MD, Director3

1 Department of Orthopaedic Surgery UCLA, Centre for Health Sciences, 10833 LeConte Avenue, Los Angeles 90095, California, USA.
2 UCLA Hand Centre, UCLA Centre for Health Sciences, 200 UCLA Medical Plaza 140, Los Angeles 90020, California, USA.
3 Hand Surgery Service Shriners Hospital of Los Angeles, 3160 Geneva Street, Los Angeles 90095, California, USA.

Correspondence should be sent to Dr E. K. Shin; e-mail: eshin{at}mednet.ucla.edu

We have evaluated the clinical outcomes of simple excision, ulnar lengthening and the Sauvé-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 Sauvé-Kapandji procedure.

Simple excision increased the mean supination of the forearm from 63.2° to 75.0° (p = 0.049). Ulnar lengthening did not significantly affect the clinical outcome. The Sauvé-Kapandji technique improved the mean pronation from 33.6° to 55.0° (p = 0.047) and supination from 70.0° to 81.4° (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 Sauvé-Kapandji procedure combined with simple excision of osteochondromas can improve stability of the wrist, movement of the forearm and the radiological appearance.




This article has been cited by other articles:


Home page
 J Bone Joint Surg BrHome page
H. Tsuchiya, A. F. Morsy, H. Matsubara, K. Watanabe, M. E. Abdel-Wanis, and K. Tomita
Treatment of benign bone tumours using external fixation
J Bone Joint Surg Br, August 1, 2007; 89-B(8): 1077 - 1083.
[Abstract] [Full Text] [PDF]


(c) British Editorial Society of Bone and Joint Surgery All Rights Reserved
Registered charity no: 209299     Print ISSN: 0301-620X
Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General