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Related Experiment Videos

Carpal deviation in congenital ulnar deficiency.

N A Marcus, G E Omer

    The Journal of Bone and Joint Surgery. American Volume
    |September 1, 1984
    PubMed
    Summary

    In ulnar deficiency, the fibrocartilaginous anlage rarely causes wrist deformity. Conservative splinting is effective, and routine anlage excision is not typically necessary for these patients.

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    Area of Science:

    • Orthopedics
    • Developmental Biology

    Background:

    • Ulnar hypoplasia presents challenges in managing wrist deformities.
    • The role of the ulnar fibrocartilaginous anlage in deformity development is debated.

    Purpose of the Study:

    • To evaluate the necessity of prophylactic resection of the ulnar anlage in pediatric ulnar hypoplasia.

    Main Methods:

    • Retrospective review of eight patients (eleven extremities) treated between 1971 and 1982.
    • Conservative management with static splinting.
    • Surgical intervention reserved for >30 degrees of uncorrectable ulnar deviation.

    Main Results:

    • Only one patient required anlage resection.
    • Progression of uncorrectable ulnar deviation was rare.

    Conclusions:

    • Conservative management is often sufficient for ulnar hypoplasia.
    • Routine excision of the ulnar anlage is not routinely justified due to low risk of progression.

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