Erişkin Radius ve Ulna Kırıkları

Yıl 2015, Cilt: 1 Sayı: 2, 111 - 121, 15.08.2015

Abuzer Uludağ , H. Bayram Tosun , Sancar Serbest

Öz

Radius ve ulna dirsekde humerusla, el bileğinde karpal kemiklerle ve hem dirsekde hemde elbileğinde kendi arasında karmaşık bir eklemleşme oluşturan ön kolda yer alan iki
uzun kemiktir. Özellikle pronasyon ve supinasyonda her iki kemiğin orta diafizinin açısal dizilimi elin fonksiyonları açısından önem arz etmektedir. Erişkinlerde sık görülen ön kol kırıklarındaki yanlıĢ kaynamalar elin fonksiyonlarında kayıpla sonuçlandığı için bu bölge kırıklarının takip ve tedavisinde çok dikkatli olunmalıdır. Bu makalede erişkin radius ve ulna kırıklarının tanı ve tedavisindeki güncel yaklaşımlardan bahsedilecektir.

Anahtar Kelimeler

Radius, ulna, diaphysis fracture, supination, pronation

Kaynakça

• Dumont CE, Thalmann R,Macy JC.The effect of rotational malunion of the Radius and the ulna on supination and pronation.J Bone Joint Surg.Br2002;84(7):1070-4.
• Schemitsch EH,Richards RR.The effect of malunion on functional outcome after plane fixation of both bones of the forearm in adults.J Bone Joint Surg.Am1992;74:1068-78.
• Hertel R,Rothenfelub DA. Radius ve Ulna Cisim Kırıkları Şaylı U. Rockwood ve greeen erişkin kırıkları Ankara 6.baskı cilt 1 s.965-87.
• Goldberg HD,Young JW,Reiner BI, et al. Double injuries of the forearm a common occurrence.Radiology 1992;185(1):223-7.
• Müller ME,Müller, Nazarian S, Koch P, Schatzker J.The comprehensive Classification of fractures of long bones Berlin Springer –Verlag;1990
• Matthews LS,Kaufer H,Garver DF,et al.The effect on supination-pronationof angular malaignment of fractures of both bones of the forearm.J Bone Joint Surg.Am 1982 64(1);14-7.
• Tarr RR, Garfinkel Al, Sarmiento A. The effect of anguler and rotational deformities of both bones of the forearm.An invivo study.J bone Joint Surg.Am1984;66(1) 65-70.
• Knight RA, Purvis GD. Fractures of both bones of the forearm in adults.J Bone Joint Surg 1949;31A:755-64.
• Mackay D,Wood L,Rangan A. The treatment of isolated ulnar fractures in adults.a systematic review.Injury 2000;31(8):565-70.
• Cooney WP,Simith DK.External fixationof the upper extremity. Instr Course Lect 1987;36:455-69.
• Flinkkila T,Ristiniemi J,Hyvonen P,et al.Nonbridging external fixation in the treatment of unstable fractures of the distal forearm.Arch Orthop Trauma Surg2003;123(7):349-52.
• Putnam MD, Walsh TM. External fixation for open fractures the upper ekstremity Hand Clin
• Smith H, Sage FP. Medullary fixation of forearm fractures J Bone Joint Surg 1957;39A:91-8.
• De Pedro JA,Garcia-Navarrate F,Garcia De Lucas F, Otero R,Oteo A,Lopez Duran Stern L. Internal fixation of ulnar fractures by locking nail. Clin Orthop Relat Res 1992 Oct.(283):81-5.
• Saka G,Saglam N,Kurtulmus T,Avcı CC,Akpınar F,Kovacı H, Celik A.New interlocking intramedullary radius and ulna nails for treating forearm diaphyseal fractures in adults:a retrospective study. Injury 2014;45(1):16-23.
• Azboy İ,Demirtas A,Uçar BY, Bulut M,Alemdar C, Özkul E. Effectiveness of Locking Versus Dynamic Compression Plates for Diaphyseal Forearm Fractures Orthopedics 2013;36(7):917-22.
• Anderson LD,Sisk D,Tooms RE et al.Compression –plate fixation in acute diaphyseal fractures of the radius and ulna. J Bone Joint Surg Am 1975;57(3):287-97.
• Hertel R,Pisan M,Lambert S et al.Plate osteosynthesıs of diaphyseal fractures of the radius and ulna. Injury 1996;27(8)545-8.
• Brostrom LA, Stark A, Svartengren G.Acute compartment syndrome in forearm fractures.Acta Orthop Scand 1990;61(1):50-3.
• Chapman MW,Gordon JE,Zissimos AG.Compression-plate fixationof acute fractures of the diaphyses of the radius and ulna.J Bone Joint Surg.Am 1989;71(2):159-69.
• Dodge HS,Cady GW.Treatment of fractures of the radius and ulna with compression plates. J Bone Joint Surg Am 1972;54(6):1167-76.
• Labosky DA,Cermak MB,Waggy CA.Forearm fracture plates:to remove or not to remove . J Hand Surg Am 1990;15(2):294-301.
• Deluca A,Lindsey RW,Ruve A.Refracture of bones of the forearm after the removal of compression plates.J Bone Joint Surg Am 1988;70(9):1372- 6.
• Rosson JW,Petley GW,Shearer JR.Bone structure after removal of internal fixation plates. J Bone Joint Surg Br1991;73(1):65-7.
• Rosson JW, Shearer JR.Refracture after the removal of plates from the forearm .Anavoidable complication. J Bone Joint Surg Br 1991;73(3):415-7.
• Vince KG,Miller JE.Cross-union complicating the fracture of the forearm.Part 1:Adults.J Bone Joint Surg Am1987;69(5):640-53.
• Bauer G,Arand M,Mutschler W.Post-traumatic radioulnar synostosis after forearmfracture osteosynthesis.Arch Orthop Trauma Surg 1991;110(3):142-5.
• Garland DE, Dowling V.Forearm fractures in the head-injured adult. Clin Orthop 1983(176):190-6.
• Maempel FZ. Post-traumatic radioulnar synostosis.A report of the two cases. Clin Orthop
• Breit R.Post-traumatic radioulnar synostosis. Clin Orthop 1983;(174):149-52.
• Botting TD.Post-traumatic radio-ulna cross union.J Trauma 1970;10(1):16-24.