Trauma case reports · 2026
Post-traumatic radioulnar synostosis following forearm fracture osteosynthesis treated by excision and fascia lata interposition: A case report.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Hssain Ismail, Abdenaji Soufiane, El Kassimi Charaff, Rahmi Mohammed, Rafai Mohamed
Аннотация
INTRODUCTION: Post-traumatic radioulnar synostosis is a rare but severely disabling complication following forearm fractures, particularly after surgical fixation. It leads to loss of forearm rotation and major functional impairment. Management remains controversial, especially regarding risk factors, timing of surgery, and the optimal interposition material.
CASE PRESENTATION: We report the case of a 24-year-old patient who developed post-traumatic radioulnar synostosis after plate osteosynthesis of both forearm bones. Radial fixation was performed through the Boyd approach and was complicated by transient posterior interosseous nerve palsy. The synostosis was classified as type II and IIIA according to the Vince and Miller classification modified by Jupiter. Surgical treatment consisted of complete excision of the synostosis and interposition of a fascia lata graft.
DISCUSSION: The Boyd approach, fractures involving both forearm bones, and postoperative neurological complications are well-recognized risk factors for radioulnar synostosis. Surgical excision combined with fascia lata interposition provides reliable restoration of forearm rotation with a low risk of recurrence.
CONCLUSION: Excision of post-traumatic radioulnar synostosis with fascia lata interposition represents an effective treatment option in complex cases, particularly following osteosynthesis performed through the Boyd approach.
CASE PRESENTATION: We report the case of a 24-year-old patient who developed post-traumatic radioulnar synostosis after plate osteosynthesis of both forearm bones. Radial fixation was performed through the Boyd approach and was complicated by transient posterior interosseous nerve palsy. The synostosis was classified as type II and IIIA according to the Vince and Miller classification modified by Jupiter. Surgical treatment consisted of complete excision of the synostosis and interposition of a fascia lata graft.
DISCUSSION: The Boyd approach, fractures involving both forearm bones, and postoperative neurological complications are well-recognized risk factors for radioulnar synostosis. Surgical excision combined with fascia lata interposition provides reliable restoration of forearm rotation with a low risk of recurrence.
CONCLUSION: Excision of post-traumatic radioulnar synostosis with fascia lata interposition represents an effective treatment option in complex cases, particularly following osteosynthesis performed through the Boyd approach.