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Nonunions of the Forearm

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Nonunions

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Abstract

Nonunions of the forearm are rare, but do occur. Many people are able to function well in their daily life with a nonunion. However, a nonunion of the forearm can also result in disability and the inability to perform normal daily activities. For this purpose, nonunions are often treated surgically. We discuss the etiology, appropriate medical and surgical evaluation, surgical treatment, and anticipated outcomes of nonunions of the forearm.

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References

  1. McGinley JC, Kozin SH. Interosseous membrane anatomy and functional mechanics. Clin Orthop. 2001;383:108–22.

    Article  Google Scholar 

  2. Ward LD, Ambrose CG, Masson MV, Levaro F. The role of the distal radioulnar ligaments, interosseous membrane, and joint capsule in distal radioulnar joint stability. J Hand Surg Am. 2000;25(2):341–51.

    Article  CAS  PubMed  Google Scholar 

  3. Watanabe H, Berger RA, Berglund LJ, Zobitz ME, An KN. Contribution of the interosseous membrane to distal radioulnar joint constraint. J Hand Surg Am. 2005;30(6):1164–71.

    Article  PubMed  Google Scholar 

  4. Kihara H, Short WH, Werner FW, Fortino MD, Palmer AK. The stabilizing mechanism of the distal radioulnar joint during pronation and supination. J Hand Surg Am. 1995;20(6):930–6.

    Article  CAS  PubMed  Google Scholar 

  5. Soubeyrand M, Wassermann V, Hirsch C, Oberlin C, Gagey O, Dumontier C. The middle radioulnar joint and triarticular forearm complex. J Hand Surg Eur. 2011;36(6):447–54.

    Article  CAS  Google Scholar 

  6. Morrey BF, Askew LJ, Chao EY. A biomechanical study of normal functional elbow motion. J Bone Joint Surg Am. 1981;63(6):872–7.

    Article  CAS  PubMed  Google Scholar 

  7. Tarr RR, Garfinkel AI, Sarmiento A. The effects of angular and rotational deformities of both bones of the forearm. An in vitro study. J Bone Joint Surg Am. 1984;66(1):65–70.

    Article  CAS  PubMed  Google Scholar 

  8. Youm Y, Dryer RF, Thambyrajah K, Flatt AE, Sprague BL. Biomechanical analyses of forearm pronation-supination and elbow flexion-extension. J Biomech. 1979;12(4):245–55.

    Article  CAS  PubMed  Google Scholar 

  9. Jinkins WJ Jr, Lockhart LD, Eggers GW. Fractures of the forearm in adults. South Med J. 1960;53:669–79.

    Article  PubMed  Google Scholar 

  10. Burwell HN, Charnley AD. Treatment of forearm fractures in adults with particular reference to plate fixation. J Bone Joint Surg Br. 1964;46:404–25.

    CAS  PubMed  Google Scholar 

  11. Sage FP, Smith H. Medullary fixation of forearm fractures. J Bone Joint Surg Am. 1957;39-A(1):91–8.

    Google Scholar 

  12. Schemitsch EH, Richards RR. The effect of malunion on functional outcome after plate fixation of fractures of both bones of the forearm in adults. J Bone Joint Surg Am. 1992;74(7):1068–78.

    Article  CAS  PubMed  Google Scholar 

  13. Boland, MR. Open reduction and internal fixation of diaphyseal forearm fractures. In: Wiesel, SW, editor. Operative techniques in orthopaedic surgery. 1st ed. Philadelphia, PA: Lippincott Williams and Wilkins; 2011. p. 2127–9.

    Google Scholar 

  14. Llusa Perez M, Meri Vived A, Ruano Gil D. Surgical atlas of the musculoskelatal system. 1st ed. Rosemont, IL: American Academy of Orthopaedic Surgeons; 2008. p. 61–5.

    Google Scholar 

  15. Huang JI, Hanel DP. Anatomy and biomechanics of the distal radioulnar joint. Hand Clin. 2012;28(2):157–63.

    Article  PubMed  Google Scholar 

  16. Hotchkiss RN, An KN, Sowa DT, Basta S, Weiland AJ. An anatomic and mechanical study of the interosseous membrane of the forearm: pathomechanics of proximal migration of the radius. J Hand Surg Am. 1989;14(2 Pt 1):256–61.

    Article  CAS  PubMed  Google Scholar 

  17. Poitevin LA. Anatomy and biomechanics of the interosseous membrane: its importance in the longitudinal stability of the forearm. Hand Clin. 2001;17(1):97–110, vii.

    Google Scholar 

  18. Nakamura T, Yabe Y, Horiuchi Y. Functional anatomy of the interosseous membrane of the forearm—dynamic changes during rotation. Hand Surg. 1999;4(1):67–73.

    Article  CAS  PubMed  Google Scholar 

  19. Noda K, Goto A, Murase T, Sugamoto K, Yoshikawa H, Moritomo H. Interosseous membrane of the forearm: an anatomical study of ligament attachment locations. J Hand Surg Am. 2009;34(3):415–22.

    Article  PubMed  Google Scholar 

  20. Skahen JR 3rd, Palmer AK, Werner FW, Fortino MD. The interosseous membrane of the forearm: anatomy and function. J Hand Surg Am. 1997;22(6):981–5.

    Article  PubMed  Google Scholar 

  21. Schneiderman G, Meldrum RD, Bloebaum RD, Tarr R, Sarmiento A. The interosseous membrane of the forearm: structure and its role in Galeazzi fractures. J Trauma. 1993;35(6):879–85.

    Article  CAS  PubMed  Google Scholar 

  22. Chapman MW, Gordon JE, Zissimos AG. Compression-plate fixation of acute fractures of the diaphyses of the radius and ulna. J Bone Joint Surg Am. 1989;71(2):159–69.

    Article  CAS  PubMed  Google Scholar 

  23. Stewart RL. Operative treatment of radius and ulna diaphyseal nonunions. In: Wiesel SW, editor. Operative techniques in orthopaedic surgery. 1st ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2011. p. 2156–61.

    Google Scholar 

  24. Maes JM, Van Velthoven V. Clinical and statistical research on the occurrence of pseudarthrosis of ulna and radius in forearm fractures. Acta Orthop Belg. 1977;43(6):767–80.

    CAS  PubMed  Google Scholar 

  25. Knight RA, Purvis GD. Fractures of both bones of the forearm in adults. J Bone Joint Surg Am. 1949;31A(4):755–64.

    Article  CAS  PubMed  Google Scholar 

  26. Sage FP. Medullary fixation of fractures of the forearm. A study of the medullary canal of the radius and a report of fifty fractures of the radius treated with a prebent triangular nail. J Bone Joint Surg Am. 1959;41-A:1489–516.

    Google Scholar 

  27. Hughston JC. Fracture of the distal radial shaft; mistakes in management. J Bone Joint Surg Am. 1957;39-A(2):249–264; passim.

    Google Scholar 

  28. Caden JG. Internal fixation of fractures of the forearm. J Bone Joint Surg Am. 1961;43(8):1115–21.

    Article  Google Scholar 

  29. Hicks JH. Fractures of the forearm treated by rigid fixation. J Bone Joint Surg Br. 1961;43-B:680–7.

    Google Scholar 

  30. Sargent JP, Teipner WA. Treatment of forearm shaft fractures by double-plating; a preliminary report. J Bone Joint Surg Am. 1965;47(8):1475–90.

    Article  CAS  PubMed  Google Scholar 

  31. Anderson LD, Sisk D, Tooms RE, Park WI 3rd. Compression-plate fixation in acute diaphyseal fractures of the radius and ulna. J Bone Joint Surg Am. 1975;57(3):287–97.

    Article  CAS  PubMed  Google Scholar 

  32. Richard MJ, Ruch DS, Aldridge JM 3rd. Malunions and nonunions of the forearm. Hand Clin. 2007;23(2):235–243, vii.

    Google Scholar 

  33. Shelton WR, Sage FP. Modified Nicoll-graft treatment of gap non-unions in the upper extremity. J Bone Joint Surg Am. 1981;63(2):226–31.

    Article  CAS  PubMed  Google Scholar 

  34. Moroni A, Rollo G, Guzzardella M, Zinghi G. Surgical treatment of isolated forearm non-union with segmental bone loss. Injury. 1997;28(8):497–504.

    Article  CAS  PubMed  Google Scholar 

  35. Ring D, Allende C, Jafarnia K, Allende BT, Jupiter JB. Ununited diaphyseal forearm fractures with segmental defects: plate fixation and autogenous cancellous bone-grafting. J Bone Joint Surg Am. 2004;86-A(11):2440–5.

    Google Scholar 

  36. Wood MB. Upper extremity reconstruction by vascularized bone transfers: results and complications. J Hand Surg Am. 1987;12(3):422–7.

    Article  CAS  PubMed  Google Scholar 

  37. Jupiter JB, Gerhard HJ, Guerrero J, Nunley JA, Levin LS. Treatment of segmental defects of the radius with use of the vascularized osteoseptocutaneous fibular autogenous graft. J Bone Joint Surg Am. 1997;79(4):542–50.

    Article  CAS  PubMed  Google Scholar 

  38. Dell PC, Sheppard JE. Vascularized bone grafts in the treatment of infected forearm nonunions. J Hand Surg Am. 1984;9(5):653–8.

    Article  CAS  PubMed  Google Scholar 

  39. Davey PA, Simonis RB. Modification of the Nicoll bone-grafting technique for nonunion of the radius and/or ulna. J Bone Joint Surg Br. 2002;84(1):30–3.

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Orthopedics, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Dr., MC 7774, San Antonio, TX, 78229, USA

    Fred G. Corley MD & Ben S. Francisco MD

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  1. Fred G. Corley MD
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  2. Ben S. Francisco MD
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Correspondence to Fred G. Corley MD .

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Editors and Affiliations

  1. Boerne, Texas, USA

    Animesh Agarwal

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Corley, F.G., Francisco, B.S. (2018). Nonunions of the Forearm. In: Agarwal, A. (eds) Nonunions. Springer, Boston, MA. https://doi.org/10.1007/978-1-4939-7178-7_6

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  • DOI: https://doi.org/10.1007/978-1-4939-7178-7_6

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  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4939-7176-3

  • Online ISBN: 978-1-4939-7178-7

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