CHRONIC DRUJ problem. A chronic DRUJ problem (stabilized then intraarticular shortening, CT images) was treated with a Scheker linked DRUJ arthroplasty (X-rays).

CHRONIC DRUJ problem. A chronic DRUJ problem (stabilized then intraarticular shortening, CT images) was treated with a Scheker linked DRUJ arthroplasty (X-rays).


Dear friends

 

Has anyone ever seen this? A chronic DRUJ problem (stabilized then intraarticular shortening, CT images) was treated with a Scheker linked DRUJ arthroplasty (X-rays). Although the DRUJ problem is now completely resolved, she has progressive loss of the radio-carpal motion and a volar tilt of the lunate…any explanation? She has no pain in a wrist cast, but without she is stuff (flexion/extension loss) and painful.

I suggested to add a Chamay arthrodesis. I did this in another patient with an Aptis a couple of years ago and this worked out fine. But I do not understand why this occurred here. Anyone?

Footnote: let’s all let the funny mails rest, whatever the opinions. I appreciate what happened, see the humour, appreciate everyone, I am grateful to the moderator and this forum and… please understand that ‘reply to one’ apparently includes the medtool, which may have added to the unwanted spreading of these smalljokes, a somewhat funny misunderstanding earlier…’no worries’, on the contrary I’d say, lets enjoy the fine moments in this stressful world…

Sincerely yours

Ilse

Ilse Degreef, MD, PhD, European Diploma of Hand Surgery
Orthopaedic Department

Associate Professor of Orthopaedics & Hand Surgery

Upper Limb surgery – Hand Surgery

Leuven University hospitals

Belgium

 

See the discussion  in the attached .pdf file below

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