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Radioulnar Synostosis Q74.0 755.53

elbow ligaments picture

synonyms:

 

Radioulnar Synostosis ICD-10

  • Q74.0:    Other congenital malformations of upper limb(s), including shoulder girdle

Radioulnar Synostosis ICD-9

  • 755.53 Radioulnar synostosis

Radioulnar Synostosis Etiology / Epidemiology / Natural History

  • Occurs after fractures or surgical procedures about the elbow such as distal biceps tendon repair.
  • More common after two-incision distal biceps repair than single incision repairs.
  • Incident theoretically can be decreased by early range of motion after fracture, soft tissue injury or surgery.
  • May also be congenital: see Congenital Radioulnar synostosis

Radioulnar Synostosis Anatomy

Radioulnar Synostosis Clinical Evaluation

  • Exam elbow ROM.

Radioulnar Synostosis Xray / Diagnositc Tests

Radioulnar Synostosis Classification / Treatment

  • Treatment: excision of the synostosis. Numerous materials have been proposed to interpose after resection of the synostosis including fat, muscle, fascia, and silicon.
  • Radial osteotomy with wedge removal.

Radioulnar Synostosis Associated Injuries / Differential Diagnosis

Radioulnar Synostosis Complications

  • Recurrence of synostosis
  • Elbow stiffness
  • Nerve/Vascular injury
  • Infection
  • DVT/PE

Radioulnar Synostosis Follow-up Care

  • Average 139º arc of forearm rotation after resection. 6% recurrence risk. (Jupiter JB,JBJS 1998;80A:248).

Radioulnar Synostosis Review References

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