19568d977143158cb19348a7fc2b504e pmc_11593211.pdf 8be31bc4edef3799ab234a3eb781f043f6a3294e pmc_11593211.pdf 77d8eaa3a4053843bf07aa9a814277f068fb39d500e15f8b6ed2b7c7271677ea pmc_11593211.pdf Title: Congenital Radioulnar Synostosis Review: Recommendations and Treatment Outcomes Subject: Background/Objectives: Congenital radioulnar synostosis (CRS) is a rare congenital disorder of the elbow joint caused by the abnormal fusion of the radius and ulna during fetal development, leading to limited forearm rotation and functional impairment. This narrative review aims to summarize the key aspects of diagnostic suspicion, treatment options, and lifestyle management strategies for individuals affected by CRS. Relevant sections: While CRS often occurs sporadically, there are familial cases with an autosomal dominant inheritance pattern. The diagnosis is established through a combination of clinical evaluation and radiological imaging, which confirms the presence and extent of the synostosis. Identifying the specific type and severity of CRS is critical for management decisions. Surgical interventions are considered based on factors such as the patient’s age, level of functional limitation, and symptom severity, while conservative treatment may be appropriate for cases with mild impairment. Discussion: Various surgical techniques have been described, but derotation osteotomy has emerged as a preferred option due to its predictable improvement in forearm function. Nevertheless, surgical treatment poses challenges, including potential complications like nerve injury and recurrence of deformity. Cultural and individual considerations, such as the desired forearm position, must be addressed to achieve optimal outcomes aligned with the patient’s lifestyle and needs. Conclusions: Managing CRS requires a nuanced and individualized approach, recognizing the unique challenges each patient presents. This review highlights the importance of continuous research to refine diagnostic and therapeutic strategies, ultimately aiming to enhance functional outcomes and quality of life for CRS patients. Keywords: radioulnar synostosis; radius; ulna; congenital Author: Sergi Alabau-Rodriguez, Jose Felix Garrido Ferrer, Xavier Bulló Mir, Lidia Ana Martín Dominguez, Albert Pardo Pol and Francisco Soldado Carrera Creator: LaTeX with hyperref Producer: pdfTeX-1.40.25 CreationDate: Wed Oct 30 05:09:25 2024 CET ModDate: Wed Oct 30 05:12:04 2024 CET Custom Metadata: no Metadata Stream: no Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 8 Encrypted: no Page size: 595.276 x 841.89 pts (A4) Page rot: 0 File size: 634909 bytes Optimized: no PDF version: 1.7 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- YWWVQQ+VnURWPalladioL-Bold Type 1 Custom yes yes yes 10 0 ADPZLW+URWPalladioL-Bold Type 1 Custom yes yes yes 16 0 EKRDAH+URWPalladioL-Roma Type 1 Custom yes yes yes 22 0 SKTFFX+URWPalladioL-Ital Type 1 Custom yes yes yes 27 0 KJRTQU+VnURWPalladioL Type 1 Custom yes yes yes 32 0 YJPPHJ+TimesNewRomanPS-BoldItalicMT Type 1C WinAnsi yes yes no 48 0 QGUKZH+CMSY10 Type 1 Builtin yes yes yes 68 0 HOMHLI+PalatinoLinotype-Bold CID TrueType Identity-H yes yes yes 83 0 HOMHMJ+PalatinoLinotype-Roman CID TrueType Identity-H yes yes yes 89 0 HOMIAI+PalatinoLinotype-Italic CID TrueType Identity-H yes yes yes 95 0 HOMIAJ+PalatinoLinotype-Italic TrueType WinAnsi yes yes no 101 0 HOMIAK+PalatinoLinotype-Bold TrueType WinAnsi yes yes no 104 0 HOMIAL+PalatinoLinotype-Roman TrueType WinAnsi yes yes no 107 0 HOMICL+PalatinoLinotype-Roman TrueType MacRoman yes yes no 110 0 Jhove (Rel. 1.28.0, 2023-05-18) Date: 2025-02-06 02:45:38 CET RepresentationInformation: pmc_11593211.pdf ReportingModule: PDF-hul, Rel. 1.12.4 (2023-03-16) LastModified: 2024-12-10 02:31:56 CET Size: 634909 Format: PDF Version: 1.7 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf PDFMetadata: Objects: 279 FreeObjects: 1 IncrementalUpdates: 0 DocumentCatalog: PageLayout: SinglePage PageMode: UseNone Outlines: Item: Title: Introduction Destination: section.1 Item: Title: Purpose Destination: section.2 Item: Title: Relevant Sections Destination: section.3 Children: Item: Title: Etiology Destination: subsection.3.1 Item: Title: Epidemiology and Associated Syndromes Destination: subsection.3.2 Item: Title: Clinical and Physical Examination Destination: subsection.3.3 Item: Title: Radiological Study Destination: subsection.3.4 Item: Title: Treatment Destination: subsection.3.5 Children: Item: Title: Surgery Indications Destination: subsubsection.3.5.1 Item: Title: Surgical Principles Destination: subsubsection.3.5.2 Item: Title: Conclusions Destination: section.4 Item: Title: Future Directions Destination: section.5 Item: Title: References Destination: section.6 Info: Title: Congenital Radioulnar Synostosis Review: Recommendations and Treatment Outcomes Author: Sergi Alabau-Rodriguez, Jose Felix Garrido Ferrer, Xavier Bulló Mir, Lidia Ana Martín Dominguez, Albert Pardo Pol and Francisco Soldado Carrera Subject: Background/Objectives: Congenital radioulnar synostosis (CRS) is a rare congenital disorder of the elbow joint caused by the abnormal fusion of the radius and ulna during fetal development, leading to limited forearm rotation and functional impairment. This narrative review aims to summarize the key aspects of diagnostic suspicion, treatment options, and lifestyle management strategies for individuals affected by CRS. Relevant sections: While CRS often occurs sporadically, there are familial cases with an autosomal dominant inheritance pattern. The diagnosis is established through a combination of clinical evaluation and radiological imaging, which confirms the presence and extent of the synostosis. Identifying the specific type and severity of CRS is critical for management decisions. Surgical interventions are considered based on factors such as the patient’s age, level of functional limitation, and symptom severity, while conservative treatment may be appropriate for cases with mild impairment. Discussion: Various surgical techniques have been described, but derotation osteotomy has emerged as a preferred option due to its predictable improvement in forearm function. Nevertheless, surgical treatment poses challenges, including potential complications like nerve injury and recurrence of deformity. Cultural and individual considerations, such as the desired forearm position, must be addressed to achieve optimal outcomes aligned with the patient’s lifestyle and needs. Conclusions: Managing CRS requires a nuanced and individualized approach, recognizing the unique challenges each patient presents. This review highlights the importance of continuous research to refine diagnostic and therapeutic strategies, ultimately aiming to enhance functional outcomes and quality of life for CRS patients. 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