Deng HL, Lu ML, Tang ZM, Mao QL, Zhao JM. Is metaphyseal ulnar shortening osteotomy superior to diaphyseal ulnar shortening osteotomy in the treatment of ulnar impaction syndrome? A meta-analysis. World J Clin Cases 2023; 11(12): 2753-2765 [PMID: 37214579 DOI: 10.12998/wjcc.v11.i12.2753]
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Apr 26, 2023; 11(12): 2753-2765 Published online Apr 26, 2023. doi: 10.12998/wjcc.v11.i12.2753
Is metaphyseal ulnar shortening osteotomy superior to diaphyseal ulnar shortening osteotomy in the treatment of ulnar impaction syndrome? A meta-analysis
Hai-Lin Deng, Jin-Min Zhao, Guangxi Medical University, Nanning 530021, Guangxi Zhuang Autonomous Region, China
Ming-Ling Lu, Ministry of Public Health, Department of Public Health Unit, Liuzhou Liunan District Center for Disease Control, Liuzhou 545005, Guangxi Zhuang Autonomous Region, China
Zhe-Ming Tang, Qing-Long Mao, Department of Hand, Foot and Ankle Surgery, Liuzhou Workers' Hospital, The Fourth Affiliated Hospital of Guangxi Medical University, Liuzhou 545005, Guangxi Zhuang Autonomous Region, China
Author contributions: Deng HL and Zhao JM concepted the study; Deng HL, Lu ML and Mao QL collected the data; Deng HL, Lu ML, Tang ZM and Zhao JM contributed to the formal analysis; Deng HL and Zhao JM contributed to the investigation; Deng HL, Zhao JM and Lu ML contributed to the methodology; Deng HL, Zhao JM, Tang ZM and Lu ML supervised the study; Zhao JM validated the study; Deng HL and Lu ML contributed to the visualization of the study; Deng HL and Lu ML originally drafted the manuscript; Deng HL, Zhao JM, Tang ZM and Mao QL reviewed and edited the manuscript.
Conflict-of-interest statement: There is no conflict of interest.
PRISMA 2009 Checklist statement: The authors read the PRISMA 2009 checklist and prepared and revised the manuscript according to the PRISMA 2009 checklist.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Received: February 19, 2023 Peer-review started: February 19, 2023 First decision: February 28, 2023 Revised: March 6, 2023 Accepted: March 24, 2023 Article in press: March 24, 2023 Published online: April 26, 2023
Core Tip
Core Tip: Ulnar impaction syndrome (UIS) is caused by overload of the ulnar wrist joint. This is the common cause of ulnar wrist pain. UIS is related to static or dynamic lateral positive change. If not treated in time, it may lead to the erosion and perforation of the triangular fibrocartilage complex, as well as the degeneration of the triangular, Lunate or ulnar head cartilage. Therefore, the basic treatment of UIS includes mechanical decompression of the overloaded ulnar wrist joint by reducing the ulnar variation. There are many surgical treatments that can reduce the excessive pressure on the ulnar side of the wrist joint, including diaphyseal ulnar shortening osteotomy (DUSO), thin section resection and metaphyseal ulnar shortening osteotomy (MUSO). The Wafer resection site of the distal ulna belongs to MUSO. Compare the effect of DUSO and MUSO ulnar shortening methods. In fact, both of these operations have specific advantages and disadvantages. It should be clear whether the treatment choice of UIS patients depends on the preferences of surgeons.
