الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 90 |  |  |
| | | from | 90 | | |
Abstract
This thesis critically and systematically reviews the surgical treatments for ulnar impaction syndrome. Three types of treatments currently exist: arthroscopic wafer procedure, open wafer procedure, and ulna shortening osteotomy. A total of 36 articles were included from searching the electronic databases PubMed MEDLINE, Ovid MEDLINE, and Ovid EMBASE. Studies were evaluated for quality using the Modified Detsky Score. Of these, 14 articles had a Modified Detsky Score of 6/10 or higher. Satisfaction rates were 100% for arthroscopic wafer procedure, 89% for open wafer procedure, and 84% for ulna shortening osteotomy. The percentage of participants reporting an excellent or good outcome was 82% for arthroscopic wafer procedure, 87% for open wafer procedure, and 76% for ulna shortening osteotomy. Available evidence shows that AWP and OWP may be viable alternatives to the more popular USO, but clinical superiority is yet to be established. Current decisions are guided by surgeon preference and technical limitations of the interventions themselves. We suggest that further research should ideally take into account aetiologic factors, and should include accurate reporting of pre- and post-operative UV using the method of perpendiculars, as well as objective outcome measurements like grip strength and range of motion. Future research should focus on prospective cohort methods, and should also report participant outcomes using validated scoring methods.