Evidence map›Paper›PMID 40497276›Full record

ArticleJournal of hand surgery global online2025

Restoring Wrist Stability: A Case Report on Sigmoid Notch Osteoplasty and Distal Radial Ulnar Joint Reconstruction Using Allograft.

Rebecca Sullivan, Ethan Fulsher, Matthew Belton

Abstract readCase Reports
In one paragraph

Article in Journal of hand surgery global online, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Rebecca SullivanDepartment of Orthopedic Surgery, University of Colorado, Aurora, CO.
Ethan FulsherDepartment of Orthopedic Surgery, University of Colorado, Aurora, CO.
Matthew BeltonDepartment of Orthopedic Surgery, University of Colorado, Aurora, CO.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Distal radioulnar joint (DRUJ) instability is a debilitating complication that may occur following distal radius fractures. Surgical treatment of DRUJ instability remains a challenge. This is a case that highlights a unique surgical approach integrating sigmoid notch osteoplasty and DRUJ reconstruction using a gracilis tendon allograft. It focuses on a 41-year-old woman who sustained comminuted intra-articular distal radius and ulna fractures in Jamaica, leading to chronic DRUJ instability. She underwent multiple surgeries and various conservative treatments, none of which resolved her symptoms. Ultimate surgical intervention combining bone grafting with allograft reconstruction addressed both bony and ligamentous deficiencies, which successfully improved her symptoms. Six months after surgery, the patient exhibited significant functional improvement and stable DRUJ anatomy. This case demonstrates the importance of addressing both bony and soft tissue structures in chronic DRUJ instability and provides a novel combination of techniques that serve as a foundation for future surgical intervention.

Indexed as

DRFDRUJGracilis tendon allograftSigmoid notch osteoplastyTFCC

Identifiers

PMID40497276
PMCPMC12150036

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.