Results of extensor carpi ulnaris tenodesis in the rheumatoid wrist undergoing a distal ulnar excision

Distal ulna resections that are done in patients with rheumatoid arthritis to alleviate pain, correct alignment, and prevent tendon rupture may contribute to distal ulnar instability. A distally based slip of the extensor carpi ulnaris tendon has been used to both stabilize the distal ulnar remnant...

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Bibliographic Details
Published inThe Journal of hand surgery (American ed.) Vol. 15; no. 4; p. 547
Main Authors Leslie, B M, Carlson, G, Ruby, L K
Format Journal Article
LanguageEnglish
Published United States 01.07.1990
Subjects
Arthritis, Rheumatoid - surgery
Follow-Up Studies
Humans
Movement
Pain, Postoperative - physiopathology
Tendons - surgery
Ulna - surgery
Wrist Joint - physiopathology
Wrist Joint - surgery
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Summary:Distal ulna resections that are done in patients with rheumatoid arthritis to alleviate pain, correct alignment, and prevent tendon rupture may contribute to distal ulnar instability. A distally based slip of the extensor carpi ulnaris tendon has been used to both stabilize the distal ulnar remnant and to prevent recurrent deformity in 26 rheumatoid wrists, with an average follow-up of 3.5 years. In all postoperative cases, the distal ulna was no longer prominent and the wrist was well aligned. The distal ulna was stabilized in 96% of the patients. Subjectively, pain was relieved in 85% and grip strength improved in 77%.
ISSN:0363-5023
1531-6564
DOI:10.1016/S0363-5023(09)90013-2