Extensor Carpi Ulnaris Problems at the Wrist–Classification, Surgical Treatment and Results

The Journal of Hand Surgery: British & European Volume - Tập 30 - Trang 265-272 - 2005
C. Allende1, D. Le Viet1
1From the Institut de la Main, Clinique Jouvenet, Paris, France and Department of Orthopedic Surgery and Rehabilitation, Division of Upper Extremity, Sanatorio Allende. Cordoba, Argentina

Tóm tắt

Twenty-eight extensor carpi ulnaris lesions at the wrist were treated surgically between 1990 and 2002. Fifteen patients had an isolated extensor carpi ulnaris tenosynovitis or tendinopathy, five had extensor carpi ulnaris dislocation, four had an extensor carpi ulnaris subluxation and four had an extensor carpi ulnaris rupture. Seventeen patients first developed their symptoms while playing sports.At a mean follow-up of 23 months, twenty-two patients had returned to their previous activities. Seven of the 27 patients had lost more than 30% of their grip strength and five had restricted wrist motion. Two needed an extensor carpi ulnaris tenolysis.Pure isolated extensor carpi ulnaris lesions are rare and associated ulnar sided lesions (eleven triangular fibrocartilage complex tears and four lunotriquetral ligament tears), as well as possible predisposing factors (seven anomalous tendon slips, four ulnar styloid non-unions and one flat extensor carpi ulnaris tendon groove), were frequent. A classification of extensor carpi ulnaris tendon and subsheath lesions was developed to allow the surgeon to adequately evaluate the different components of these lesions.

Tài liệu tham khảo

10.1080/02844311.1993.12005648 10.1016/S0363-5023(86)80155-1 10.1016/S0363-5023(87)80082-5 Boyes JH, 1964, Bunnell’s surgery of the hand, 4, 470 10.1016/S0363-5023(82)80002-6 10.1016/S0363-5023(87)80105-3 10.1097/00000637-199507000-00020 10.2106/00004623-194830040-00011 10.1016/S0363-5023(81)80151-7 10.3109/17453679509002311 10.1016/S0363-5023(86)80188-5 10.1016/S0363-5023(96)80355-8 10.1016/S0363-5023(87)80080-1 10.1054/jhsb.2001.0615 KaplanEBFunctional and surgical anatomy of the hand19652nd EdnPhiladelphia and MontrealLippincott Company191194 10.1016/0363-5023(94)90263-1 10.1097/00005131-200210000-00011 10.1001/archsurg.1952.01260010491007 Loty B, 1986, Revue de Chirurgie Orthopedique et Reparatrice de l’Appareil Moteur, 72, 219 Markees J, 1937, Schweizerische Medizinische Wochenschrift, 67, 637 10.1016/0363-5023(92)90406-F 10.1302/0301-620X.70B5.3192595 Nakashima T, 1993, Journal of Anatomy, 182, 109 Obrant O, 1946, Nordisk Medicin, 29, 656 10.1016/S0278-5919(20)30938-8 10.1177/036354658301100314 10.1016/S0363-5023(86)80227-1 Schlesinger J, 1907, Deutsche Medizinische Wochenschrift, 23, 236 Spinner M, 1970, Clinical Orthopaedics, 68, 124, 10.1097/00003086-197001000-00023 10.1016/S0002-9610(27)91500-1 Taleisnik J, 1987, Hand Clinics, 3, 51, 10.1016/S0749-0712(21)00635-1 10.1016/S0363-5023(84)80100-8 10.1053/jhsu.1999.0449 10.1177/03635465030310032301 Wood MB, 1986, Clinical Orthopaedics, 202, 93 Xarchas KC, 2002, Acta Orthopaedica Belga, 68, 399 10.1148/radiology.173.3.2813777
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The Journal of Hand Surgery: British & European Volume

Tập 30

265-272

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