Surgical Treatment for Recurrent Dislocation of the Extensor Carpi Ulnaris Tendon

The Journal of Hand Surgery: British & European Volume - Tập 26 - Trang 556-559 - 2001
G INOUE1, Y TAMURA1
1Department of Orthopaedic Surgery, Toyohashi Municipal Hospital, Toyohashi, Japan

Tóm tắt

Twelve patients with recurrent dislocation of the extensor carpi ulnaris tendon were treated with repair or reconstruction of its tendon sheath, and each had a satisfactory result. We found three types of disruption of the fibro-osseous sheath. Type A: the fibro-osseous sheath ruptured ulnarly and the torn sheath lay superficial to the tendon ( n = 5). These were treated by reconstruction of the sheath using a piece of the extensor retinaculum. Type B: the fibro-osseous sheath ruptured radially and the torn sheath lay in the ulnar groove beneath the tendon ( n = 3). These were treated by direct suture of the sheath over the tendon. Type C: detachment of the periosteum from the ulnar side of the ulna in continuity with the fibro-osseous sheath formed a false pouch into which the tendon easily dislocated ( n = 4). These were treated by reattachment of the periosteum.

Tài liệu tham khảo

10.1016/S0363-5023(82)80002-6 10.1016/S0363-5023(81)80151-7 10.1136/bjsm.32.2.172 10.1016/S0266-7681(85)80006-1 10.1177/036354658301100314 10.1016/S0363-5023(86)80227-1 Spinner M, 1970, Clinical Orthopaedics and Related Research, 68, 124, 10.1097/00003086-197001000-00023 10.1016/S0363-5023(84)80100-8 10.3109/17453676408989307
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Thông tin xuất bản

The Journal of Hand Surgery: British & European Volume

Tập 26

556-559

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