The rheumatoid wrist after resection of the distal ulna

Gainor, Barry J.; Schaberg, James E.

doi:10.1016/s0363-5023(85)80159-3

Cited by 52 publications

(29 citation statements)

References 14 publications

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“…The presence of the distal ulnar stabilizes the joint. However, complications following the Darrach's procedure and the Sauvé-Kapandji procedure have been described, such as instability of the distal ulna, abutment of the distal radius against the ulna, and attrition rupture of the ulnar extensor tendons [5,7,8,13,14]; these complications can result in pain at the ulnar stump. The mechanism of ulnar stump instability may involve actions of the pronator quadratus, pronator teres, extensor pollicis brevis, and abductor pollicis longus, as well as the effect of the interosseous membrane [1,2].…”

Section: Discussionmentioning

confidence: 99%

Stabilization of the Proximal Ulnar Stump after the Darrach or Sauvé-Kapandji Procedure by Using the Extensor Carpi Ulnaris Tendon

Chu

Lee

Hung

et al. 2008

Hand (New York, N,Y.)

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The Darrach and Sauvé-Kapandji procedures are considered to be useful treatment options for distal radioulnar joint disorders. Postoperative instability of the proximal ulnar stump and radioulnar convergence, however, may cause further symptoms. From October 1999 to May 2002, a total of 19 wrists in 15 men and four women, with an average age of 48.3 years, were treated by stabilizing the proximal ulnar stump with a half-slip of the extensor carpi ulnaris tendon using modified Darrach and Sauvé-Kapandji procedures. The average follow-up period was 77 months (range, 62 to 91 months). No patient complained of symptoms due to instability of the proximal ulnar stump. Grip strength improved in all wrists after surgery. Postoperative X-rays, including loading X-rays, showed improved alignment in both coronal and lateral planes. We concluded that stabilization of the proximal ulnar stump with ECU tenodesis is an effective procedure for treating distal radioulnar joint disorder after the Darrach and Sauvé-Kapandji procedures.

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Section: Discussionmentioning

confidence: 99%

Stabilization of the Proximal Ulnar Stump after the Darrach or Sauvé-Kapandji Procedure by Using the Extensor Carpi Ulnaris Tendon

Chu

Lee

Hung

et al. 2008

Hand (New York, N,Y.)

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“…16 Resection of the distal ulna has been reported to exaggerate this instability, and can even lead to a dislocation of the radiocarpal joint. [17][18][19] More importantly, progressive instability of the wrist will produce the typical bayonet deformity, often combined with a radial deviation of the hand. This position is known to initiate or accentuate an ulnar deviation of the metacarpophalangeal joints, the zig-zag deformity.…”

Section: Discussionmentioning

confidence: 99%

Radiolunate arthrodesis

Doets

Raven

1999

The Journal of Bone and Joint Surgery. British volume

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We carried out arthrodesis of the radiolunate joint in 46 wrists (38 patients) for pain and ulnar translation of the carpus because of rheumatoid (42) or psoriatic arthritis (4). At follow-up, three patients had died and in three (1 bilateral) an additional midcarpal arthrodesis had been undertaken. The remaining 32 patients (39 wrists) were evaluated after a mean of five years.The clinical results were good with a mean visual analogue score of 8.3 for pain, 7.2 for hand function and 9 for overall satisfaction. Except for palmar flexion, mobility was equal to or better than before operation. Radiologically, there was deterioration of the midcarpal joint with an increase in the Larsen score from 1.8 to 2.7 (p < 0.001), some decrease in carpal height and recurrence of carpal translation.Radiolunate arthrodesis gives good clinical results at five years although there is some deterioration radiologically.

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“…Thirupathi et al [36] found ulnar translation in 44% of their series of 38 wrists and found also a linear correlation with the duration of follow-up. Gainor and Schaberg [15] reported that resection of more than 2 cm of the distal ulna could contribute to ulnar shifting of the carpus. Fourastier et al [11] found an ulnar translation of 2 mm in his survey of 44 wrists; the difference with the unoperated side was minimal (but significant).…”

Section: Treatmentmentioning

confidence: 99%

The distal radioulnar joint in rheumatoid arthritis

Smet¹

2006

International Congress Series

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The rheumatoid wrist after resection of the distal ulna

Cited by 52 publications

References 14 publications

Stabilization of the Proximal Ulnar Stump after the Darrach or Sauvé-Kapandji Procedure by Using the Extensor Carpi Ulnaris Tendon

Stabilization of the Proximal Ulnar Stump after the Darrach or Sauvé-Kapandji Procedure by Using the Extensor Carpi Ulnaris Tendon

Radiolunate arthrodesis

The distal radioulnar joint in rheumatoid arthritis

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