Flexor Tendon

Effects of Extensor Synovectomy and Excision of the Distal Ulna in Rheumatoid Arthritis on Long-Term Function

Jain A, Ball C, Freidin AJ, et al (Imperial College, London, UK) J Hand Surg 35A:1442-1448, 2010^§

Abstract

Purpose

Objective outcomes data after excision of the distal ulna in rheumatoid arthritis are lacking. The aim of this study was to evaluate the functional results of this surgery in the long term.

Methods

We prospectively collected data on range of motion (22 wrists), visual analog pain scores (14 wrists), and grip strength measured using a Jamar dynamometer (20 hands) in a group of 23 patients (26 wrists) preoperatively and at 3 months, 12 months, and a minimum of 5 years postoperatively (range, 5.3–10.4 y). The Jebsen-Taylor hand function test was administered to 9 patients at the same time points. A subgroup of patients also underwent extensor carpi radialis longus to extensor carpi ulnaris tendon transfer (11 wrists).

Results

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