The ulno-carpal abutment syndrome. Follow-up of the wafer procedure.
Seven wrists in six patients with ulno-carpal abutment syndrome were treated by a subchondral distal ulna resection (wafer procedure). The average follow-up was 36 months. Wrist function was evaluated using a clinical scoring chart. The parameters were pain, range of motion, grip strength and activities. One patient had a poor result, one a fair result and the remaining had good to excellent results. In all cases grip strength showed dramatic improvement. Complications were limited to palpable subcutaneous nylon sutures requiring removal in three patients and extensor carpi ulnaris tendinitis in one.
Schuurman
A H
AH
Department of Plastic, Reconstructive and Hand Surgery, University of Amsterdam, The Netherlands.
Bos
K E
KE
D000328:Adult; D001168:Arthritis / Q000000981:diagnostic imaging / Q000601:surgery*; D002348:Carpal Bones / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D018737:Hand Strength / Q000502:physiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010027:Osteotomy / Q000379:methods; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011446:Prospective Studies; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology; D014457:Ulna / Q000000981:diagnostic imaging / Q000601:surgery*; D016474:Weight-Bearing / Q000502:physiology