Functional outcome after centralization for radius dysplasia.
Centralization for radius dysplasia purportedly offers a more normal appearance, provides length to a shortened forearm, and improves upper-extremity function. Limited objective outcome data, however, exist to substantiate its use. To better define functional status after centralization, the Jebsen-Taylor hand test and the Disabilities of the Arm, Shoulder, and Hand questionnaire (DASH) were administered to 21 patients (25 wrists) at an average of 20 years after surgery. Jebsen-Taylor scores, a measure of hand function, were significantly altered with an average total score of 48 seconds compared with an average normal score of 30 seconds (62% increase). The DASH questionnaire, a measure of upper-extremity function, showed only a mild disability of 18%. These long-term follow-up data show that hand function remains markedly abnormal while upper-extremity disability is mild. Improved wrist alignment and increased ulna length did not correlate with improved upper-extremity function.
Goldfarb
Charles A
CA
Department of Orthopaedic Surgery, Barnes-Jewish Hospital at Washington University, One Barnes Hospital Plaza, St Louis, MO 63110, USA.
Klepps
Steven J
SJ
Dailey
Loray A
LA
Manske
Paul R
PR
D000293:Adolescent; D000328:Adult; D001132:Arm / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D001848:Bone Diseases, Developmental / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D002648:Child; D004185:Disability Evaluation; D005260:Female; D005500:Follow-Up Studies; D018737:Hand Strength / Q000502:physiology; D006801:Humans; D008297:Male; D010147:Pain Measurement; D011859:Radiography; D011884:Radius / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery*; D016059:Range of Motion, Articular / Q000502:physiology; D020127:Recovery of Function / Q000502:physiology*; D013997:Time Factors; D016896:Treatment Outcome; D014955:Wrist Joint / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery