Stabilisation of the distal radioulnar joint with a double-breasted slip of the extensor retinaculum.
We describe a method for stabilising the distal radioulnar joint using a double breasted slip of extensor retinaculum. This is a retrospective series of 30 patients with a painful wrist secondary to instability of the distal radioulnar joint. The results were assessed by a modified Mayo Score. The mean follow-up was for 38.1 months (13 months to 8 years). Twelve patients had excellent, 16 good and 2 fair outcomes. One patient had experienced temporary numbness in the distribution of the dorsal branch of the ulnar nerve. The modified Mayo wrist score increased from a pre-operative mean of 23.89 (10 to 50) to a final mean of 94.4 (85 to 100). Stabilisation of the distal radioulnar joint by the method of using a double breasted slip of the extensor retinaculum gives satisfactory results. The procedure is simple and reproducible.
Gupta
R K
RK
Department of Orthopaedics, Room 3109, Sector 48D, Government Medical College and Hospital, 160047 Chandigarh, India.ravikgupta2000@yahoo.com
Singh
H
H
Sandhu
V P S
VP
D000203:Activities of Daily Living; D000328:Adult; D006801:Humans; D007593:Joint Instability / Q000503:physiopathology / Q000601:surgery*; D019637:Orthopedic Procedures / Q000379:methods*; D011884:Radius / Q000473:pathology / Q000601:surgery*; D016059:Range of Motion, Articular / Q000502:physiology*; D012189:Retrospective Studies; D000074402:Synovectomy; D013583:Synovial Membrane / Q000473:pathology; D016896:Treatment Outcome; D014955:Wrist Joint / Q000473:pathology / Q000601:surgery*