Treatment of wrist extensors
Authors:
J. Pilný 1; J. Krejzová 2; M. Řihošková 3; L. Vodochodský 1; V. Báča 4
Authors‘ workplace:
Ortopedické oddělení, Pardubická krajská nemocnice, 1Fakulta medicínských studií, Univerzita Pardubice
1; Soukromá revmatologická ambulance, Hradec Králové, 3Revmatologická ambulance, Nemocnice s poliklinikou
Havířov, 4Edukační centrum pro anatomii a endoskopie při Ústavu anatomie 3. LF UK, Praha
2
Published in:
Čes. Revmatol., 16, 2008, No. 2, p. 70-73.
Category:
Original Papers
Overview
Rheumatic damage of wrist extensors is a frequent consequence of this disease which leads to a functional damage of hand. The surgeries in this area are divided into preventive operations, including synovectomy of extensors and function saving operations of hand, that is synovectomy with reparation of ruptured tendons. The authors assess a group of 26 patients, in which they performed surgeries of hand extensors. Preventive synovectomy was performed in 3 patients (12%), synovectomy after rupture of one tendon in 8 patients (31%), after rupture of two tendons in 7 patients (27%), after rupture of three tendons in 4 patients (15%), as well as after rupture of four tendons in 4 patients (15%). Since there were deformities in the area of wrist, it was necessary to complete the treatment of tendon with a skeletal operation. There were 9 patients (34%) without skeletal operation, radiocarpal arthrodesis in 3 patients (12%), total wrist arthrodesis in 8 patients (31%), and total wrist arthrodesis was performed at the same time with treatment of distal radioulnar joint in 6 patients (23%). The Sauvé-Kapandji procedure was performed four times and Darrach procedure was performed twice.
Key words:
hand extensors, tenosynovitis of extensors, tenosynovectomy
Sources
1. Backhouse KM. Rheumatoid tenosynovial involvement in the hand. Hand 1969; 1:7–8.
2. Jacobs JH, Hess EV, Beswick IP. Rheumatoid arthritis presenting as tenosynovitis. J Bone Joint Surg Br 1957; 39: 288–292.
3. Kay AGL. Natural history of synovial hypertrophy in the rheumatoid hand. Ann Rheum Dis 1971; 30: 98–102.
4. Nalebuff EA, Potter TA. Rheumatoid involvement of tendon and tendon sheaths in the hand. Clin Orthop 1968; 59: 147–159.
5. Straub LR, Wilson EH. Spontaneous rupture of extensor tendons in the hand associated with rheumatoid arthritis. J Bone Joint Surg Am 1956; 38: 1208–1217.
6. Howard LD Jr. Surgical treatment of rheumatoid tenosynovitis. Am J Surg 1955; 89: 1163–1168.
7. Potter TA, Kuhns JG. Rheumatoid tenosynovitis: Diagnosis and treatment. J Bone Joint Surg Am 1958; 40: 1230–1235.
8. Stirrat CR. Treatment of tenosynovitis in rheumatoid arthritis. Hand Clin 1989; 5: 169–175.
9. Millender LH, Nalebuff EA, Albin R, et al. Dorsal tenosynovectomy and tendon transfer in the rheumatoid hand. J Bone Joint Surg Am 1974; 56: 601–610.
10. Abernethy PJ, Dennyson WG. Decompression of the extensor tendons at the wrist in rheumatoid arthritis. J Bone Joint Surg Br 1979; 61: 64–68.
11. Ryu J, Saito S, Honda T, et al. Risk factors and prophylactic tenosynovectomy for extensor tendon ruptures in the rheumatoid hand. J Hand Surg Br 1998; 23: 658–661.
12. Brown FE, Brown M-L. Long-term results after tenosynovectomy to treat the rheumatoid hand. J Hand Surg Am 1988; 13: 704–708.
13. Pech J, Popelka S. Reparace extenzorového aparátu zápěstí u ruky revmatiků. Acta Chirurg Traumat Čechosl 1994; 61: 344–350.
14. Čižmář I, Wendsche P, Višňa P, Franců M, Kočiš J. Chirurgická rehabilitace horní končetiny u tetraplegických pacientů – principy a první zkušenosti. Rehabilitace a fyzikální lékařství 2003; 2: 65–71.
15. Čižmář I, Wendsche P, Brychta P, Višňa P, Kočiš J, Menšík I. Reconstruction of functional handgrip in traumatic tetraplegia- case study. Acta Chir Plast 2003; 4: 119–123.
Labels
Dermatology & STDs Paediatric rheumatology RheumatologyArticle was published in
Czech Rheumatology
2008 Issue 2
Most read in this issue
- Treatment of wrist extensors
- Wegener’s granulomatosis with thrombotic thrombocytopenic purpura – neurologic manifestations
- Scoring systems for evaluation of radiographic progression of rheumatoid arthritis
- The results of volumetry measurement of brain pathological lesions in patients with systemic lupus erythematosus