Article ; Online: Relationship Between Wrist Motion and Capitolunate Reduction in Four-Corner Arthrodesis.
2015 Volume 38, Issue 11, Page(s) e1040–5
Abstract: ... the measured capitate-lunate angle and subsequent flexion and extension (r=0.32 and r=0.17, respectively) using ...
| Abstract | The authors retrospectively studied 36 patients with degenerative changes associated with scaphoid nonunion and scapholunate advanced collapse treated with circular plate fixation and bone graft. The goals of the study were to review the incidence of dorsal impingement, nonunion of arthrodesis, loose hardware, broken screws, and limitation in wrist motion associated with correct or incorrect surgical capitolunate reduction. Surgical indications were scapholunate advanced collapse (3 patients), scaphoid nonunion advanced collapse (32 patients), and sequelae of irreducible perilunate dislocation (1 patient). All of the patients were men, with a mean age of 48 years (range, 35-68 years). Average follow-up was 56 months (range, 12-108 months). Functional outcomes evaluated were pain with the visual analog scale, range of motion, grip strength, Disabilities of the Arm, Shoulder and Hand (DASH) score, satisfaction, and time to union. Mean visual analog scale score was 7 (range, 5-9) preoperatively and 1 (range, 0-2) postoperatively. Average wrist range of motion was 42° in extension, 36° in flexion, 15° in ulnar deviation, and 12° in radial deviation. Mean grip strength was 34 kg preoperatively, 50 kg postoperatively, and 56 kg contralaterally. Thirty-five of the 36 patients achieved union at 6 months. Degenerative changes at the radiolunate articulation were present in 1 patient 62 months after surgery, but he was asymptomatic. Mean capitolunate angle was 38º preoperatively and 9º postoperatively. Poor correlation was found between the measured capitate-lunate angle and subsequent flexion and extension (r=0.32 and r=0.17, respectively) using the Pearson correlation coefficient. The authors noted 1 or 2 broken screws in 3 cases (8.3%) and hardware dorsal impingement in the plate in 6 cases (16.6%). Mean DASH score was 24 of 100. Overall patient satisfaction was 70%. |
|---|---|
| MeSH term(s) | Adult ; Aged ; Arthrodesis/methods ; Bone Transplantation ; Capitate Bone/surgery ; Female ; Follow-Up Studies ; Hand Strength ; Humans ; Lunate Bone/surgery ; Male ; Middle Aged ; Range of Motion, Articular ; Retrospective Studies ; Visual Analog Scale ; Wrist Joint/surgery |
| Language | English |
| Publishing date | 2015-11 |
| Publishing country | United States |
| Document type | Journal Article |
| ZDB-ID | 424447-3 |
| ISSN | 1938-2367 ; 0147-7447 |
| ISSN (online) | 1938-2367 |
| ISSN | 0147-7447 |
| DOI | 10.3928/01477447-20151020-14 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
Full text online
More links
Kategorien
In stock of ZB MED Cologne/Königswinter
| Zs.A 1487: Show issues | Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG) |
Order via subito
This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.