Cerovac Sonja, Stanley John K
British Association of Plastic, Reconstructive and Aesthetic Surgeons, British Society for Surgery of the Hand, London, United Kingdom.
Tech Hand Up Extrem Surg. 2008 Sep;12(3):188-90. doi: 10.1097/BTH.0b013e3181807a98.
After a wrist surgery in patients with rheumatoid arthritis, the extensor tendons have a tendency to shift toward the ulnar side of the wrist. This is caused by the dorsal tenosynovectomy, disruption of extensor retinaculum, and exteriorization and anatomical orientation of the superficial group of forearm extensor tendons. This article describes a technique as an adjunct to the wrist surgery, which aims to stabilize and centralize tendons of the fourth dorsal wrist compartment over the midline of the wrist. This is achieved by creating a distally based sling, harvested from the extensor carpi radialis longus tendon, then wrapped around the extensor digitorum communis and the extensor indicis proprius tendons, and finally anchored onto the extensor carpi radialis brevis. This adjunctive procedure is recommended in situations when after the wrist surgery, particularly wrist arthroplasty, tendons of the fourth dorsal wrist compartment tend to lay ulnar to the central axis of the hand.
类风湿性关节炎患者进行腕关节手术后，伸肌腱有向腕关节尺侧移位的倾向。这是由背侧腱鞘切除术、伸肌支持带断裂以及前臂伸肌浅组肌腱的外置和解剖学定向所导致的。本文描述了一种作为腕关节手术辅助手段的技术，其目的是将腕背侧第四间隙的肌腱稳定并集中于腕关节中线之上。这是通过制作一个以远端为基底的吊带实现的，该吊带取自桡侧腕长伸肌腱，然后环绕指总伸肌腱和示指固有伸肌腱，最后固定于桡侧腕短伸肌上。当腕关节手术后，特别是腕关节置换术后，腕背侧第四间隙的肌腱倾向于位于手部中心轴尺侧时，建议采用这种辅助手术。
