Fram Brianna, Wall Lindley B, Gelberman Richard H, Goldfarb Charles A
Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, MO, USA.
J Hand Surg Eur Vol. 2018 Nov;43(9):925-930. doi: 10.1177/1753193418773036. Epub 2018 May 9.
Painful extensor carpi ulnaris tendon instability has various treatments with limited available outcome data. We treated 12 wrists of 11 patients (including eight collegiate or professional athletes) with dorsal transposition of the extensor carpi ulnaris tendon to lie over the 5th compartment, stabilized with a retinacular sling from 2010-2015. All patients had symptom resolution and returned to sport at the pre-injury level by 3 months after surgery. Mean post-surgical Patient Reported Outcomes Measurement Information System (PROMIS) upper extremity score was 56, and PROMIS pain interference score was 42. Patient overall satisfaction averaged 9.8 points on a 10-point scale for the procedure and pain decreased by 6 points on a 10-point scale from before surgery to final follow-up. We conclude that surgical treatment of the extensor carpi ulnaris tendon instability via dorsal transposition of the extensor carpi ulnaris tendon is an effective surgical option for all patients including the high level athlete. Level of evidence: IV.
疼痛性尺侧腕伸肌腱不稳定有多种治疗方法，但可用的疗效数据有限。2010年至2015年期间，我们对11例患者的12只手腕（包括8名大学或职业运动员）进行了尺侧腕伸肌腱背侧转位至第5腱鞘上方的手术，并使用支持带固定。所有患者术后症状均得到缓解，术后3个月恢复到受伤前的运动水平。术后患者报告结局测量信息系统（PROMIS）上肢平均评分为56分，PROMIS疼痛干扰评分为42分。患者对该手术的总体满意度在10分制中平均为9.8分，疼痛程度从手术前到最终随访在10分制中下降了6分。我们得出结论，对于包括高水平运动员在内的所有患者，通过尺侧腕伸肌腱背侧转位治疗尺侧腕伸肌腱不稳定是一种有效的手术选择。证据级别：IV级。
