Brown F E
Ann Plast Surg. 1984 Aug;13(2):121-5. doi: 10.1097/00000637-198408000-00005.
A procedure designed to correct volar subluxation of the ulnar carpus in patients with rheumatoid wrist deformity is described. Twenty-five patients were treated with synovectomy, distal ulna resection, and transfer of the distal extensor carpi ulnaris to the extensor carpi radialis longus. Comfort and improved function were reported, and no significant complications were noted. Follow-up during the 14-month study period demonstrated improvement in volar-carpal subluxation confirmed on x-ray films, stability of metacarpal-phalangeal alignment, and no deterioration of the ability to ulnar deviate.
本文描述了一种用于矫正类风湿性腕关节畸形患者尺侧腕骨掌侧半脱位的手术方法。25例患者接受了滑膜切除术、尺骨远端切除术以及尺侧腕伸肌远端向桡侧腕长伸肌的转移术。据报告患者舒适度提高且功能改善，未出现明显并发症。在为期14个月的研究期间进行的随访显示，X线片证实掌侧腕骨半脱位有所改善，掌指关节对线稳定，尺侧偏斜能力未恶化。
