Cookies on this website
We use cookies to ensure that we give you the best experience on our website. If you click 'Continue' we'll assume that you are happy to receive all cookies and you won't see this message again. Click 'Find out more' for information on how to change your cookie settings.

We prospectively measured hand and wrist function in rheumatoid patients undergoing excision of the distal ulna. Range of motion, visual analogue pain scores and grip strength were measured in 22 wrists, and the Jebsen hand function test was administered to seven patients, preoperatively and at 3 and 12 months. At 1 year there were improvements in forearm pronation (P=0.04), supination (P=0.03) and wrist extension (P=0.02), but a reduction in flexion (P=0.009). Active radial deviation was reduced and ulnar deviation increased. There was a significant improvement in grip strength (P=0.05) and reduction in wrist pain (P=<0.0001). At 1 year the Jebsen hand function test showed improvements in simulated feeding, stacking checkers, and lifting large empty cans. Excision of the distal ulna in rheumatoid patients results in an improvement in some aspects of hand function.

Original publication

DOI

10.1016/s0266-7681(03)00099-8

Type

Journal article

Journal

Journal of hand surgery (Edinburgh, Scotland)

Publication Date

12/2003

Volume

28

Pages

531 - 536

Addresses

Department of Musculoskeletal Surgery and the Kennedy Institute of Rheumatology, Imperial College School of Medicine, Charing Cross Hospital, Fulham Palace Road, London, UK. ajainuk@aol.com

Keywords

Ulna, Synovial Membrane, Wrist Joint, Humans, Arthritis, Rheumatoid, Postoperative Complications, Pain Measurement, Hand Strength, Range of Motion, Articular, Follow-Up Studies, Prospective Studies, Motor Skills, Adult, Aged, Aged, 80 and over, Middle Aged, Female, Male