Tendon Transfers for the Rheumatoid Arthritis Patient

Operative Techniques: Hand and Wrist Surgery

Volumn , Issue , 2007, Pages 757-770

  Chung, Kevin C ^a  

^a UNIVERSITY OF MICHIGAN HEALTH SYSTEM   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

EID: 77950294127     PISSN: None     EISSN: None     Source Type: Book    
DOI: 10.1016/B978-1-4160-3659-3.50062-6     Document Type: Chapter

References (5)

1. H Ishikawa, T Hanyu and T Tajima (1992) Rheumatoid wrists treated with synovectomy of the extensor tendons and the wrist joint combined with a Darrach procedure. J Hand Surg [Am] 17 1109-1117. The authors presented a long-term follow-up study evaluating outcomes of extensor tendon and wrist synovectomy combined with a Darrach procedure. Patients were followed for an average of 11 years. The authors concluded that pain and forearm rotation had improved when compared to the opposite untreated side. However, carpal collapse and palmar carpal subluxation continued to progress equal to the opposite untreated side. The authors suggested that, in addition to the above-indicated treatments, stabilization of the wrist using radio-lunate arthrodesis in addition to wrist tendon transfer procedures to balance the wrist should be considered early. (Level IV evidence)
2. LG Mannerfelt (1988) Tendon transfers in surgery of the rheumatoid hand. Hand Clin 4 309-316. The author presented his extensive experience with tendon transfers in the rheumatoid hand. The principles of tendon transfer were reinforced. (Level V evidence)
3. JR Moore, AJ Weiland and L Valdata (1987) Tendon ruptures in the rheumatoid hand: analysis of treatment and functional results in 60 patients. J Hand Surg [Am] 12 9-14. Again, the authors advocated early treatment of extensor synovitis and distal radio-ulnar joint disease to prevent extensor tendon ruptures. Strategies for reconstruction of flexor and extensor tendon ruptures were discussed. (Level IV evidence)
4. EA Nalebuff and MR Patel (1973) Flexor digitorum sublimis transfer for multiple extensor tendon ruptures in rheumatoid arthritis. Plast Reconstr Surg 52 530-533. This paper discussed the use of flexor digitorum sublimis transfer for multiple extensor tendon ruptures. In situations in which there is not enough donor tendons to reconstruct extensor tendon ruptures, the flexor digitorum sublimis can be useful. The integrity of this tendon for the long and ring fingers must be evaluated prior to tendon exploration. (Level IV evidence)
5. SC Williams and P Feldon (1995) Extensor tendon ruptures in rheumatoid arthritis. Hand Clin 11 449-459. This is a comprehensive report to give guidance regarding extensor tendon ruptures in rheumatoid arthritis. The authors emphasized that prevention is key in avoiding these ruptures, and that rheumatologists should collaborate with hand surgeons in providing timely referral for treatment of chronic dorsal tenosynovitis in impending tendon ruptures. (Level IV evidence)