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Journal of Bone and Joint Surgery - British Volume, Vol 90-B, Issue 2, 200-202.
doi: 10.1302/0301-620X.90B2.19468  
Copyright © 2008 by British Editorial Society of Bone and Joint Surgery
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Stabilisation of the distal radioulnar joint with a double-breasted slip of the extensor retinaculum

R. K. Gupta, MS, DNB, MNAMS, Reader1; H. Singh, MS, Senior Resident2; and V. P. S. Sandhu, MS, Senior Resident3

1 Department of Orthopaedics, Room 3109, Sector 48D, Government Medical College and Hospital, 160047 Chandigarh, India.
2 Department of Orthopaedics, Room 2154, Sector 27C, Government Medical College and Hospital, 160019, Chandigarh, India.
3 Department of Orthopaedics Room 249, Phase VI, Mohali, Punjab, Government Medical College and Hospital, 160055 Chandigarh, India.

Correspondence should be sent to Dr R. K. Gupta; e-mail: ravikgupta2000{at}yahoo.com

We describe a method for stabilising the distal radioulnar joint using a double breasted slip of extensor retinaculum.

This is a retrospective series of 30 patients with a painful wrist secondary to instability of the distal radioulnar joint. The results were assessed by a modified Mayo Score. The mean follow-up was for 38.1 months (13 months to 8 years).

Twelve patients had excellent, 16 good and 2 fair outcomes. One patient had experienced temporary numbness in the distribution of the dorsal branch of the ulnar nerve. The modified Mayo wrist score increased from a pre-operative mean of 23.89 (10 to 50) to a final mean of 94.4 (85 to 100).

Stabilisation of the distal radioulnar joint by the method of using a double breasted slip of the extensor retinaculum gives satisfactory results. The procedure is simple and reproducible.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General