TY - JOUR
T1 - Extensor retinaculum capsulorrhaphy for ulnocarpal and distal radioulnar instability
T2 - The herbert sling
AU - Dy, Christopher J.
AU - Ouellette, Elizabeth Anne
AU - Makowski, Anna Lena
PY - 2009/3
Y1 - 2009/3
N2 - Wrist pain and instability are challenging problems that may be the result of pathology at the distal radioulnar (DRUJ) or ulnocarpal joints or both. Instability of the wrist can often be attributed to a compromise of the integrity of the triangular fibrocartilage complex (TFCC), a key soft tissue stabilizer of the DRUJ and ulnocarpal articulations. Subsequently, when surgical reconstruction is indicated, techniques should strive to restore the biarthrodial function of the TFCC. Although anatomic reconstruction of the DRUJ ligaments provides successful stabilization of the radioulnar articulation, those patients who present with concomitant ulnocarpal instability require an alternative technique that addresses both the DRUJ- and ulnocarpal-stabilizing functions of the TFCC. The Herbert sling, which is an extensor retinaculum capsulorrhaphy, is an effective method of creating a strong tether among the distal radius, ulna, and ulnar carpus. Preliminary biomechanical and clinical results have been encouraging.
AB - Wrist pain and instability are challenging problems that may be the result of pathology at the distal radioulnar (DRUJ) or ulnocarpal joints or both. Instability of the wrist can often be attributed to a compromise of the integrity of the triangular fibrocartilage complex (TFCC), a key soft tissue stabilizer of the DRUJ and ulnocarpal articulations. Subsequently, when surgical reconstruction is indicated, techniques should strive to restore the biarthrodial function of the TFCC. Although anatomic reconstruction of the DRUJ ligaments provides successful stabilization of the radioulnar articulation, those patients who present with concomitant ulnocarpal instability require an alternative technique that addresses both the DRUJ- and ulnocarpal-stabilizing functions of the TFCC. The Herbert sling, which is an extensor retinaculum capsulorrhaphy, is an effective method of creating a strong tether among the distal radius, ulna, and ulnar carpus. Preliminary biomechanical and clinical results have been encouraging.
KW - Capsulorrhaphy
KW - Distal radioulnar joint
KW - Ulnocarpal joint
UR - http://www.scopus.com/inward/record.url?scp=67650286965&partnerID=8YFLogxK
U2 - 10.1097/BTH.0b013e318184c796
DO - 10.1097/BTH.0b013e318184c796
M3 - Article
C2 - 19276922
AN - SCOPUS:67650286965
SN - 1089-3393
VL - 13
SP - 19
EP - 22
JO - Techniques in Hand and Upper Extremity Surgery
JF - Techniques in Hand and Upper Extremity Surgery
IS - 1
ER -