Extensor retinaculum capsulorrhaphy for ulnocarpal and distal radioulnar instability: The herbert sling

Christopher J. Dy, Elizabeth Anne Ouellette, Anna Lena Makowski

Research output: Contribution to journalArticlepeer-review

18 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)19-22
Number of pages4
JournalTechniques in Hand and Upper Extremity Surgery
Volume13
Issue number1
DOIs
StatePublished - Mar 1 2009

Keywords

  • Capsulorrhaphy
  • Distal radioulnar joint
  • Ulnocarpal joint

Fingerprint

Dive into the research topics of 'Extensor retinaculum capsulorrhaphy for ulnocarpal and distal radioulnar instability: The herbert sling'. Together they form a unique fingerprint.

Cite this