Functional outcome after centralization for radius dysplasia

Charles A. Goldfarb, Steven J. Klepps, Loray A. Dailey, Paul R. Manske

Research output: Contribution to journalArticlepeer-review

58 Scopus citations

Abstract

Centralization for radius dysplasia purportedly offers a more normal appearance, provides length to a shortened forearm, and improves upper-extremity function. Limited objective outcome data, however, exist to substantiate its use. To better define functional status after centralization, the Jebsen-Taylor hand test and the Disabilities of the Arm, Shoulder, and Hand questionnaire (DASH) were administered to 21 patients (25 wrists) at an average of 20 years after surgery. Jebsen-Taylor scores, a measure of hand function, were significantly altered with an average total score of 48 seconds compared with an average normal score of 30 seconds (62% increase). The DASH questionnaire, a measure of upper-extremity function, showed only a mild disability of 18%. These long-term follow-up data show that hand function remains markedly abnormal while upper-extremity disability is mild. Improved wrist alignment and increased ulna length did not correlate with improved upper-extremity function.

Original languageEnglish
Pages (from-to)118-124
Number of pages7
JournalJournal of Hand Surgery
Volume27
Issue number1
DOIs
StatePublished - Jan 1 2002

Keywords

  • Centralization
  • Function
  • Outcome
  • Radius dysplasia

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