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Correction of chronic lunotriquetral instability using extensor retinacular split: a retrospective study of 26 patients.

Correction of chronic lunotriquetral instability using extensor retinacular split: a retrospective study of 26 patients. Research Abstract Details 

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  • Correction of chronic lunotriquetral instability using extensor retinacular split: a retrospective study of 26 patients. Abstract Text:

    ilkka antti-poikaIlkka Antti-Poika,jukka Jukka ,liisa m virkkiLiisa M Virkki,daisuke oginoDaisuke Ogino, konttinen Konttinen,ilkka antti-poikaIlkka Antti-Poika,jukka Jukka ,liisa m virkkiLiisa M Virkki,daisuke oginoDaisuke Ogino, konttinen Konttinen,

    Arthroscopy offers a welcome and reliable supplement to the current tool set for the diagnosis of lunotriquetral (LT) instability. This study reports the findings of LT-lesions during arthroscopy and the clinical results obtained after using dorsal stabilisation in its surgical management using extensor retinacular split. LT-instability of grade I-III was diagnosed in 26 patients. Imaging results were normal, Reagan's ballottement and Watson tests were positive in 47% and 79%, respectively. After arthroscopic diagnosis, the procedure was immediately continued with an open repair utilising an 8-10 mm wide and radial-based extensor retinacular split for dorsal capsular reinforcement. At 39 months (range: 14 to 84) follow-up, 64% had no or only occasional mild pain and 36% had pain with overuse or lifting. Overall scoring encompassing pain, patient satisfaction, range of motion and grip strength, was excellent in 24% and good in 64%. Only three patients had fair results, one after a further injury leading to distal radio-ulnar joint (DRUJ) instability, and two with concurrent DRUJ-stabilisation. One further patient required a secondary procedure. Arthroscopy seems to allow accurate diagnosis of LT-instability and can be continued in the same session using a straightforward reconstruction procedure providing satisfactory results.

    Correction of chronic lunotriquetral instability using extensor retinacular split: a retrospective study of 26 patients. Publishing Authors By Initials

    i antti-poikaI Antti-Poika,j J ,lm virkkiLM Virkki,d oginoD Ogino,yt konttinenYT Konttinen,i antti-poikaI Antti-Poika,j J ,lm virkkiLM Virkki,d oginoD Ogino,yt konttinenYT Konttinen,

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    Correction of chronic lunotriquetral instability using extensor retinacular split: a retrospective study of 26 patients. Journal Published:

    PUBLICATION TYPE: Research Support, Non-U.S. Gov

    Journal: Acta orthopaedica Belgica

    VOLUME: 73

    Page Numbers: 451-7

    Journal Abbreviation:

    ISSN: 0001-6462

    DAY: 17

    MONTH: Aug

    YEAR: 2007

    Correction of chronic lunotriquetral instability using extensor retinacular split: a retrospective study of 26 patients. Information

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    LANGUAGE: eng

    NlmUniqueID: 2985165

    Correction of chronic lunotriquetral instability using extensor retinacular split: a retrospective study of 26 patients. Keywords Mesh Terms:

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    Grant and Affiliation Information for Correction of chronic lunotriquetral instability using extensor retinacular split: a retrospective study of 26 patients.

    AFFILIATION: Orto-Lääkärit Medical Center Helsinki, Finland. ilkka.antti-poika@kolumbus.fi

    Country: Belgium

    Belgium Research PublicationBelgium Research Publication

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    MEDLINETA: Acta Orthop Belg

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