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J Wrist Surg 2015; 04(01): 071-074
DOI: 10.1055/s-0035-1544194
Emerging Technologies and New Technological Concepts
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

A New Technique for the Treatment of Midcarpal Instability

Marco J. P. F. Ritt
1   Department of Plastic, Reconstructive and Hand Surgery, VU University Medical Center, Amsterdam, The Netherlands
2   The Hand Clinic, Amsterdam, The Netherlands
,
Peter J. M. de Groot
3   Division of Hand Therapy, Department of Rehabilitation, VU University, Medical Center, Amsterdam, The Netherlands
› Author Affiliations
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Publication History

Publication Date:
13 February 2015 (online)

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Abstract

Extensor carpi radialis brevis (ECRB) transfer to the hamate bone is a novel procedure that offers a new surgical treatment option for select patients with midcarpal instability (MCI) who do not respond to conservative treatment. We present our early experience with this procedure. In total, 12 patients (13 wrists) were reviewed with a follow-up duration ranging from 1 to 6 years. Complications and changes in active range of motion (AROM) were noted. Patient related outcome was measured using the Patient Rated Wrist/Hand Evaluation (PRWHE) questionnaire, amongst others. Two patients failed to show a positive response to the surgery. ECRB transfer to the ulnar side of the wrist is a new procedure that offers a potential option for the surgical treatment of MCI in select patients; however, further biomechanical and clinical studies are required. The level of evidence for this study is IV (therapeutic).

Keywords

midcarpal instability - wrist - tendon transfer - treatment
 

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