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논문 기본 정보

자료유형
학술저널
저자정보
Sung Jin Kang (Department of Orthopaedic Surgery, Center for Hand and Elbow Surgery, Konkuk University School of Medicine, Seoul, Korea) Ji Nam Kim (Department of Orthopaedic Surgery, Center for Hand and Elbow Surgery, Konkuk University School of Medicine, Seoul, Korea) Yun Seop Kim (Department of Orthopaedic Surgery, Center for Hand and Elbow Surgery, Konkuk University School of Medicine, Seoul, Korea) Seoung Joon Lee (Department of Orthopaedic Surgery, Center for Hand and Elbow Surgery, Konkuk University School of Medicine, Seoul, Korea)
저널정보
대한수부외과학회 Archives of Hand and Microsurgery Archives of Hand and Microsurgery 제29권 제2호
발행연도
2024.6
수록면
75 - 81 (7page)
DOI
10.12790/ahm.23.0043

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초록· 키워드

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Purpose: This study aimed to evaluate the association between distal ulnar morphology and symptomatic extensor carpi ulnaris (ECU) subluxation and assess the results of anatomic ECU subsheath reconstruction. Methods: To investigate the effects of distal ulnar morphology on symptomatic ECU subluxation, we compared distal ulnar morphology using magnetic resonance imaging among three groups: group 1 (symptomatic ECU subluxation, 12 cases), group 2 (non-symptomatic ECU subluxation, 24 cases), and group 3 (no ECU subluxation, 24 cases). Distal ulnar morphology was evaluated using ulnar variance, ulnar styloid length, and ECU groove depth. Clinical outcomes were evaluated using the Patient-Related Wrist Evaluation (PRWE) score, the Disabilities of the Arm, Shoulder, Hand (DASH) score, grip strength, and the range of motion of the wrist joint. Results: Ulnar variance showed a statistically significant difference between groups 1 and 2, and ECU groove depth showed statistically significant differences between groups 1 and 2 and between groups 2 and 3. Ulnar styloid length showed no statistically significant between-group differences. In patients with symptomatic ECU subluxation, there was a significant increase in the range of motion in supination and grip strength, and a significant decrease in the DASH score (from 40 to 9) and PRWE score (from 48 to 12). Conclusion: Negative ulnar variance was associated with symptomatic ECU subluxation, and shallow ECU groove depth was correlated to asymptomatic ECU subluxation, but unrelated to symptoms. Anatomic ECU tendon sheath reconstruction was identified as an effective surgical method.

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