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The role of arthrodesis of the wrist in spastic disorders.
J Hand Surg Eur Vol. 2015 Jun; 40(5):512-7.JH

Abstract

We investigated the functional and radiographic outcome of wrist arthrodesis in 11 adults with spastic wrist deformities, carried out by one surgeon between 2003 and 2012. The underlying cause of spasticity was a cerebrovascular insult in five, traumatic brain injury in four, and cerebral palsy in two patients. A dorsal plate and local bone graft was used in all patients. The mean radiographic flexion deformity significantly improved from 67° pre-operatively to 4° of dorsal angulation post-operatively. Thumb-in-palm deformity was more pronounced in three patients after the operation. The functional House score improved in all patients an average of two levels (range 1-3).

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Authors+Show Affiliations

Neuhaus V
Orthopaedic Hand Service, Massachusetts General Hospital, Boston, USA.
Kadzielski JJ
Orthopaedic Hand Service, Massachusetts General Hospital, Boston, USA.
Mudgal CS
Orthopaedic Hand Service, Massachusetts General Hospital, Boston, USA cmudgal@partners.org.

MeSH

AdultAgedArthrodesisBrain InjuriesCerebral PalsyHumansHypoxia, BrainJoint Deformities, AcquiredMiddle AgedMuscle SpasticityRetrospective StudiesSplintsWrist Joint

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

24692187

Citation

Neuhaus, V, et al. "The Role of Arthrodesis of the Wrist in Spastic Disorders." The Journal of Hand Surgery, European Volume, vol. 40, no. 5, 2015, pp. 512-7.
Neuhaus V, Kadzielski JJ, Mudgal CS. The role of arthrodesis of the wrist in spastic disorders. J Hand Surg Eur Vol. 2015;40(5):512-7.
Neuhaus, V., Kadzielski, J. J., & Mudgal, C. S. (2015). The role of arthrodesis of the wrist in spastic disorders. The Journal of Hand Surgery, European Volume, 40(5), 512-7. https://doi.org/10.1177/1753193414530193
Neuhaus V, Kadzielski JJ, Mudgal CS. The Role of Arthrodesis of the Wrist in Spastic Disorders. J Hand Surg Eur Vol. 2015;40(5):512-7. PubMed PMID: 24692187.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The role of arthrodesis of the wrist in spastic disorders. AU - Neuhaus,V, AU - Kadzielski,J J, AU - Mudgal,C S, Y1 - 2014/04/01/ PY - 2013/10/14/received PY - 2014/02/27/accepted PY - 2014/4/3/entrez PY - 2014/4/3/pubmed PY - 2016/4/1/medline KW - Arthrodesis KW - outcome KW - spastic deformities KW - wrist SP - 512 EP - 7 JF - The Journal of hand surgery, European volume JO - J Hand Surg Eur Vol VL - 40 IS - 5 N2 - We investigated the functional and radiographic outcome of wrist arthrodesis in 11 adults with spastic wrist deformities, carried out by one surgeon between 2003 and 2012. The underlying cause of spasticity was a cerebrovascular insult in five, traumatic brain injury in four, and cerebral palsy in two patients. A dorsal plate and local bone graft was used in all patients. The mean radiographic flexion deformity significantly improved from 67° pre-operatively to 4° of dorsal angulation post-operatively. Thumb-in-palm deformity was more pronounced in three patients after the operation. The functional House score improved in all patients an average of two levels (range 1-3). SN - 2043-6289 UR - https://www.unboundmedicine.com/medline/citation/24692187/The_role_of_arthrodesis_of_the_wrist_in_spastic_disorders_ L2 - https://journals.sagepub.com/doi/10.1177/1753193414530193?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -