J.M Skillman, MA, BM, BCh, MRCS, H.J.C.R Belcher, MS, FRCS(Plast)

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Presentation transcript:

The fate of the distal extensor retinaculum in dorsal wrist procedures for rheumatoid arthritis J.M Skillman, MA, BM, BCh, MRCS, H.J.C.R Belcher, MS, FRCS(Plast) British Journal of Plastic Surgery Volume 56, Issue 1, Pages 70-71 (January 2003) DOI: 10.1016/S0007-1226(03)00019-5

Figure 1 Example of bowstringing after wrist surgery in a patient with rheumatoid arthritis. British Journal of Plastic Surgery 2003 56, 70-71DOI: (10.1016/S0007-1226(03)00019-5)

Figure 2 (A) Dorsal incision on the right wrist, with the distal part of the extensor retinaculum marked. (B) Proximal retinaculum reflected and a synovectomy performed. (C) Proximal retinaculum replaced deep to the finger extensors after excision of the ulnar head. (D) Postoperative view showing no bowstringing and good cosmesis. British Journal of Plastic Surgery 2003 56, 70-71DOI: (10.1016/S0007-1226(03)00019-5)

Figure 3 Right wrist after resection of Lister's tubercle, extensor indicis transfer to extensor pollicis longus and replacement of retinaculum beneath all tendons, showing preservation of normal tendon lines of pull. British Journal of Plastic Surgery 2003 56, 70-71DOI: (10.1016/S0007-1226(03)00019-5)