Extensor retinaculum excision does not affect wrist tendon forces: a cadaveric simulator study
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Published version
Author(s)
Shah, Darshan
Horwitz, Maxim
Kedgley, Angela
Type
Journal Article
Abstract
The extensor retinaculum is often compromised during trauma or elective wrist surgery and can be used as an autograft in reconstructive procedures of the digits. The aim of this study was to observe alterations in wrist muscle forces following retinaculum resection and surgical repair. A validated physiological wrist simulator was used to replicate cyclic wrist motions in nine cadaveric specimens by applying tensile loads to six wrist tendons. No differences were observed in mean and peak muscle forces following retinaculum resection and reconstruction. Post-surgical force reduction of extensor carpi radialis brevis in extension and ulnar deviation was suggestive of tendon bowstringing. However, bowstringing did not result in clinically relevant alterations to the distribution of muscle forces in the wrist.
Date Issued
2020-11-01
Date Acceptance
2020-05-04
Citation
Journal of Hand Surgery (European Volume), 2020, 45 (9), pp.986-988
ISSN
0266-7681
Publisher
SAGE Publications
Start Page
986
End Page
988
Journal / Book Title
Journal of Hand Surgery (European Volume)
Volume
45
Issue
9
Copyright Statement
© 2020 The Author(s). https://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
License URL
Sponsor
Arthritis Research UK
The Royal Society
Identifier
https://journals.sagepub.com/doi/10.1177/1753193420928781
Grant Number
20680
RG130400
Subjects
Science & Technology
Life Sciences & Biomedicine
Orthopedics
Surgery
1103 Clinical Sciences
Orthopedics
Publication Status
Published
Date Publish Online
2020-06-06