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Journal of Hand Surgery (British and European Volume)
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Articles

The Ulno-Carpal Abutment Syndrome

Follow-up of the Wafer Procedure

A. H. SCHUURMAN
K. E. BOS

From the Department of Plastic, Reconstructive and Hand Surgery, Academic Medical Centre, University of Amsterdam, The Netherlands

Correspondence: Arnold Herman Schuurman, University Hospital Utrecht. Department of Plastic, Reconstructive and Hand Surgery, PO Box 85500, 3508 GA Utrecht, The Netherlands.

Seven wrists in six patients with ulno-carpal abutment syndrome were treated by a subchondral distal ulna resection (wafer procedure). The average follow-up was 36 months. Wrist function was evaluated using a clinical scoring chart. The parameters were pain, range of motion, grip strength and activities. One patient had a poor result, one a fair result and the remaining had good to excellent results. In all cases grip strength showed dramatic improvement. Complications were limited to palpable subcutaneous nylon sutures requiring removal in three patients and extensor carpi ulnaris tendinitis in one.

Journal of Hand Surgery (British and European Volume), Vol. 20, No. 2, 171-177 (1995)
DOI: 10.1016/S0266-7681(05)80045-2
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