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Journal of Hand Surgery (British and European Volume)
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Articles

Surgical Treatment for Recurrent Dislocation of the Extensor Carpi Ulnaris Tendon

G. INOUE
Y. TAMURA

From the Department of Orthopaedic Surgery, Toyohashi Municipal Hospital, Toyohashi, Japan

Correspondence: Dr Goro Inoue, Department of Orthopaedic Surgery, Toyohashi Municipal Hospital, 50 Hatikennishi, Aotake, Toyohashi, 441-8570, Japan. E-mail: gi5656{at}aol.com

Twelve patients with recurrent dislocation of the extensor carpi ulnaris tendon were treated with repair or reconstruction of its tendon sheath, and each had a satisfactory result. We found three types of disruption of the fibro-osseous sheath. Type A: the fibro-osseous sheath ruptured ulnarly and the torn sheath lay superficial to the tendon (n = 5). These were treated by reconstruction of the sheath using a piece of the extensor retinaculum. Type B: the fibro-osseous sheath ruptured radially and the torn sheath lay in the ulnar groove beneath the tendon (n = 3). These were treated by direct suture of the sheath over the tendon. Type C: detachment of the periosteum from the ulnar side of the ulna in continuity with the fibro-osseous sheath formed a false pouch into which the tendon easily dislocated (n = 4). These were treated by reattachment of the periosteum.

Journal of Hand Surgery (British and European Volume), Vol. 26, No. 6, 556-559 (2001)
DOI: 10.1054/jhsb.2001.0615
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