(8) In most repairs, the MCP joint is held in 15[degrees] of flexion and slight ulnar deviation
of Patients Loss of dorsiflexion 5 0 (0%) Loss of ulnar deviation
3 0 (0%) Loss of supination 2 0 (0%) Loss of palmar flexion 1 0 (0%) Loss of radial deviation 1 4 (20%) Loss of circumduction 1 0 (0%) Pain in DRUJ 1 3 (15%) Result Score No.
The position of the fused wrist was targeted at 10-20 degrees of extension and 5-10 degrees of ulnar deviation
, which are thought to be preferable for patient satisfaction and the prevention of further ulnar deviation
of the phalanges [9-11].
Researchers saw one mild and three moderate implant-related adverse events during the study, including one in a patient who experienced ulnar deviation
and needed a new joint replacement, one in a patient who dislocated the implant of the little finger a few weeks after insertion, and one in a patient who experienced sepsis in the joints 6 years after insertion and needed replacements for two implants.
Provocative testing with a pronated forearm and a flexed and ulnar-deviated wrist may exacerbate symptoms, (12,42) and Finkelstein's maneuver (isolated ulnar deviation
at the wrist to elicit pain over the first dorsal wrist compartment) and Phalen's test may elicit false-positive results.
The ROM was recorded for forearm supination/ pronation, wrist flexion/ extension and radial/ ulnar deviation
of the wrist by goniometer and was compared with contralateral side.
He had a long history of tobacco farming, which consists of repetitive ulnar deviation
, long days of physical work, and heavy lifting.
Angular kinematics of the wrist in the planes of flexion and extension and radial and ulnar deviation
were computed with Nexus version 1.8.5 (Vicon) and BodyBuilder version 3.6.1 (Vicon) using the XZY Euler angles sequence.
Most common deformities are buttonhole deformity, swan neck deformity, and ulnar deviation
of the metacarpophalangeal joints.
The range of wrist motion (volar flexion, dorsal flexion, radial deviation, ulnar deviation
, supination and pronation) was measured with a goniometer and grip strength was assessed with a hand dynamometer (Vigorimeter, Martin, Tuttlingen, Germany).
She had a genu valgus deformity of the knees and ulnar deviation
of the wrist joints (Figs 1A and 1B).
Passive ROM of the wrist (flexion, extension, radial and ulnar deviation
) and active forearm pronation and supination were evaluated using a double-armed goniometer.