Management of the spastic wrist: Shortening wrist arthrodesis versus radial extensors tenodesis

Radial wrist extensors as a dynamic stabilizers of scapholunate complex.

UNLABELLED Wrist stabilization is ensured by the complex of stabilizers, both static (intrinsic and extrinsic ligaments) and dynamic ones (flexor and extensor sinews of the wrist). Extrinsic carpal ligaments link both carpal rows with forearm, while the intrinsic ones connect individual carpal bones. From among intrinsic ligaments, the most significant from clinical point of view is scapholunat...

Wedge Arthrodesis of the Wrist

The method of arthrodesis of the wrist here described was originally evolved by Mr E. P. Brockman in a case of severe flexion deformity of the wrist due to a long-standing Volkmann’s ischaemic contracture. Subsequently the method was extended in its application to other cases of flexion deformity of the wrist and later was also used for arthrodesis of the wrist in cases without deformity. Spike...

Functional electrical stimulation reinforced tenodesis effect controlled by myoelectric activity from wrist extensors.

We demonstrated a method for enhancing the tenodesis grip in individuals with sustained tetraplegia at the 6th cervical vertebra neurological level. Subjects used the myoelectric activity from wrist extensor muscles to directly control the electrical stimulation of the extrinsic finger and thumb flexors (flexor pollicis longus and flexor digitorum superficialis/ profondus) with the use of a spe...

A Modified Bone Graft for Arthrodesis Wrist

Electrical stimulation of wrist extensors in poststroke hemiplegia.

BACKGROUND AND PURPOSE It has been suggested that cyclic neuromuscular electrical stimulation (ES) may enhance motor recovery after stroke. We have investigated the effects of ES of the wrist extensors on impairment of wrist function and on upper-limb disability in patients being rehabilitated after acute stroke. METHODS We recruited 60 hemiparetic patients (mean age, 68 years) 2 to 4 weeks a...