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首页> 外文期刊>The journal of hand surgery. British and European volume: Journal of the British Society for Surgery of the Hand >Functional outcome following extensor synovectomy and excision of the distal ulna in patients with rheumatoid arthritis.
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Functional outcome following extensor synovectomy and excision of the distal ulna in patients with rheumatoid arthritis.

机译：类风湿关节炎患者的伸肌滑膜切除及尺骨远端切除后的功能预后。

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摘要

We prospectively measured hand and wrist function in rheumatoid patients undergoing excision of the distal ulna. Range of motion, visual analogue pain scores and grip strength were measured in 22 wrists, and the Jebsen hand function test was administered to seven patients, preoperatively and at 3 and 12 months. At 1 year there were improvements in forearm pronation (P=0.04), supination (P=0.03) and wrist extension (P=0.02), but a reduction in flexion (P=0.009). Active radial deviation was reduced and ulnar deviation increased. There was a significant improvement in grip strength (P=0.05) and reduction in wrist pain (P=<0.0001). At 1 year the Jebsen hand function test showed improvements in simulated feeding, stacking checkers, and lifting large empty cans. Excision of the distal ulna in rheumatoid patients results in an improvement in some aspects of hand function.
机译：我们前瞻性地测量了尺骨远端切除的类风湿患者的手和腕功能。测量了22个手腕的运动范围，视觉模拟疼痛评分和握力，并在术前以及术后3个月和12个月对7例患者进行了捷成手功能测试。在第1年时，前臂内旋（P = 0.04），旋后（P = 0.03）和腕部伸展（P = 0.02）有改善，但屈曲减少（P = 0.009）。活动的径向偏差减少，尺骨偏差增加。握力（P = 0.05）有明显改善，手腕疼痛减轻（P = <0.0001）。捷成（Jebsen）手功能测试在1年时显示出模拟进给，堆叠检查器和提起大空罐的改进。类风湿患者尺骨远端切除导致手功能某些方面的改善。

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