Functional Effects of the Adams Procedure: A Retrospective Intervention Study

Journal of Wrist Surgery
Thomas J M KootstraArnold H Schuurman

Abstract

Background  Injury to the distal radioulnar joint (DRUJ) causes swelling and ulnar-sided wrist pain. The Adams procedure stabilizes the DRUJ and shows promising short-term results. Purpose  We studied the long-term functional outcome in patients who underwent the Adams procedure. We also tested the null hypothesis that there would be no difference in range of motion (ROM) and grip strength between the operated wrist compared to the unaffected side. Patients and Methods  We identified 74 consecutive patients that were operated from March 2005 to February 2014. Twenty-three patients responded to our invitation and underwent clinical follow-up. Three patients had a re-do of the Adams procedure after presenting with postoperative DRUJ instability, one was excluded due to additional wrist surgery not related to the initial procedure. Wrist functionality in the remaining 22 patients was examined by measuring ROM in all planes and grip strength of the operated and non-operated hand. Functional outcome was measured by asking patients to complete the Disabilities of the Arm, Shoulder, and Hand (DASH) outcome measure and the Patient-Rated Wrist and Hand Evaluation (PRWHE). Results  After a mean follow-up time of 5.0 years (standard devia...Continue Reading

Citations

Jul 25, 2020·The Journal of Hand Surgery, European Volume·Lisa M FrantzBernard F Hearon
Oct 22, 2020·Orthopaedics & Traumatology, Surgery & Research : OTSR·Laurent DelbastCédric Lepetit
Feb 3, 2021·Journal of Pediatric Orthopedics. Part B·Amr M Aly, Rashed Emam El-Sadek

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