Extensor carpi radialis longus to extensor carpi ulnaris tendon transfer for rheumatoid arthritis of the wrist

Abstract

Deformity of the wrist in patients with RA is the result of synovitis and soft tissue destruction leading to instability and altered joint biomechanics. Operative treatment is reserved for patients who have persistent pain, loss of function, or progressive deformity despite conservative treatment. In patients with supple wrist deformity and minimal radiographic changes, the ECRL to ECU tendon transfer may be effective in restoring more normal joint mechanics and preventing progression of the deformity. © 2005 Elsevier Inc. All rights reserved.