The A1 Pulley in Rheumatoid Flexor Tenosynovectomy
- 1 April 1994
- journal article
- research article
- Published by SAGE Publications in Journal of Hand Surgery (European Volume)
- Vol. 19 (2) , 202-204
- https://doi.org/10.1016/0266-7681(94)90166-x
Abstract
We report a detailed comparative evaluation of flexor tenosynovectomy in 55 fingers in which the A1 pulley was divided and 45 fingers in which the A1 pulley was retained. The metacarpophalangeal joint subluxed volarly in 49% when the A1 pulley was divided, compared to 11% when the pulley was preserved. Bowstringing occurred in 7% and only when the A1 pulley was divided. Ulnar deviation was 7° worse when the pulley was divided. Active range of movement was limited in both groups. It was 11° less when the A1 pulley was divided.Keywords
This publication has 5 references indexed in Scilit:
- Flexor tenosynovectomy in the rheumatoid fingerThe Journal of Hand Surgery, 1978
- Flexor Tendon Synovectomy of the Hand in Rheumatoid Arthritis: A Follow-up Study of 201 Operated HandsScandinavian Journal of Rheumatology, 1976
- Distal Profundus Entrapment in Rheumatoid DiseaseThe Hand, 1970
- Experimental STUDY OF OPTIMAL LOCATION OF FLEXOR TENDON PULLEYSPlastic and Reconstructive Surgery, 1969