Patients with the hypermobility type of Ehlers-Danlos (EDS-HT) often complain of wrist pain, usually originating from subluxations. As a result of the laxity, wrist function in these patients can be highly limited. This paper presents a surgical technique that stabilizes the lunocapitate joint with the use of an extensor carpi radialis brevis strip. Five patients with confirmed EDS-HT were treated with an extensor carpi radialis brevis tenodesis for their midcarpal instability. Two patients presented with complications following surgery, one major and one minor. This paper presents a potentially satisfactory surgical solution to recurrent midcarpal instability in EDS-HT patients and demonstrates that the use of an autologous tendon might be feasible in spite of a background of abnormal collagen metabolism.

Ehlers-Danlos syndrome, extensor carpi radialis brevis, midcarpal instability, surgery, tenodesis
dx.doi.org/10.1016/j.jhsa.2014.07.031, hdl.handle.net/1765/82171
Journal of Hand Surgery
Department of Plastic and Reconstructive Surgery

Krijgh, D.D, Harley, O.J, Hovius, S.E.R, Coert, J.H, & Walbeehm, E.T. (2014). Surgical technique: Hemi-extensor carpi radialis brevis tenodesis for stabilizing the midcarpal joint in Ehlers-Danlos syndrome. Journal of Hand Surgery, 39(10), 2071–2074. doi:10.1016/j.jhsa.2014.07.031