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.

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Journal of Hand Surgery
Department of Plastic and Reconstructive Surgery

Krijgh, D., Harley, O. J., Hovius, S., Coert, H., & Walbeehm, E. (2014). Surgical Technique: Hemi-Extensor Carpi Radialis Brevis Tenodesis for Stabilizing the Midcarpal Joint in Ehlers-Danlos Syndrome. Journal of Hand Surgery. doi:10.1016/j.jhsa.2014.07.031