Document Detail

Function of the upper extremities in hereditary multiple exostoses.
MedLine Citation:
PMID:  8609135     Owner:  NLM     Status:  MEDLINE    
The radiographic anatomy, functional status, and impairment ratings of twenty-eight patients (fifty-six extremities) who had hereditary multiple exostoses were evaluated. The patient (or the parent) also subjectively graded the function of each extremity with use of a standard rating-assessment tool. Degenerative joint disease was evident in three (5 per cent) of the fifty-six extremities at the time of follow-up, when the patients were an average of twenty-one years old. With use of the hand test of Jebsen et al., the average score was in the forty-seventh percentile for the dominant extremity and in the twenty-eighth percentile for the non-dominant extremity. Loss of pronation and supination increased with increasing age. Dislocation of the radial head was significantly associated with negative ulnar variance (p=0.008) and with the impairment rating (p=0.001), but not with the subjective score or with the performance on the hand test of Jebsen et al. So-called whole-person impairment ratings ranged from 0 to 17 per cent (average, 5 per cent). It has been our experience that deformities of the upper extremity in patients who have hereditary multiple exostoses are well tolerated and lead to little loss of function as measured both subjectively and objectively.
R P Stanton; M O Hansen
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Journal of bone and joint surgery. American volume     Volume:  78     ISSN:  0021-9355     ISO Abbreviation:  J Bone Joint Surg Am     Publication Date:  1996 Apr 
Date Detail:
Created Date:  1996-05-28     Completed Date:  1996-05-28     Revised Date:  2010-10-25    
Medline Journal Info:
Nlm Unique ID:  0014030     Medline TA:  J Bone Joint Surg Am     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  568-73     Citation Subset:  AIM; IM    
Alfred I. duPont Institute, Wilmington, Delaware 19899, USA.
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MeSH Terms
Age Factors
Arm / physiopathology*,  radiography
Child, Preschool
Dislocations / physiopathology
Exostoses, Multiple Hereditary / pathology,  physiopathology*,  radiography
Follow-Up Studies
Functional Laterality
Hand / physiopathology
Middle Aged
Osteoarthritis / physiopathology
Radius / physiopathology
Self Assessment (Psychology)
Ulna / pathology,  radiography
Wrist Joint / pathology,  physiopathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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