Functional Outcome by Evaluation of DASH Score on Drop Hand Patient Treated with Jones’ Tendon Transfer: A Retrospective Study

Background: Drop hand, resulting from radial nerve injuries, causes functional and structural disabilities. Tendon transfer becomes the last option when nerve repair fails to achieve restoration. The most popular method is the Jones tendon transfer to restore wrist dorsiflexion and extension of the...

Full description

Saved in:
Bibliographic Details
Main Authors: Tito Sumarwoto, Seti Aji Hadinoto, Adhitya Indra Pradhana
Format: Article
Language:English
Published: Universitas Airlangga 2021-09-01
Series:Journal Orthopaedi and Traumatology Surabaya
Subjects:
Online Access:https://e-journal.unair.ac.id/JOINTS/article/view/25863
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1823856490372399104
author Tito Sumarwoto
Seti Aji Hadinoto
Adhitya Indra Pradhana
author_facet Tito Sumarwoto
Seti Aji Hadinoto
Adhitya Indra Pradhana
author_sort Tito Sumarwoto
collection DOAJ
description Background: Drop hand, resulting from radial nerve injuries, causes functional and structural disabilities. Tendon transfer becomes the last option when nerve repair fails to achieve restoration. The most popular method is the Jones tendon transfer to restore wrist dorsiflexion and extension of the thumb and fingers. The Disabilities of the Arm, Shoulder, and Hand (DASH) score measures functional outcomes in patients with upper extremity injuries. This study aimed to assess the functional outcome and evaluate the DASH score in drop hand patients who underwent Jones tendon transfer surgery at Prof. Dr. R. Soeharso Orthopaedic Hospital Surakarta. Methods: Data collected from medical records between January 2014 and June 2016 were evaluated based on functional outcome and DASH score. Eleven patients were included, comprising ten male patients (90.9%) and one female patient (9.1%). The mean age of the patients was 27.4 years. The right arm was the most frequently injured, accounting for eight patients (72.7%), while the left arm was injured in three patients (27.3%). Results: The DASH score evaluation indicated minimal disability in ten patients (90.9%) and moderate disability in one patient (9.1%). The average score was 12.48, indicating that most patients could cope with most daily living activities postoperatively. Conclusions: Surgical intervention for drop hand due to radial nerve palsy using the Jones tendon transfer technique yielded a satisfactory functional outcome based on the DASH score.
format Article
id doaj-art-44b31d0892fc4299ac05fa9bd6e594f2
institution Kabale University
issn 2722-712X
2460-8742
language English
publishDate 2021-09-01
publisher Universitas Airlangga
record_format Article
series Journal Orthopaedi and Traumatology Surabaya
spelling doaj-art-44b31d0892fc4299ac05fa9bd6e594f22025-02-12T07:28:29ZengUniversitas AirlanggaJournal Orthopaedi and Traumatology Surabaya2722-712X2460-87422021-09-01102394510.20473/joints.v10i2.2021.39-4521167Functional Outcome by Evaluation of DASH Score on Drop Hand Patient Treated with Jones’ Tendon Transfer: A Retrospective StudyTito Sumarwoto0https://orcid.org/0000-0002-1403-6667Seti Aji Hadinoto1https://orcid.org/0000-0001-7045-5041Adhitya Indra Pradhana2https://orcid.org/0000-0001-8685-432XDepartment of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Sebelas Maret - Prof. Dr. R. Soeharso Orthopaedic Hospital - Dr. Moewardi General Hospital, Surakarta, IndonesiaDepartment of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Sebelas Maret - Prof. Dr. R. Soeharso Orthopaedic Hospital - Dr. Moewardi General Hospital, Surakarta, IndonesiaDepartment of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Sebelas Maret - Prof. Dr. R. Soeharso Orthopaedic Hospital - Dr. Moewardi General Hospital, Surakarta, IndonesiaBackground: Drop hand, resulting from radial nerve injuries, causes functional and structural disabilities. Tendon transfer becomes the last option when nerve repair fails to achieve restoration. The most popular method is the Jones tendon transfer to restore wrist dorsiflexion and extension of the thumb and fingers. The Disabilities of the Arm, Shoulder, and Hand (DASH) score measures functional outcomes in patients with upper extremity injuries. This study aimed to assess the functional outcome and evaluate the DASH score in drop hand patients who underwent Jones tendon transfer surgery at Prof. Dr. R. Soeharso Orthopaedic Hospital Surakarta. Methods: Data collected from medical records between January 2014 and June 2016 were evaluated based on functional outcome and DASH score. Eleven patients were included, comprising ten male patients (90.9%) and one female patient (9.1%). The mean age of the patients was 27.4 years. The right arm was the most frequently injured, accounting for eight patients (72.7%), while the left arm was injured in three patients (27.3%). Results: The DASH score evaluation indicated minimal disability in ten patients (90.9%) and moderate disability in one patient (9.1%). The average score was 12.48, indicating that most patients could cope with most daily living activities postoperatively. Conclusions: Surgical intervention for drop hand due to radial nerve palsy using the Jones tendon transfer technique yielded a satisfactory functional outcome based on the DASH score.https://e-journal.unair.ac.id/JOINTS/article/view/25863dash scoredrop handjones’ tendon transferretrospective studytraffic accidents
spellingShingle Tito Sumarwoto
Seti Aji Hadinoto
Adhitya Indra Pradhana
Functional Outcome by Evaluation of DASH Score on Drop Hand Patient Treated with Jones’ Tendon Transfer: A Retrospective Study
Journal Orthopaedi and Traumatology Surabaya
dash score
drop hand
jones’ tendon transfer
retrospective study
traffic accidents
title Functional Outcome by Evaluation of DASH Score on Drop Hand Patient Treated with Jones’ Tendon Transfer: A Retrospective Study
title_full Functional Outcome by Evaluation of DASH Score on Drop Hand Patient Treated with Jones’ Tendon Transfer: A Retrospective Study
title_fullStr Functional Outcome by Evaluation of DASH Score on Drop Hand Patient Treated with Jones’ Tendon Transfer: A Retrospective Study
title_full_unstemmed Functional Outcome by Evaluation of DASH Score on Drop Hand Patient Treated with Jones’ Tendon Transfer: A Retrospective Study
title_short Functional Outcome by Evaluation of DASH Score on Drop Hand Patient Treated with Jones’ Tendon Transfer: A Retrospective Study
title_sort functional outcome by evaluation of dash score on drop hand patient treated with jones tendon transfer a retrospective study
topic dash score
drop hand
jones’ tendon transfer
retrospective study
traffic accidents
url https://e-journal.unair.ac.id/JOINTS/article/view/25863
work_keys_str_mv AT titosumarwoto functionaloutcomebyevaluationofdashscoreondrophandpatienttreatedwithjonestendontransferaretrospectivestudy
AT setiajihadinoto functionaloutcomebyevaluationofdashscoreondrophandpatienttreatedwithjonestendontransferaretrospectivestudy
AT adhityaindrapradhana functionaloutcomebyevaluationofdashscoreondrophandpatienttreatedwithjonestendontransferaretrospectivestudy