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Related Experiment Videos

The symptomatic carpal boss. Is simple excision enough?

A M Clarke1, D J Wheen, S Visvanathan

  • 1Sydney Hospital Hand Unit, Australia.

Journal of Hand Surgery (Edinburgh, Scotland)
|December 22, 1999
PubMed
Summary

Surgery for symptomatic carpal boss often fails, with many patients remaining symptomatic after excision or arthrodesis. These poor outcomes contrast with prior literature suggesting uniformly good results from carpal boss excision.

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Area of Science:

  • Orthopedic Surgery
  • Hand Surgery

Background:

  • Carpal boss is a bony prominence on the dorsal aspect of the carpometacarpal joint.
  • Symptomatic carpal boss can cause pain and functional limitations.

Purpose of the Study:

  • To evaluate the long-term outcomes of surgical treatment for symptomatic carpal boss.
  • To compare surgical results with previous literature.

Main Methods:

  • Retrospective review of 48 patients with symptomatic carpal boss treated between 1985 and 1994.
  • Analysis of surgical outcomes following local excision or carpometacarpal joint arthrodesis.

Main Results:

  • 31 patients underwent surgical intervention (excision or arthrodesis).
  • Mean follow-up was 3 years.

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  • 24 patients (77%) remained symptomatic, indicating surgical failure.
  • 9 cases required revision surgery.

    • Conclusions:

    • Surgical treatment for symptomatic carpal boss has a high failure rate.
    • Results contrast sharply with previous reports suggesting good outcomes.
    • Further investigation into optimal treatment strategies is warranted.