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[Denervation of the wrist].
1SOS Main Strasbourg.
Annales De Chirurgie De La Main Et Du Membre Superieur : Organe Officiel Des Societes De Chirurgie De La Main = Annals of Hand and Upper Limb Surgery
|January 1, 1992
Summary
Total wrist denervation surgery improved pain in 72% of patients with wrist arthritis, primarily caused by scaphoid pseudarthrosis or Kienböck disease. However, strength and range of motion showed no significant improvement after five years.
Area of Science:
- Orthopedic Surgery
- Wrist Arthritis Management
Context:
- Wrist arthritis significantly impacts quality of life.
- Common causes include scaphoid pseudarthrosis and Kienböck disease.
Purpose:
- To evaluate the efficacy of total wrist denervation for pain relief in patients with wrist arthritis.
- To assess the impact on strength and range of motion.
Summary:
- Fifty patients underwent total wrist denervation for arthritis, predominantly from scaphoid pseudarthrosis (44%) or Kienböck disease (22%).
- Post-operative follow-up at 5 years revealed 72% of patients experienced pain improvement (average 72/100 points).
- No significant improvements were observed in wrist strength or range of motion. Four complications occurred: one painful neuroma and three instances of radial nerve paresthesia.
Impact:
- Total wrist denervation offers significant pain relief for select wrist arthritis patients.
- The procedure does not enhance wrist function (strength, range of motion).
- Potential complications include neuroma formation and nerve paresthesia, requiring careful patient selection and counseling.