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[The carpal bump].

E Lenoble, G Foucher

    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
    PubMed
    Summary
    This summary is machine-generated.

    A carpal boss, a dorsal wrist prominence, can cause cosmetic concerns and pain. Surgical intervention is sometimes necessary, with one technique showing success in preventing recurrence but occasional residual pain during strenuous activity.

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    Area of Science:

    • Orthopedic surgery
    • Hand surgery
    • Radiology

    Context:

    • The carpal boss, a bony prominence on the dorsal wrist, presents cosmetic and functional challenges.
    • Distinguishing carpal boss from a ganglion is crucial for appropriate management.
    • Radiographic evaluation, including specific X-ray views, aids in diagnosis.

    Purpose:

    • To describe the clinical presentation and management of carpal boss.
    • To evaluate the efficacy of surgical intervention for symptomatic carpal boss.
    • To report outcomes and potential complications associated with surgical treatment.

    Summary:

    • A carpal boss is a dorsal wrist prominence, first described by Fiolle, that can be cosmetically disturbing and painful.
    • Radiographic findings, such as a spur or styloid bone on lateral X-ray with supination, are characteristic.

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  • Of 44 patients treated over 7 years, 21 required surgery for pain or complications; the Cuono and Watson technique was effective in preventing recurrence, though some residual pain persisted in 2 cases during strenuous efforts.

    • Impact:

    • Highlights the importance of differentiating carpal boss from ganglions.
    • Provides evidence for surgical management of persistent or complicated carpal boss.
    • Offers insights into the long-term outcomes and potential limitations of surgical correction.