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Updated: May 6, 2026

Metacarpal Small Incision for Carpal Tunnel Syndrome
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Decision making for partial carpal fusions.

Gregory Ian Bain1, Duncan Thomas McGuire

  • 1Department of Orthopedics and Trauma, University of Adelaide, Adelaide, South Australia, Australia ; Discipline of Anatomy and Pathology, University of Adelaide, Adelaide, South Australia, Australia ; Department of Orthopedics and Trauma, Modbury Public Hospital, Adelaide, South Australia, Australia ; Department of Orthopedics and Trauma, Royal Adelaide Hospital, Adelaide, South Australia, Australia.

Journal of Wrist Surgery
|November 2, 2013
PubMed
Summary
This summary is machine-generated.

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Interdisciplinary consensus statements on imaging of scaphoid fractures.

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The Distal Radius Ulnar and Volar Cortices Are a Reliable Radiographic Marker of the Normal Wrist Centre of Rotation.

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Dynamic CT features of scapholunate instability during the wrist extension to flexion-An in vivo study.

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Interdisciplinary consensus statements on imaging of DRUJ instability and TFCC injuries.

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Skeletal radiology·2023

Limited wrist fusions effectively relieve pain while preserving wrist motion for localized arthritis. Proper procedure selection based on arthritis cause and joint involvement ensures successful outcomes.

Area of Science:

  • Orthopedic Surgery
  • Hand and Wrist Surgery

Background:

  • Localized arthritis of the carpus often necessitates surgical intervention for pain relief.
  • Preserving wrist motion is a key goal in treating carpal arthritis.

Purpose of the Study:

  • To discuss traumatic and nontraumatic conditions causing wrist arthritis.
  • To outline treatment options, focusing on motion-preserving limited wrist fusions.
  • To detail surgical techniques and decision-making for optimal outcomes.

Main Methods:

  • Review of traumatic and nontraumatic etiologies of wrist arthritis.
  • Discussion of surgical options including three- and four-corner fusions and proximal row carpectomy.
  • Analysis of patient selection criteria based on joint involvement and arthritis cause.
Keywords:
Kienböck diseaseSLAC wristSNAC wristcarpal fusionwrist salvage

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Main Results:

  • Limited wrist fusions are effective for pain relief and motion preservation.
  • Proper adherence to surgical principles leads to good patient outcomes.
  • Specific indications like scapholunate advanced collapse and scaphoid nonunion advanced collapse are addressed.

Conclusions:

  • Careful determination of arthritis etiology and joint involvement is crucial for selecting the appropriate limited wrist fusion.
  • Motion-preserving wrist surgeries, when indicated and performed correctly, yield favorable results.