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Updated: Mar 25, 2026

Metacarpal Small Incision for Carpal Tunnel Syndrome
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[Proximal carpal row carpectomy].

C K Spies1, B Hohendorff2, L P Müller3

  • 1Abteilung für Handchirurgie, Vulpius Klinik, Vulpiusstraße 29, 74906, Bad Rappenau, Deutschland. christianspies27@gmail.com.

Operative Orthopadie Und Traumatologie
|February 26, 2016
PubMed
Summary
This summary is machine-generated.

Proximal row carpectomy (PRC) effectively treats wrist conditions by removing carpal bones. This procedure preserves function and grip strength with minimal complications, even with post-operative arthritis.

Keywords:
ArthroplastyOsteoarthritisResectionUpper extremityWrist

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Area of Science:

  • Orthopedic Surgery
  • Hand and Wrist Surgery
  • Musculoskeletal System

Background:

  • Proximal row carpectomy (PRC) is a surgical procedure addressing pathologies of the proximal carpal row or radiocarpal joint.
  • It involves the articulation of the capitate and lunate facet, aiming to alleviate pain and restore function.

Purpose of the Study:

  • To evaluate the efficacy and outcomes of proximal row carpectomy (PRC) in treating specific wrist pathologies.
  • To assess the procedure's impact on range of motion, grip strength, and overall upper extremity function.

Main Methods:

  • The surgical technique involves a dorsal approach, resection of the proximal carpal row (lunate, scaphoid, triquetrum), and controlled articulation of the remaining carpal bones.
  • Postoperative management includes immobilization for two weeks followed by suture removal.

Main Results:

  • Proximal row carpectomy (PRC) demonstrates a low complication rate.
  • The procedure successfully preserves satisfactory range of motion and grip strength, maintaining upper extremity function.
  • Postoperative osteoarthritis in the capitate and lunate facet did not negatively impact clinical outcomes.

Conclusions:

  • Proximal row carpectomy (PRC) is a safe and effective surgical option for specific wrist conditions.
  • It offers good functional recovery, preserving essential hand and wrist capabilities.
  • The procedure's success is not diminished by the development of secondary osteoarthritis.