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Partial Wrist Denervation: The Evidence Behind a Small Fix for Big Problems.

Michael T Milone1, Christopher S Klifto2, Louis W Catalano1

  • 1Department of Orthopedics, NYU Langone Orthopedic Hospital, New York, NY.

The Journal of Hand Surgery
|March 6, 2018
PubMed
Summary

Wrist denervation offers a promising solution for symptomatic wrist pain, providing short-term relief without significant complications. This procedure may allow patients to avoid extensive surgery and lengthy recovery times.

Keywords:
Anterior interosseous nervearthritisdenervationnerveposterior interosseous nerve

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Area of Science:

  • Orthopedic Surgery
  • Pain Management

Background:

  • Symptomatic wrist pain often necessitates surgical intervention.
  • Traditional procedures may involve significant morbidity and complications.
  • Wrist denervation presents an alternative approach to pain management.

Purpose of the Study:

  • To evaluate the efficacy and safety of wrist denervation for symptomatic wrist pain.
  • To assess the impact of wrist denervation on patient satisfaction and functional recovery.
  • To explore the potential of wrist denervation as a less invasive alternative to extensive wrist surgeries.

Main Methods:

  • Review of existing literature and common surgical techniques for wrist denervation.
  • Focus on partial denervation involving neurectomies of anterior and posterior interosseous nerves.
  • Analysis of available data regarding short-term patient outcomes and satisfaction.

Main Results:

  • Partial wrist denervation is a commonly performed procedure in the United States.
  • Most patients report satisfaction with short-term pain relief.
  • No evidence suggests alteration of wrist proprioception.
  • The procedure shows promise for pain palliation without prolonged immobilization.

Conclusions:

  • Wrist denervation is a viable option for managing symptomatic wrist pain.
  • It offers potential benefits of reduced morbidity and faster recovery.
  • Further research is required to determine long-term efficacy and impact on underlying pathology.