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Updated: Aug 14, 2025

Metacarpal Small Incision for Carpal Tunnel Syndrome
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Intercarpal arthrodesis: A systematic review.

Lionel Athlani1, M Cholley-Roulleau2, A Blum3

  • 1Department of Hand Surgery, Plastic and Reconstructive Surgery, Centre Chirurgical Emile Gallé, Nancy University Hospital, 49 rue Hermite, 54000 Nancy, France; Université de Lorraine, IADI Laboratory, INSERM, CIC-IT Nancy, Nancy, France.

Hand Surgery & Rehabilitation
|January 15, 2023
PubMed
Summary

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This summary is machine-generated.

Intercarpal arthrodesis effectively treats carpal disorders by stabilizing the wrist, but it results in reduced motion. Precise surgical technique is crucial for optimal outcomes and minimizing complications like nonunion.

Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Wrist Biomechanics

Background:

  • Intercarpal arthrodesis is a surgical procedure used for various carpal disorders including osteoarthritis, instability, and Kienböck's disease.
  • The goal is to create a stable, congruent joint between the radius and proximal carpal row, restoring wrist function, pain relief, and grip strength.

Approach:

  • This systematic review examines different intercarpal arthrodesis procedures described in the literature.
  • It details indications, surgical technique variations, outcomes, and complications for each fusion type.
  • The review also discusses the impact of these procedures on wrist biomechanics.

Key Points:

  • Commonly performed fusions include scaphotrapeziotrapezoid, scaphocapitate, four corners, capitolunate, and capitohamatolunate.
Keywords:
Arthrodèses intracarpiennesArthroseCarpal bonesCarpeCarpusInstabilité intracarpienneIntercarpal arthrodesisIntracarpal instabilityOs du carpeOsteoarthritisPoignetWrist

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  • Less common fusions target specific lesions like scapholunate, scapholunocapitate, lunotriquetral, and triquetrohamate.
  • Successful outcomes depend on precise surgical technique, bone grafting, and reliable fixation, with a potential learning curve.

    • Conclusions:

    • Intercarpal arthrodesis offers predictable and durable results for carpal pathology but invariably leads to a loss of wrist range of motion.
    • Minimizing complications such as nonunion requires meticulous surgical preparation and execution.
    • Understanding the biomechanical consequences is essential for optimizing patient outcomes.