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Related Experiment Videos

Proximal row carpectomy: an unusual indication

W F Blair, W C Kilpatrick

    Clinical Orthopaedics and Related Research
    |November 1, 1980
    PubMed
    Summary
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    Psoriatic arthritis mutilans can cause severe wrist contractures. Proximal row carpectomy successfully realigned the carpus, leading to spontaneous fusion in a functional position.

    Area of Science:

    • Orthopedic Surgery
    • Rheumatology
    • Hand Surgery

    Background:

    • Psoriatic arthritis mutilans is a severe form of psoriatic arthritis.
    • It can lead to significant joint destruction and functional impairment, particularly in the hands and wrists.
    • Wrist flexion contractures are a debilitating complication.

    Observation:

    • A 60-year-old male patient presented with a severe unilateral wrist flexion contracture.
    • The contracture was directly associated with psoriatic arthritis mutilans.
    • The patient's wrist showed significant deformity and loss of function.

    Findings:

    • Proximal row carpectomy was performed to address the severe wrist deformity.
    • The surgical procedure successfully realigned the carpal bones.

    Related Experiment Videos

  • Spontaneous arthrodesis (fusion) of the carpus occurred postoperatively.
  • The carpal fusion was achieved in a functional position, restoring some wrist stability.

    • Implications:

    • Proximal row carpectomy is a viable surgical option for managing severe wrist contractures in psoriatic arthritis mutilans.
    • This procedure can lead to carpal realignment and functional restoration.
    • Spontaneous arthrodesis in a functional position highlights the potential for favorable outcomes with this surgical intervention.