Denervation of the wrist joint.
A collective review was made of the results of denervation of the wrist joint for painful restrictiorn of motion done in 313 patients and follow-up studies on 195 (average 4.1 years, ranging from 9 months to 14 years). Complete denervation was done in only 30, partial denervation in the others being done after testing with local anesthetic blocks. Sixty-nine of the patients retained a moble wrist without pain or with slight pain with heavy work. No evidence of Charcot-like joints was seen. Poorest results followed when the operation was done for sequelae of intra-articular fracture of the radius, fracture dislocations, unstable ligamentous support, joint surface destruction, or for those required to do heavy manual labor. Arthrodesis was done secondarily in nine patients.
D001174:Arthrodesis; D003714:Denervation / Q000379:methods; D005500:Follow-Up Studies; D050723:Fractures, Bone; D006801:Humans; D010003:Osteoarthritis / Q000601:surgery; D011859:Radiography; D014954:Wrist Injuries / Q000601:surgery; D014955:Wrist Joint / Q000000981:diagnostic imaging / Q000294:innervation / Q000601:surgery*