title: [The painful wrist joint: alloplastic joint replacement].
abstract: The analysis of the etiology of the painful wrist demonstrates quite clearly an increasing number of "carpal collapse" as a sequence of trauma (perilunar dislocation), of congenital disorders and rheumatoid arthritis. The deterioration of the wrist joint may start locally but may end up with generalised deforming osteo-arthritis. In addition to traditional salvage operations (partial/total fusion, carpectomy) the total wrist prosthesis by Meuli (ball and socket joint) has its definite place in the treatment of the painful destruction and instability of the wrist.
authors.forename: G
authors.initials: G
authors.lastname: Segmüller
mesh_terms: D002348:Carpal Bones / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery; D006801:Humans; D007595:Joint Prosthesis; D010003:Osteoarthritis / Q000000981:diagnostic imaging / Q000601:surgery*; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology; D014954:Wrist Injuries / Q000000981:diagnostic imaging / Q000601:surgery*
vernacular_title: Das schmerzhafte Handgelenk: Alloplastischer Gelenkersatz.