Denervation of the radiocarpal joint. A follow-up study in 22 patients.
Denervation surgery has been a mainstay of our management of chronic pain in the wrist. If there is useful movement at the wrist we prefer denervation to arthrodesis. We have reviewed 22 patients at a mean of 50 months after such denervation surgery at the wrist. This was the only treatment in 16 patients; the other six also had other treatments. Pain was reduced in 16 patients, and 17 were satisfied or improved. None of the patients wished to have a supplementary arthrodesis. We stress the importance of preoperative blockade tests and of a very detailed knowledge of the local anatomy.
Grechenig
W
W
University Clinic for Traumatology, Graz, Austria.
Mähring
M
M
Clement
H G
HG
D000328:Adult; D000368:Aged; D002348:Carpal Bones / Q000293:injuries / Q000294:innervation; D003714:Denervation; D005260:Female; D005500:Follow-Up Studies; D005542:Forearm / Q000294:innervation; D050723:Fractures, Bone / Q000150:complications; D006225:Hand / Q000294:innervation; D006801:Humans; D008297:Male; D008475:Median Nerve / Q000601:surgery; D008663:Metacarpus / Q000294:innervation; D008875:Middle Aged; D009407:Nerve Block; D009437:Neuralgia / Q000601:surgery*; D010146:Pain / Q000601:surgery; D010347:Patient Care Planning; D017060:Patient Satisfaction; D011826:Radial Nerve / Q000601:surgery; D011884:Radius / Q000033:anatomy & histology / Q000294:innervation*; D011885:Radius Fractures / Q000150:complications; D016896:Treatment Outcome; D014459:Ulnar Nerve / Q000601:surgery; D014955:Wrist Joint / Q000033:anatomy & histology / Q000294:innervation*