title: The preliminary results of treatment of symptomatic carpal boss by wedge joint resection, radial bone grafting and arthrodesis with a shape memory staple.
abstract: There is no consensus regarding the aetiology or treatment of carpal boss. Recurrences or carpometacarpal instability is reported after simple resection. Carpometacarpal arthrodesis has been proposed as a primary treatment and after failure of simple resection. This paper reports the results at a mean follow-up of 17 (range 13-28) months of treatment by wedge-shaped joint resection, corticocancellous radial bone graft and arthrodesis with a shape memory staple of seven of 32 patients who presented with a painful carpal boss. The study group included five women and two men of mean age at operation 29 (range 18-40) years. Fusion was achieved in all cases and all patients were pain free at follow-up. No complications occurred and all the patients were pleased with the aesthetic aspect of the treatment.
authors.affiliation: SOS Main Strasbourg Centre, Strasbourg, France. loreapatrick@yahoo.fr
authors.forename: Patrick
authors.initials: P
authors.lastname: Loréa
authors.forename: Serge
authors.initials: S
authors.lastname: Schmitz
authors.forename: Mihai
authors.initials: M
authors.lastname: Aschilian
authors.forename: Aura
authors.initials: A
authors.lastname: Chirila-Dobrea
authors.forename: Adina D
authors.initials: AD
authors.lastname: Petrea
mesh_terms: D001174:Arthrodesis / Q000379:methods*; D016025:Bone Transplantation; D002348:Carpal Bones / Q000601:surgery*; D052737:Carpometacarpal Joints / Q000503:physiopathology / Q000601:surgery*; D004867:Equipment Design; D006801:Humans; D007593:Joint Instability / Q000517:prevention & control; D010003:Osteoarthritis / Q000601:surgery*; D011446:Prospective Studies; D011542:Pseudarthrosis / Q000517:prevention & control; D011884:Radius / Q000637:transplantation*; D013537:Sutures; D016896:Treatment Outcome