Nerve-sparing dorsal and volar approaches to the radiocarpal joint.
Surgical approaches to the wrist joint have traditionally been focused on providing wide exposure to allow adequate access to the carpus. In light of recent investigations on the innervation and proprioception of the wrist joint, one should also take into consideration not to denervate the wrist capsule and ligaments. In this manuscript, we propose 2 surgical approaches to the dorsal and volar radiocarpal joint, intended to minimize damage to the innervation of the capsule while providing ample access to the wrist.
Hagert
Elisabet
E
Department of Molecular Medicine and Surgery, Section of Orthopaedics, Karolinska Institutet, 11542 Stockholm, Sweden. elisabet.hagert@ki.se
Ferreres
Angel
A
Garcia-Elias
Marc
M
D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D017746:Joint Capsule / Q000294:innervation* / Q000601:surgery; D008023:Ligaments, Articular / Q000294:innervation / Q000601:surgery; D008297:Male; D019637:Orthopedic Procedures / Q000379:methods*; D053401:Palmar Plate / Q000294:innervation / Q000601:surgery; D011183:Postoperative Complications / Q000517:prevention & control; D011434:Proprioception / Q000502:physiology; D016059:Range of Motion, Articular / Q000502:physiology; D016683:Supine Position; D016896:Treatment Outcome; D014955:Wrist Joint / Q000294:innervation* / Q000601:surgery*