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Scaphoid Nonunion Advanced Collapse: Denervation

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Scaphoid Fractures and Nonunions
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Abstract

A 50-year-old right-hand dominant architect complained about increasing pain in his left wrist over the past couple of years. At first, the pain manifested only during dumbbell workouts, especially when the wrist was loaded in dorsiflexion. The patient described a condition of moderate rest pain (VAS 2-3). Under minor load sudden severe pain (VAS 8-9) appeared. His functional impairment consisted of a decrease in grip and pinch strength and a progressive limitation of range of motion in his left wrist. The current symptoms did not appear to be related to trauma, but the patient reported a sports accident 20 years before with wrist pain for several weeks at that time. No care was provided at that time.

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References

  1. Shah CM, Stern PJ. Scapholunate advanced collapse (SLAC) and scaphoid nonunion advanced collapse (SNAC) wrist arthritis. Curr Rev Musculoskelet Med. 2013;6(1):9–17. doi: 10.1007/s12178-012-9149-4.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Wilhelm A. Die Gelenkdenervation und ihre anatomischen Grundlagen. Hefte Unfallheilkunde. 1966;86:1–109.

    CAS  Google Scholar 

  3. Haugen IK, Englund M, Aliabadi P, Niu J, Clancy M, Kvien TK, Felson DT. Prevalence, incidence and progression of hand osteoarthritis in the general population: the Framingham osteoarthritis study. Ann Rheum Dis. 2011;70(9):1581–6. doi: 10.1136/ard.2011.150078.

    Article  PubMed  Google Scholar 

  4. Schweizer A, von Känel O, Kammer E, Meuli-Simmen C. Long-term follow-up evaluation of denervation of the wrist. J Hand Surg Am. 2006;31(4):559–64.

    Article  PubMed  Google Scholar 

  5. Rothe M, Rudolf KD, Partecke BD. [Long-term results following denervation of the wrist in patients with stages II and III SLAC-/SNAC-wrist].[Article in German] Handchir Mikrochir Plast Chir. 2006;38(4):261–6.

    Article  CAS  PubMed  Google Scholar 

  6. Wyrick JD, Stern PJ, Kiefhaber TR. Motion-preserving procedures in the treatment of scapholunate advanced collapse wrist: proximal row carpectomy versus four-corner arthrodesis. Hand Surg Am. 1995;20(6):965–70.

    Article  CAS  Google Scholar 

  7. Dacho A, Grundel J, Harth A, Germann G, Sauerbier M. [Functional outcome after midcarpal arthrodesis in the treatment of advanced carpal collapse (SNAC-/SLAC-wrist)]. Handchir Mikrochir Plast Chir. 2005;37(2):119–25.

    Article  CAS  PubMed  Google Scholar 

  8. Baumeister S, Germann G, Dragu A, Tränkle M, Sauerbier M. [Functional results after proximal row carpectomy (PRC) in patients with SNAC-/SLAC-wrist stage II]. [Article in German] Handchir Mikrochir Plast Chir. 2005;37(2):106–12.

    Article  CAS  PubMed  Google Scholar 

  9. Jebson PJ, Hayes EP, Engber WD. Proximal row carpectomy: a minimum 10-year follow-up study. J Hand Surg Am. 2003;28(4):561–9.

    Article  PubMed  Google Scholar 

  10. Ekerot L, Holmberg J, Eiken O. Denervation of the wrist. Scand J Plast Reconstr Surg. 1983;17(2):155–7.

    Article  CAS  PubMed  Google Scholar 

  11. Geldmacher J, Legal HR, Brug E. Results of denervation of the wrist and wrist joint by Wilhelm’s method. Hand. 1972;4(1):57–9.

    Article  CAS  PubMed  Google Scholar 

  12. Buck-Gramcko D. Denervation of the wrist joint. J Hand Surg Am. 1977;2(1):54–61.

    Article  CAS  PubMed  Google Scholar 

  13. Radu CA, Schachner M, Tränkle M, Germann G, Sauerbier M. [Functional results after wrist denervation]. [Article in German] Handchir Mikrochir Plast Chir. 2010;42(5):279–86. doi: 10.1055/s-0030-1249060.

    Article  CAS  PubMed  Google Scholar 

  14. Ishida O, Tsai TM, Atasoy E. Long-term results of denervation of the wrist joint for chronic wrist pain. J Hand Surg Br. 1993;18(1):76–80.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to M. Haerle MD .

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Haerle, M., Del Gaudio, T. (2015). Scaphoid Nonunion Advanced Collapse: Denervation. In: Yao, J. (eds) Scaphoid Fractures and Nonunions. Springer, Cham. https://doi.org/10.1007/978-3-319-18977-2_22

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  • DOI: https://doi.org/10.1007/978-3-319-18977-2_22

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  • Online ISBN: 978-3-319-18977-2

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