Skip to main content

Radial Styloidectomy

  • Chapter

Conclusion

Arthroscopic radial styloidectomy is a useful treatment for symptomatic arthritis localized to the distal radioscaphoid articulation, either as an isolated technique or as an adjunct to another carpal procedure. The procedure is minimally invasive with the potential for temporary pain relief and improved hand function. The details of the technique are important to review in order to avoid injury to cutaneous nerves, the dorsal branch of the radial artery, and the palmar radiocarpal ligaments. The bony resection should be limited to 3 mm to 4 mm, preserving the origins of the radioscaphocapitate and long radiolunate ligaments.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   129.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD   169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Barnard L, Stubbins SG. Styloidectomy of the radius in the surgical treatment of non-union of the carpal navicular: a preliminary report. J Bone Joint Surg 1948;30A:98–102.

    Google Scholar 

  2. Smith L, Friedman B. Treatment of ununited fracture of the carpal navicular by styloidectomy of the radius. J Bone Joint Surg 1956;38A:368–376.

    Google Scholar 

  3. Sprague B, Justis EJ. Nonunion of the carpal navicular: modes of treatment. Arch Surg 1974;108:692–697.

    PubMed  CAS  Google Scholar 

  4. Herness D, Posner MA. Some aspects of bone grafting for non-union of the carpal navicular: analysis of 41 cases. Acta Orthop Scand 1977;48:373–378.

    PubMed  CAS  Google Scholar 

  5. Stark HH, Rickard TA, Zemel NP, et al. Treatment of ununited fractures of the scaphoid by iliac bone grafts and Kirschnerwire fixation. J Bone Joint Surg 1988;70A:982–991.

    Google Scholar 

  6. Osterman AL, Mikulics M. Scaphoid nonunion. Hand Clin 1988;14:437–455.

    Google Scholar 

  7. Ruch DS, Chang DS, Poehling GG. The arthroscopic treatment of avascular necrosis of the proximal pole following scaphoid nonunion: case report. Arthroscopy 1998;14:747–752.

    PubMed  CAS  Google Scholar 

  8. Watson HK, Ballet FL. The SLAC wrist: scapholunate advanced collapse pattern of degenerative arthritis. J Hand Surg 1984;9A: 358–365.

    Google Scholar 

  9. Watson HK, Ryu J, DiBella A. An approach to Kienbock's disease: triscaphe arthrodesis. J Hand Surg 1985;10A:179–187.

    Google Scholar 

  10. Rogers WD, Watson HK. Radial styloid impingement after triscaphe arthrodesis. J Hand Surg 1989;14A:297–301.

    Google Scholar 

  11. Minamikawa Y, Peimer CA, Yamaguchi T, et al. Ideal scaphoid angle for intercarpal arthrodesis. J Hand Surg 1992;17A:370–375.

    Google Scholar 

  12. Atik TL, Baratz M. The role of arthroscopy in wrist arthritis. Hand Clin 1999;15:489–494.

    PubMed  CAS  Google Scholar 

  13. Cooney WP, DeBartolo T, Wood MB. Post-traumatic arthritis of the wrist. In: Cooney WP, Linscheid RL, Dobyns JH. (eds). The Wrist: Diagnosis and Operative Treatment. St. Louis: Mosby, 1998, pp. 588–629.

    Google Scholar 

  14. Osterman AL. Wrist arthroscopy. In: Green DP, Hotchkiss RN, Pederson WC, (eds.) Green's Operative Hand Surgery. 4th ed. New York: Churchill Livingstone, 1999, pp. 207–222.

    Google Scholar 

  15. Savoie FH III, Field LD. Diagnostic and operative arthroscopy. In: Gelberman RH, (ed). The Wrist, 2nd ed. Philadelphia: Lippincott Williams & Wilkins, 2002, pp. 21–35.

    Google Scholar 

  16. Berger RA. The ligaments of the wrist: a current overview of anatomy with considerations of their potential functions. Hand Clin 1997;13:63–82.

    PubMed  CAS  Google Scholar 

  17. Blevens AD, Light TR, Jablonsky WS, et al. Radiocarpal articular contact characteristics with scaphoid instability. J Hand Surg 1989;14A:781–790.

    Google Scholar 

  18. Siegel DB, Gelberman, RH. Radial styloidectomy: an anatomical study with special reference to radiocarpal intracapsular ligamentous morphology. J Hand Surg 1991;16A:40–44.

    Google Scholar 

  19. Nakamura T, Cooney WP III, Lui WH, et al. Radial styloidectomy: a biomechanical study on stability of the wrist joint. J Hand Surg 2001;26A:85–93.

    Google Scholar 

  20. Nagle DJ. Laser-assisted wrist arthroscopy. Hand Clin 1999;15:495–499.

    PubMed  CAS  Google Scholar 

  21. Cooney WP, Linscheid RL, Dobyns, JH. Triangular fibrocartilage tears. J Hand Surg 1994;19A:143–154.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2005 Springer Science+Business Media, Inc.

About this chapter

Cite this chapter

Kalainov, D.M., Cohen, M.S., Sweet, S. (2005). Radial Styloidectomy. In: Geissler, W.B. (eds) Wrist Arthroscopy. Springer, New York, NY. https://doi.org/10.1007/0-387-27087-6_17

Download citation

  • DOI: https://doi.org/10.1007/0-387-27087-6_17

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-20897-8

  • Online ISBN: 978-0-387-27087-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics