Selective Denervation of the Carpus to Manage Arthritis Involvement of a Wrist


Authors: J. Pilný 1,2;  J. Štědrý 2;  A. Švarc 2;  E. Ehler 1,3;  I. Čižmář 4;  I. Holubová 1;  M. Macková 1
Authors‘ workplace: Fakulta medicínských studií, Univerzita Pardubice 1;  Ortopedické oddělení, Pardubická krajská nemocnice, a. s. 2;  Neurologická klinika Pardubické krajské nemocnice, a. s. 3;  Traumatologické oddělení, FN Olomouc 4
Published in: Cesk Slov Neurol N 2014; 77/110(3): 359-361
Category: Short Communication

Overview

Introduction:
Arthritis of the wrist is a frequent consequence of inadequately treated wrist injuries. A range of methods has been published for pain reduction but these frequently limit, or completely eliminate, movement. Selective denervation of the wrist is method that can be used to reduce wrist pain.

Patients and methods:
The authors present a set of 31 wrists selectively denervatied by resection of nervus interosseus anterior and posterior. The file was preoperatively evaluated by Distability of the Arm, Shoulder and Hand (DASH) score and the same group of patients was evaluated two years after the surgery. Patient satisfaction was evaluated on a scale of 1–5.

Results:
Preoperative mean on the DASH score was 43.52 points and postoperative 24 points. Therefore, patients improved by a mean of 19.52 points. On the 1–5 scale, nine (29%) patients reported 1 (very satisfied), 12 (39%) reported 2 (satisfied), six (19%) reported 3 (neither satisfied nor dissatisfied), four (13%) marked 4 (unhappy) and none used 5 (very dissatisfied).

Discussion:
Selective denervation of the wrist is a method that can reduce pain with no effect on motion in a large proportion of patients. Its advantages include its technical simplicity and an opportunity to still use other treatments if selective denervation of the wrist does not improve the condition.

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manu­script met the ICMJE “uniform requirements” for biomedical papers.


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Labels
Paediatric neurology Neurosurgery Neurology

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Czech and Slovak Neurology and Neurosurgery

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2014 Issue 3

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