Abstract
Proximal row carpectomy (PRC) is an established and widely used procedure for treatment of degenerative conditions of the wrist. The procedure involves excision of the scaphoid, lunate, and triquetrum, with formation of a new articulation between the lunate fossa of the distal radius and the proximal aspect of the capitate. Relief of pain and preservation of wrist range of motion and grip strength have been demonstrated. Long-term studies have shown the durability of PRC as a salvage procedure for treatment of advanced Kienböck’s disease. In the presence of full-thickness cartilage defects of the proximal capitate or lunate fossa of the distal radius, an interposition flap from the dorsal capsule has been recommended as an adjunct to PRC to allow for wrist salvage in these complex cases; unfortunately long-term studies have been inconclusive to determine the benefits of capsular interposition in the presence of cartilage wear and arthritis in patients with Kienböck’s disease. Careful patient selection is critical for successful outcomes when choosing PRC. Optimal results are obtained in patients older than 40 years of age who do not engage in heavy manual labor.
| Original language | English (US) |
|---|---|
| Title of host publication | Kienbock's Disease |
| Subtitle of host publication | Advances in Diagnosis and Treatment |
| Publisher | Springer International Publishing |
| Pages | 227-232 |
| Number of pages | 6 |
| ISBN (Electronic) | 9783319342269 |
| ISBN (Print) | 9783319342245 |
| DOIs | |
| State | Published - Jan 1 2016 |
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Keywords
- Avascular necrosis
- Capsular interposition
- Kienböck disease
- Lunate
- Proximal row carpectomy
- Scaphoid
- Surgical technique
- Treatment
- Triquetrum
- Wrist
- Wrist arthritis
ASJC Scopus subject areas
- Medicine(all)
Cite this
Proximal row carpectomy for the treatment of kienböck’s disease. / Chim, Harvey; Moran, Steven Lawrence.
Kienbock's Disease: Advances in Diagnosis and Treatment. Springer International Publishing, 2016. p. 227-232.Research output: Chapter in Book/Report/Conference proceeding › Chapter
}
TY - CHAP
T1 - Proximal row carpectomy for the treatment of kienböck’s disease
AU - Chim, Harvey
AU - Moran, Steven Lawrence
PY - 2016/1/1
Y1 - 2016/1/1
N2 - Proximal row carpectomy (PRC) is an established and widely used procedure for treatment of degenerative conditions of the wrist. The procedure involves excision of the scaphoid, lunate, and triquetrum, with formation of a new articulation between the lunate fossa of the distal radius and the proximal aspect of the capitate. Relief of pain and preservation of wrist range of motion and grip strength have been demonstrated. Long-term studies have shown the durability of PRC as a salvage procedure for treatment of advanced Kienböck’s disease. In the presence of full-thickness cartilage defects of the proximal capitate or lunate fossa of the distal radius, an interposition flap from the dorsal capsule has been recommended as an adjunct to PRC to allow for wrist salvage in these complex cases; unfortunately long-term studies have been inconclusive to determine the benefits of capsular interposition in the presence of cartilage wear and arthritis in patients with Kienböck’s disease. Careful patient selection is critical for successful outcomes when choosing PRC. Optimal results are obtained in patients older than 40 years of age who do not engage in heavy manual labor.
AB - Proximal row carpectomy (PRC) is an established and widely used procedure for treatment of degenerative conditions of the wrist. The procedure involves excision of the scaphoid, lunate, and triquetrum, with formation of a new articulation between the lunate fossa of the distal radius and the proximal aspect of the capitate. Relief of pain and preservation of wrist range of motion and grip strength have been demonstrated. Long-term studies have shown the durability of PRC as a salvage procedure for treatment of advanced Kienböck’s disease. In the presence of full-thickness cartilage defects of the proximal capitate or lunate fossa of the distal radius, an interposition flap from the dorsal capsule has been recommended as an adjunct to PRC to allow for wrist salvage in these complex cases; unfortunately long-term studies have been inconclusive to determine the benefits of capsular interposition in the presence of cartilage wear and arthritis in patients with Kienböck’s disease. Careful patient selection is critical for successful outcomes when choosing PRC. Optimal results are obtained in patients older than 40 years of age who do not engage in heavy manual labor.
KW - Avascular necrosis
KW - Capsular interposition
KW - Kienböck disease
KW - Lunate
KW - Proximal row carpectomy
KW - Scaphoid
KW - Surgical technique
KW - Treatment
KW - Triquetrum
KW - Wrist
KW - Wrist arthritis
UR - http://www.scopus.com/inward/record.url?scp=85018918504&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85018918504&partnerID=8YFLogxK
U2 - 10.1007/978-3-319-34226-9_20
DO - 10.1007/978-3-319-34226-9_20
M3 - Chapter
SN - 9783319342245
SP - 227
EP - 232
BT - Kienbock's Disease
PB - Springer International Publishing
ER -