Tags

Type your tag names separated by a space and hit enter

Proximal row carpectomy for scapholunate dissociation.
J Hand Surg Eur Vol. 2011 Feb; 36(2):111-5.JH

Abstract

Thirty-one patients underwent proximal row carpectomy for static scapholunate dissociation without degenerative arthritis. We report the radiographic and clinical results including wrist range of motion, grip strength, use of pain medication, pain severity and patient satisfaction. Mean postoperative flexion/extension was 74° (range 5°-150°) compared with 137° (range 70°-175°) for the uninvolved side. Mean grip strength was 22 kg for the involved side and 39 kg for uninvolved side. Fifteen of 31 patients reported moderate or severe pain after proximal row carpectomy, requiring wrist arthrodesis in four patients. Nearly half of patients involved in manual labour did not return to their pre-injury work status. Our findings suggest that proximal row carpectomy, when performed for static scapholunate dissociation, results in a stiffened, weakened wrist. When compared to historic series involving other treatments for scapholunate dissociation, patients are less likely to return to pre-injury occupation and have subjective and objective parameters that are below normally expected values after proximal row carpectomy performed for other conditions.

Authors+Show Affiliations

University of Rochester Medical Center, 601 Elmwood Avenue, Rochester, NY 14642, USA. openelfar@gmail.comNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

20807719

Citation

Elfar, J C., and P J. Stern. "Proximal Row Carpectomy for Scapholunate Dissociation." The Journal of Hand Surgery, European Volume, vol. 36, no. 2, 2011, pp. 111-5.
Elfar JC, Stern PJ. Proximal row carpectomy for scapholunate dissociation. J Hand Surg Eur Vol. 2011;36(2):111-5.
Elfar, J. C., & Stern, P. J. (2011). Proximal row carpectomy for scapholunate dissociation. The Journal of Hand Surgery, European Volume, 36(2), 111-5. https://doi.org/10.1177/1753193410382719
Elfar JC, Stern PJ. Proximal Row Carpectomy for Scapholunate Dissociation. J Hand Surg Eur Vol. 2011;36(2):111-5. PubMed PMID: 20807719.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Proximal row carpectomy for scapholunate dissociation. AU - Elfar,J C, AU - Stern,P J, Y1 - 2010/08/31/ PY - 2010/9/3/entrez PY - 2010/9/3/pubmed PY - 2011/6/17/medline SP - 111 EP - 5 JF - The Journal of hand surgery, European volume JO - J Hand Surg Eur Vol VL - 36 IS - 2 N2 - Thirty-one patients underwent proximal row carpectomy for static scapholunate dissociation without degenerative arthritis. We report the radiographic and clinical results including wrist range of motion, grip strength, use of pain medication, pain severity and patient satisfaction. Mean postoperative flexion/extension was 74° (range 5°-150°) compared with 137° (range 70°-175°) for the uninvolved side. Mean grip strength was 22 kg for the involved side and 39 kg for uninvolved side. Fifteen of 31 patients reported moderate or severe pain after proximal row carpectomy, requiring wrist arthrodesis in four patients. Nearly half of patients involved in manual labour did not return to their pre-injury work status. Our findings suggest that proximal row carpectomy, when performed for static scapholunate dissociation, results in a stiffened, weakened wrist. When compared to historic series involving other treatments for scapholunate dissociation, patients are less likely to return to pre-injury occupation and have subjective and objective parameters that are below normally expected values after proximal row carpectomy performed for other conditions. SN - 2043-6289 UR - https://www.unboundmedicine.com/medline/citation/20807719/Proximal_row_carpectomy_for_scapholunate_dissociation_ L2 - https://journals.sagepub.com/doi/10.1177/1753193410382719?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -