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Radical Wrist Denervation and Preliminary Results

Patil, Vijay DNB (Orthopedics), FRCS (Tr & Orth); Arenas-Prat, Joan MD

Techniques in Hand & Upper Extremity Surgery: September 2016 - Volume 20 - Issue 3 - p 96–98
doi: 10.1097/BTH.0000000000000124

Denervation is a well recognized procedure to treat degenerative or posttraumatic joint conditions, especially in cases where pain is a significant impediment to function even in the presence of stable and supple joint. However, this procedure currently is not as widely used for wrist surgeries as it merits. Denervation procedure obeys all-or-none phenomenon and we believe that even a few residual intact sensory fibers are able to transmit severe pain sensation and therefore every attempt should be made to target all the sensory supply to the wrist joint. In the present article a modified and radical technique using a single dorsal incision is proposed to address the hypothetical pitfalls of leaving undivided sensitive branches. Preliminary results of 21 cases operated on by this method are presented.

*Chelsea and Westminster Hospital, London

Pulvertaft Hand Centre, Royal Derby Hospital, Derby, UK

Conflicts of Interest and Source of Funding: The authors report no conflicts of interest and no source of funding.

Address correspondence and reprint requests to Vijay Patil, DNB (Orthopedics), FRCS (Tr & Orth), 2, Fernshaw Mansions, Fernshaw Road, London SW10 0TD, UK. E-mail:

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