Elsevier

Hand Clinics

Volume 21, Issue 4, November 2005, Pages 519-526
Hand Clinics

Arthroscopic Techniques for Wrist Arthritis (Radial Styloidectomy and Proximal Pole Hamate Excisions)

https://doi.org/10.1016/j.hcl.2005.08.008Get rights and content

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Radial styloidectomy

Radial styloidectomy has been a standard orthopedic treatment since 1948 [1]. and recently has garnered further indications as an adjunct to other procedures around the wrist. Traditionally this procedure is performed by way of a small open incision directly over the radial styloid. Radial styloidectomy performed arthroscopically affords the benefit of visualizing exactly how much of the styloid is removed while preserving under direct vision the volar ligaments essential to the radial

Proximal pole hamate excision

Proximal pole hamate arthritis is a cause of ulnar-sided wrist pain. It is seen commonly in patients who participate in sports with ulnar-deviation loading forces, such as golf. Short of a partial wrist fusion, there is currently no adequate open procedure to treat this common problem that is often painful. Proximal pole hamate arthritis is an excellent indication for arthroscopic debridement.

Summary

Over the last 2 decades, arthroscopy has assumed a greater role in the treatment of disorders of the wrist. The arthroscopic treatment of radioscaphoid arthritis and ulnar hamate impaction provides the benefits of being minimally invasive, with less morbidity, earlier motion, less recovery time, early return to work, and greater patient acceptance. Both procedures are performed easily using standard arthroscopic techniques without any significant learning curve. Long-term studies need to be

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