Denervation of the Wrist Joint and Its Long Term Effect

Abstract Background The wrist joint is a common site of traumatic, degenerative and inflammatory disease that, when symptoms are severe, can be treated by partial or complete arthrodesis, arthroplasty and/or wrist denervation. Aim of the Work to review systematically studies about total and partial wrist denervation for chronic painful wrist conditions and meta-analyze the long term improvement. Materials and Methods Literature searches was conducted using the following databases: "PubMed, Ovid, Web of Science, Science Direct, Scopus, Cochrane Library, Google Scholar, Medline" using the following key words: wrist joint, total denervation, partial denervation for published studies. Results This study provides long-term data regarding the outcomes of partial and total wrist denervation. We have found that this is a reliable motion preserving procedure for patients with chronic wrist pain. In the series, 85% and 70% of patients did not undergo revision surgery at average follow-up of approximately 54.7 months and 47.5 months in total and partial denervation respectively. Conclusion Denervation is a relatively quick procedure with low complication rates and does not preclude salvage procedures if pain persists. It has been shown that neurectomy of the articular branches is possible without any injury to the important sensory and motor nerves of the hand. Total denervation of the wrist is a useful method for treating wrist pain when other choices compromise functional capacity or a long period of post-operative recovery is not desired.

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Long-Term Results of Denervation of the Wrist Joint for Chronic Wrist Pain

Journal of Hand Surgery (European Volume) ◽

10.1016/0266-7681(93)90202-q ◽

1993 ◽

Vol 18 (1) ◽

pp. 76-80 ◽

Cited By ~ 36

Author(s):

O. ISHIDA ◽

T-M. TSAI ◽

E. ATASOY

Keyword(s):

Wrist Joint ◽

Wrist Pain ◽

Long Term Results ◽

Partial Denervation ◽

Additional Surgery ◽

Wrist Denervation ◽

Chronic Wrist Pain

The results have been evaluated of 29 patients who had wrist denervation for chronic wrist pain between 1979 and 1987. Follow-up ranged from 22 to 86 months (mean 51 months). 17 patients had denervation without a concurrent procedure. Of these, 12% became pain-free and 71% had pain with all activities or had additional surgery; 24% said they were satisfied with their treatment. The results were worse in those who had partial denervation than those who had total denervation. 12 patients had denervation performed concurrently with another pain-relieving procedure. Denervation alone was not reliable in resolving chronic wrist pain.

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Posterior Interosseous Neurectomy Alternative for Treating Chronic Wrist Pain

Journal of Wrist Surgery ◽

10.1055/s-0039-1677740 ◽

2019 ◽

Vol 08 (03) ◽

pp. 198-201 ◽

Cited By ~ 3

Author(s):

Ashraf M. Abdelaziz ◽

Wael Aldahshan ◽

Faisal Ahmed Hashem El-Sherief ◽

Yaser El Sayed Hassan Wahd ◽

Hany Abdel Gawwad Soliman

Keyword(s):

Pain Relief ◽

Range Of Motion ◽

Grip Strength ◽

Wrist Joint ◽

Wrist Pain ◽

Joint Range Of Motion ◽

The Difference ◽

Joint Range ◽

Wrist Denervation ◽

Chronic Wrist Pain

Background Wrist denervation is one of the several available options for treating chronic wrist pain; partial wrist denervation performed through a single dorsal incision by resecting the distal posterior interosseous nerve provides good outcomes. Questions/Purposes This study evaluated the results of posterior interosseous neurectomy (PIN) in patients with chronic wrist pain secondary to scaphoid nonunion advanced collapse (SNAC) and scapholunate advanced collapse (SLAC). Methods In total, 30 wrists obtained from 28 patients (25 males, 3 females) were assessed. The dominant hands of 25 (right-handed) patients, nondominant hands of 5, and both hands of 2 were considered. The average age at the time of surgery was 35 (range: 19–50) years, and the average follow-up duration was 18 (range: 12–30) months. Fifteen and 13 patients had wrists with SNAC and SLAC, respectively, and all of those underwent PIN performed through the dorsal approach. The pre- and postoperative range of motion, grip strength, and pain relief percentage were recorded for all the 30 wrists. Results The average postoperative Disabilities of the Arm, Shoulder and Hand score was 30 (range: 20–80), and the difference between the pre- and postoperative scores was statistically significant. Ninety percent of the patients were satisfied with the results of PIN and reported improvement in grip strength and pain relief. Conclusions Thus, PIN may be an effective surgical technique for wrist reconstruction. Clinical Relevance To help patients challenge pain and maintain their wrist joint range of motion.

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Partial denervation of the locus coeruleus projections by treatment with the selective neurotoxin DSP-4 potentiates the long-term effect of parachloroamphetamine on 5-hydroxytryptamine metabolism in the rat

Neuroscience Letters ◽

10.1016/s0304-3940(02)00089-7 ◽

2002 ◽

Vol 322 (1) ◽

pp. 53-56 ◽

Cited By ~ 3

Author(s):

Marika Eller ◽

Jaanus Harro

Keyword(s):

Locus Coeruleus ◽

Term Effect ◽

Partial Denervation ◽

Long Term Effect

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A long-term effect of distal radius fracture on the sensorimotor control of the wrist joint in older adults

Journal of Hand Therapy ◽

10.1016/j.jht.2020.07.002 ◽

2020 ◽

Author(s):

Marijn Muurling ◽

Freek J.B. Lötters ◽

Jinne E. Geelen ◽

Alfred C. Schouten ◽

Winfred Mugge

Keyword(s):

Older Adults ◽

Distal Radius Fracture ◽

Distal Radius ◽

Wrist Joint ◽

Sensorimotor Control ◽

Term Effect ◽

Radius Fracture ◽

Long Term Effect

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Robotic-assisted compared with conventional total hip arthroplasty: systematic review and meta-analysis

Postgraduate Medical Journal ◽

10.1136/postgradmedj-2017-135352 ◽

2018 ◽

Vol 94 (1112) ◽

pp. 335.1-341 ◽

Cited By ~ 17

Author(s):

Xi Chen ◽

Jianping Xiong ◽

Peipei Wang ◽

Shibai Zhu ◽

Wenting Qi ◽

...

Keyword(s):

Systematic Review ◽

Total Hip Arthroplasty ◽

Hip Arthroplasty ◽

Meta Analysis ◽

Cochrane Library ◽

Complication Rates ◽

Safety And Efficacy ◽

Robotic Assisted ◽

Total Hip

BackgroundRobotic-assisted total hip arthroplasty (THA) allows for accurate preoperative planning and component positioning, potentially enhancing implant survival and long-term outcomes. The relative efficacy and safety of robotic-assisted and conventional THA, however, are unclear. This systematic review and meta-analysis compared the safety and efficacy of robotic-assisted and conventional THA.MethodsMedline, Embase and the Cochrane Library were comprehensively searched in September 2017 to identify studies comparing the safety and efficacy of robotic-assisted and conventional THA. Seven studies were included. Data of interest were extracted and analysed using Review Manager 5.3.ResultsThe seven included studies involved 1516 patients, with 522 undergoing robotic-assisted and 994 undergoing conventional THA. Compared with conventional THA, robotic-assisted THA was associated with longer surgical time (not significant); lower intraoperative complication rates (OR: 0.12, 95% CI: 0.05 to 0.34, p<0.0001 I2); better cup placement, stem placement and global offset and a higher rate of heterotopic ossifications. Functional scores, limb length discrepancy and rates of revision and stress shielding were similar in the two groups. The relative amount of blood loss was unclear.ConclusionThe results of this meta-analysis suggest that robotic-assisted THA has certain advantages over conventional THA, including the results of component positioning and rates of intraoperative complications. Additional comparative studies are required to determine the long-term clinical outcomes of robotic-assisted THA.

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