PMID: 16518252Mar 7, 2006Paper

First carpometacarpal joint denervation: anatomy and surgical technique

Techniques in Hand & Upper Extremity Surgery
Patrick Lorea

Abstract

The main goal of first carpometacarpal arthritis surgery is to relieve pain. The main disadvantage of the classic techniques (trapeziectomy, implant arthroplasty) is that they are extensive surgeries with potential complications, such as radial nerve paresthesia and synovitis. In the author's opinion, denervation of the first carpometacarpal joint is a viable option in selected cases. He describes the technique of denervation based on his previous anatomic investigations. Two incisions are needed to sever all the articular branches derived from the superficial branch of the radial nerve, the palmar cutaneous branch of the median nerve, the thenar branch of the median nerve, and the lateral antebrachial cutaneous nerve. Results comparable with trapeziectomy or first carpometacarpal joint fusion are obtained concerning pain. Complications are uncommon, except for temporary paresthesia of the radial nerve sensory branch.

References

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Citations

Mar 7, 2006·Techniques in Hand & Upper Extremity Surgery·Patrick LoreaSimona Marchesi
Mar 8, 2016·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Denis EhrlErwin Falter
Apr 12, 2005·Annales de chirurgie plastique et esthétique·P Loréa, G Foucher
Jul 12, 2018·JBJS Reviews·Michael B GottschalkSanjeev Kakar
Sep 14, 2019·Techniques in Hand & Upper Extremity Surgery·Takehiko Takagi, Arnold-Peter C Weiss
May 26, 2012·Techniques in Hand & Upper Extremity Surgery·Joan M Arenas-Prat
May 10, 2018·Deutsches Ärzteblatt International·Christian Karl SpiesFrank Unglaub
May 8, 2020·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Isabel Teo, Nicholas Riley
Mar 3, 2021·Hand : Official Journal of the American Association for Hand Surgery·Sarah L ZhuMatthew C McRae
Jan 20, 2021·Hand Surgery and Rehabilitation·E RappE J Rapp
May 19, 2021·Operative Orthopädie und Traumatologie·Anton BorgersFrederik Verstreken
Jun 13, 2021·Hand Surgery and Rehabilitation·C FontaineN Sturbois-Nachef
Dec 1, 2021·Plastic and Reconstructive Surgery·Thomas E TiemanJ Michiel Zuidam

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