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Denervation of the radiocarpal joint

A FOLLOW-UP STUDY IN 22 PATIENTS

¹ University Clinic for Traumatology, Auenbruggerplatz 7a, A-8036 Graz, Austria.
² Department of Traumatology, Hospital Bruck, A-8600 Bruck a.d. Mur, Austria.

Correspondence should be sent to Dr W. Grechenig.

Denervation surgery has been a mainstay of our management of chronic pain in the wrist. If there is useful movement at the wrist we prefer denervation to arthrodesis.

We have reviewed 22 patients at a mean of 50 months after such denervation surgery at the wrist. This was the only treatment in 16 patients; the other six also had other treatments. Pain was reduced in 16 patients, and 17 were satisfied or improved. None of the patients wished to have a supplementary arthrodesis.

We stress the importance of preoperative blockade tests and of a very detailed knowledge of the local anatomy.