Scapho-trapezio-trapezoid arthrodesis for treatment of chronic static and dynamic scapho-lunate instability: A 10-year perspective on pitfalls and complications
Goals of reducing wrist pain, allowing a stable active wrist range of motion, and retarding degenerative changes make arthrodesis of the scapho-trapezio-trapezoid joint a popular treatment for chronic static and dynamic scapho-lunate instability; however, pitfalls and complications have not been wel...
Gespeichert in:
| Veröffentlicht in: | The Journal of hand surgery (American ed.) 1990, Vol.15 (3), p.408-414 |
|---|---|
| Hauptverfasser: | , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 414 |
|---|---|
| container_issue | 3 |
| container_start_page | 408 |
| container_title | The Journal of hand surgery (American ed.) |
| container_volume | 15 |
| creator | Kleinman, William B. Carroll, Charles |
| description | Goals of reducing wrist pain, allowing a stable active wrist range of motion, and retarding degenerative changes make arthrodesis of the scapho-trapezio-trapezoid joint a popular treatment for chronic static and dynamic scapho-lunate instability; however, pitfalls and complications have not been well studied. Forty-seven wrists in 46 patients over a 10-year period revealed a complication rate of 52%. Failure to attain perfect scaphoid reduction consistently resulted in persistent incapacitating pain. Radial styloid-scaphoid impingement, observed after “successful” limited wrist fusion, was effectively treated by simple styloidectomy. Carpal osteomyelitis, lunate avascular necrosis, pin-tract infection, progressive medial carpal translation, and intractable pain without arthrosis complete the spectrum of complications managed in this series. Careful preoperative patient screening and attention to detailed recommendations will assist surgeons in avoiding the many potential problems associated with this procedure. |
| doi_str_mv | 10.1016/0363-5023(90)90051-R |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_79791921</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>036350239090051R</els_id><sourcerecordid>79791921</sourcerecordid><originalsourceid>FETCH-LOGICAL-c396t-8cc0716f5afbe81fd2c9d7274d1cd5cb771d5a7b0003489840d246f9e34eda13</originalsourceid><addsrcrecordid>eNp9kc2OFCEUhYnRjO3oG2jCwhhdlEJRQDMLk8nEv2QSk3H2hIJLBlMFJdCTtE_jo0pNt710dQnnuydwDkIvKXlPCRUfCBOs46RnbxV5pwjhtLt5hDaUM9oJLobHaHNCnqJnpfwkpO0xfobOejZsCZcb9OeHNctd6mo2C_wO_w4pOGxyvcvJQQkF-5RxzWDqDLHi5LFtUgwWl2pqGyY67PbRzOvVwXHaRVMBh9iQMUyh7i_wJaak24PJeIFcFrA13ANOES-hejNN5cHIpnmZgm3GKZbn6ElTCrw4znN0-_nT7dXX7vr7l29Xl9edZUrUbmstkVR4bvwIW-pdb5WTvRwctY7bUUrquJFji6B9XW0H4vpBeAVsAGcoO0dvDrZLTr92UKqeQ7EwTSZC2hUtlVRU9Ss4HECbUykZvF5ymE3ea0r02oteQ9dr6FoR_dCLvmlrr47-u3EGd1o6FtH010fdtPwmn020oZwwoQahetawjwcMWhT3AbIuNkC04EJuaWqXwv_f8RcQBa13</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>79791921</pqid></control><display><type>article</type><title>Scapho-trapezio-trapezoid arthrodesis for treatment of chronic static and dynamic scapho-lunate instability: A 10-year perspective on pitfalls and complications</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Kleinman, William B. ; Carroll, Charles</creator><creatorcontrib>Kleinman, William B. ; Carroll, Charles</creatorcontrib><description>Goals of reducing wrist pain, allowing a stable active wrist range of motion, and retarding degenerative changes make arthrodesis of the scapho-trapezio-trapezoid joint a popular treatment for chronic static and dynamic scapho-lunate instability; however, pitfalls and complications have not been well studied. Forty-seven wrists in 46 patients over a 10-year period revealed a complication rate of 52%. Failure to attain perfect scaphoid reduction consistently resulted in persistent incapacitating pain. Radial styloid-scaphoid impingement, observed after “successful” limited wrist fusion, was effectively treated by simple styloidectomy. Carpal osteomyelitis, lunate avascular necrosis, pin-tract infection, progressive medial carpal translation, and intractable pain without arthrosis complete the spectrum of complications managed in this series. Careful preoperative patient screening and attention to detailed recommendations will assist surgeons in avoiding the many potential problems associated with this procedure.</description><identifier>ISSN: 0363-5023</identifier><identifier>EISSN: 1531-6564</identifier><identifier>DOI: 10.1016/0363-5023(90)90051-R</identifier><identifier>PMID: 2348057</identifier><identifier>CODEN: JHSUDV</identifier><language>eng</language><publisher>New york, NY: Elsevier Inc</publisher><subject>Arthrodesis - adverse effects ; Arthrodesis - instrumentation ; Biological and medical sciences ; Bone Nails - adverse effects ; Bone Wires ; Follow-Up Studies ; Humans ; Infection - etiology ; Joint Instability - surgery ; Lunate Bone - surgery ; Medical sciences ; Orthopedic surgery ; Retrospective Studies ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Wrist Joint - surgery</subject><ispartof>The Journal of hand surgery (American ed.), 1990, Vol.15 (3), p.408-414</ispartof><rights>1990</rights><rights>1990 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c396t-8cc0716f5afbe81fd2c9d7274d1cd5cb771d5a7b0003489840d246f9e34eda13</citedby><cites>FETCH-LOGICAL-c396t-8cc0716f5afbe81fd2c9d7274d1cd5cb771d5a7b0003489840d246f9e34eda13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/0363-5023(90)90051-R$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,4010,27904,27905,27906,45976</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=6946923$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/2348057$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kleinman, William B.</creatorcontrib><creatorcontrib>Carroll, Charles</creatorcontrib><title>Scapho-trapezio-trapezoid arthrodesis for treatment of chronic static and dynamic scapho-lunate instability: A 10-year perspective on pitfalls and complications</title><title>The Journal of hand surgery (American ed.)</title><addtitle>J Hand Surg Am</addtitle><description>Goals of reducing wrist pain, allowing a stable active wrist range of motion, and retarding degenerative changes make arthrodesis of the scapho-trapezio-trapezoid joint a popular treatment for chronic static and dynamic scapho-lunate instability; however, pitfalls and complications have not been well studied. Forty-seven wrists in 46 patients over a 10-year period revealed a complication rate of 52%. Failure to attain perfect scaphoid reduction consistently resulted in persistent incapacitating pain. Radial styloid-scaphoid impingement, observed after “successful” limited wrist fusion, was effectively treated by simple styloidectomy. Carpal osteomyelitis, lunate avascular necrosis, pin-tract infection, progressive medial carpal translation, and intractable pain without arthrosis complete the spectrum of complications managed in this series. Careful preoperative patient screening and attention to detailed recommendations will assist surgeons in avoiding the many potential problems associated with this procedure.</description><subject>Arthrodesis - adverse effects</subject><subject>Arthrodesis - instrumentation</subject><subject>Biological and medical sciences</subject><subject>Bone Nails - adverse effects</subject><subject>Bone Wires</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Infection - etiology</subject><subject>Joint Instability - surgery</subject><subject>Lunate Bone - surgery</subject><subject>Medical sciences</subject><subject>Orthopedic surgery</subject><subject>Retrospective Studies</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Wrist Joint - surgery</subject><issn>0363-5023</issn><issn>1531-6564</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1990</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc2OFCEUhYnRjO3oG2jCwhhdlEJRQDMLk8nEv2QSk3H2hIJLBlMFJdCTtE_jo0pNt710dQnnuydwDkIvKXlPCRUfCBOs46RnbxV5pwjhtLt5hDaUM9oJLobHaHNCnqJnpfwkpO0xfobOejZsCZcb9OeHNctd6mo2C_wO_w4pOGxyvcvJQQkF-5RxzWDqDLHi5LFtUgwWl2pqGyY67PbRzOvVwXHaRVMBh9iQMUyh7i_wJaak24PJeIFcFrA13ANOES-hejNN5cHIpnmZgm3GKZbn6ElTCrw4znN0-_nT7dXX7vr7l29Xl9edZUrUbmstkVR4bvwIW-pdb5WTvRwctY7bUUrquJFji6B9XW0H4vpBeAVsAGcoO0dvDrZLTr92UKqeQ7EwTSZC2hUtlVRU9Ss4HECbUykZvF5ymE3ea0r02oteQ9dr6FoR_dCLvmlrr47-u3EGd1o6FtH010fdtPwmn020oZwwoQahetawjwcMWhT3AbIuNkC04EJuaWqXwv_f8RcQBa13</recordid><startdate>1990</startdate><enddate>1990</enddate><creator>Kleinman, William B.</creator><creator>Carroll, Charles</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>1990</creationdate><title>Scapho-trapezio-trapezoid arthrodesis for treatment of chronic static and dynamic scapho-lunate instability: A 10-year perspective on pitfalls and complications</title><author>Kleinman, William B. ; Carroll, Charles</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c396t-8cc0716f5afbe81fd2c9d7274d1cd5cb771d5a7b0003489840d246f9e34eda13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1990</creationdate><topic>Arthrodesis - adverse effects</topic><topic>Arthrodesis - instrumentation</topic><topic>Biological and medical sciences</topic><topic>Bone Nails - adverse effects</topic><topic>Bone Wires</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Infection - etiology</topic><topic>Joint Instability - surgery</topic><topic>Lunate Bone - surgery</topic><topic>Medical sciences</topic><topic>Orthopedic surgery</topic><topic>Retrospective Studies</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Wrist Joint - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kleinman, William B.</creatorcontrib><creatorcontrib>Carroll, Charles</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of hand surgery (American ed.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kleinman, William B.</au><au>Carroll, Charles</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Scapho-trapezio-trapezoid arthrodesis for treatment of chronic static and dynamic scapho-lunate instability: A 10-year perspective on pitfalls and complications</atitle><jtitle>The Journal of hand surgery (American ed.)</jtitle><addtitle>J Hand Surg Am</addtitle><date>1990</date><risdate>1990</risdate><volume>15</volume><issue>3</issue><spage>408</spage><epage>414</epage><pages>408-414</pages><issn>0363-5023</issn><eissn>1531-6564</eissn><coden>JHSUDV</coden><abstract>Goals of reducing wrist pain, allowing a stable active wrist range of motion, and retarding degenerative changes make arthrodesis of the scapho-trapezio-trapezoid joint a popular treatment for chronic static and dynamic scapho-lunate instability; however, pitfalls and complications have not been well studied. Forty-seven wrists in 46 patients over a 10-year period revealed a complication rate of 52%. Failure to attain perfect scaphoid reduction consistently resulted in persistent incapacitating pain. Radial styloid-scaphoid impingement, observed after “successful” limited wrist fusion, was effectively treated by simple styloidectomy. Carpal osteomyelitis, lunate avascular necrosis, pin-tract infection, progressive medial carpal translation, and intractable pain without arthrosis complete the spectrum of complications managed in this series. Careful preoperative patient screening and attention to detailed recommendations will assist surgeons in avoiding the many potential problems associated with this procedure.</abstract><cop>New york, NY</cop><pub>Elsevier Inc</pub><pmid>2348057</pmid><doi>10.1016/0363-5023(90)90051-R</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0363-5023 |
| ispartof | The Journal of hand surgery (American ed.), 1990, Vol.15 (3), p.408-414 |
| issn | 0363-5023 1531-6564 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_79791921 |
| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Arthrodesis - adverse effects Arthrodesis - instrumentation Biological and medical sciences Bone Nails - adverse effects Bone Wires Follow-Up Studies Humans Infection - etiology Joint Instability - surgery Lunate Bone - surgery Medical sciences Orthopedic surgery Retrospective Studies Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Wrist Joint - surgery |
| title | Scapho-trapezio-trapezoid arthrodesis for treatment of chronic static and dynamic scapho-lunate instability: A 10-year perspective on pitfalls and complications |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-19T01%3A23%3A38IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Scapho-trapezio-trapezoid%20arthrodesis%20for%20treatment%20of%20chronic%20static%20and%20dynamic%20scapho-lunate%20instability:%20A%2010-year%20perspective%20on%20pitfalls%20and%20complications&rft.jtitle=The%20Journal%20of%20hand%20surgery%20(American%20ed.)&rft.au=Kleinman,%20William%20B.&rft.date=1990&rft.volume=15&rft.issue=3&rft.spage=408&rft.epage=414&rft.pages=408-414&rft.issn=0363-5023&rft.eissn=1531-6564&rft.coden=JHSUDV&rft_id=info:doi/10.1016/0363-5023(90)90051-R&rft_dat=%3Cproquest_cross%3E79791921%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=79791921&rft_id=info:pmid/2348057&rft_els_id=036350239090051R&rfr_iscdi=true |