Partial denervation of the wrist may provide enough pain relief to delay the need for more extensive salvage surgery in patients with wrist arthritis.
United States researchers at the Mayo Clinic and Mayo Foundation in Rochester, Minnesota, say partial wrist denervation is useful when reconstructive procedures are either not feasible or not desirable.
They reviewed data on 19 Mayo patients who underwent 20 isolated anterior and posterior interosseous neurectomies in a five-year period. Participants had no previous or concurrent wrist surgery.
At a post-operative median of 2.5 years, 80 percent of participants said they had decreased pain. As well, 45 percent reported normal or increased grip strength. Approximately 73 percent of the working patients returned to their jobs.
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