proximal row carpectomy by peter j. stern, steven s. agabegi, thomas r. kiefhaber, and michael l....

Proximal Row Carpectomy

by Peter J. Stern, Steven S. Agabegi, Thomas R. Kiefhaber, and Michael L. DiDonna

J Bone Joint Surg AmVolume 87(1 suppl 2):166-174

September 1, 2005

©2005 by The Journal of Bone and Joint Surgery, Inc.

The incision.

Peter J. Stern et al. J Bone Joint Surg Am 2005;87:166-174

©2005 by The Journal of Bone and Joint Surgery, Inc.

Transposition of the extensor pollicis longus (EPL).

Peter J. Stern et al. J Bone Joint Surg Am 2005;87:166-174

©2005 by The Journal of Bone and Joint Surgery, Inc.

Exposed carpal bones.

Peter J. Stern et al. J Bone Joint Surg Am 2005;87:166-174

©2005 by The Journal of Bone and Joint Surgery, Inc.

Excision of the scaphoid.

Peter J. Stern et al. J Bone Joint Surg Am 2005;87:166-174

©2005 by The Journal of Bone and Joint Surgery, Inc.

After the proximal carpal bones have been removed, the capitate articulates with the lunate fossa of the distal part of the radius.

Peter J. Stern et al. J Bone Joint Surg Am 2005;87:166-174

©2005 by The Journal of Bone and Joint Surgery, Inc.

Peter J. Stern et al. J Bone Joint Surg Am 2005;87:166-174

©2005 by The Journal of Bone and Joint Surgery, Inc.

Peter J. Stern et al. J Bone Joint Surg Am 2005;87:166-174

©2005 by The Journal of Bone and Joint Surgery, Inc.

Peter J. Stern et al. J Bone Joint Surg Am 2005;87:166-174

©2005 by The Journal of Bone and Joint Surgery, Inc.

Peter J. Stern et al. J Bone Joint Surg Am 2005;87:166-174

©2005 by The Journal of Bone and Joint Surgery, Inc.

Intraoperative photograph showing an eburnated proximal pole of the scaphoid (arrow).

Peter J. Stern et al. J Bone Joint Surg Am 2005;87:166-174

©2005 by The Journal of Bone and Joint Surgery, Inc.

Peter J. Stern et al. J Bone Joint Surg Am 2005;87:166-174

©2005 by The Journal of Bone and Joint Surgery, Inc.

Peter J. Stern et al. J Bone Joint Surg Am 2005;87:166-174

©2005 by The Journal of Bone and Joint Surgery, Inc.

Peter J. Stern et al. J Bone Joint Surg Am 2005;87:166-174

©2005 by The Journal of Bone and Joint Surgery, Inc.

Peter J. Stern et al. J Bone Joint Surg Am 2005;87:166-174

©2005 by The Journal of Bone and Joint Surgery, Inc.

Peter J. Stern et al. J Bone Joint Surg Am 2005;87:166-174

©2005 by The Journal of Bone and Joint Surgery, Inc.

Peter J. Stern et al. J Bone Joint Surg Am 2005;87:166-174

©2005 by The Journal of Bone and Joint Surgery, Inc.

Capitolunate joint-space narrowing and sclerosis (arrows) are a contraindication to proximal row carpectomy.

Peter J. Stern et al. J Bone Joint Surg Am 2005;87:166-174

©2005 by The Journal of Bone and Joint Surgery, Inc.