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

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Proximal Row Carpectomy by Peter J. Stern, Steven S. Agabegi, Thomas R. Kiefhaber, and Michael L. DiDonna J Bone Joint Surg Am Volume 87(1 suppl 2):166-174 September 1, 2005 ©2005 by The Journal of Bone and Joint Surgery, Inc.

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Page 1: Proximal Row Carpectomy by Peter J. Stern, Steven S. Agabegi, Thomas R. Kiefhaber, and Michael L. DiDonna J Bone Joint Surg Am Volume 87(1 suppl 2):166-174

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.

Page 2: Proximal Row Carpectomy by Peter J. Stern, Steven S. Agabegi, Thomas R. Kiefhaber, and Michael L. DiDonna J Bone Joint Surg Am Volume 87(1 suppl 2):166-174

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.

Page 3: Proximal Row Carpectomy by Peter J. Stern, Steven S. Agabegi, Thomas R. Kiefhaber, and Michael L. DiDonna J Bone Joint Surg Am Volume 87(1 suppl 2):166-174

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.

Page 4: Proximal Row Carpectomy by Peter J. Stern, Steven S. Agabegi, Thomas R. Kiefhaber, and Michael L. DiDonna J Bone Joint Surg Am Volume 87(1 suppl 2):166-174

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.

Page 5: Proximal Row Carpectomy by Peter J. Stern, Steven S. Agabegi, Thomas R. Kiefhaber, and Michael L. DiDonna J Bone Joint Surg Am Volume 87(1 suppl 2):166-174

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.

Page 6: Proximal Row Carpectomy by Peter J. Stern, Steven S. Agabegi, Thomas R. Kiefhaber, and Michael L. DiDonna J Bone Joint Surg Am Volume 87(1 suppl 2):166-174

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.

Page 7: Proximal Row Carpectomy by Peter J. Stern, Steven S. Agabegi, Thomas R. Kiefhaber, and Michael L. DiDonna J Bone Joint Surg Am Volume 87(1 suppl 2):166-174

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

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

Page 8: Proximal Row Carpectomy by Peter J. Stern, Steven S. Agabegi, Thomas R. Kiefhaber, and Michael L. DiDonna J Bone Joint Surg Am Volume 87(1 suppl 2):166-174

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

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

Page 9: Proximal Row Carpectomy by Peter J. Stern, Steven S. Agabegi, Thomas R. Kiefhaber, and Michael L. DiDonna J Bone Joint Surg Am Volume 87(1 suppl 2):166-174

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

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

Page 10: Proximal Row Carpectomy by Peter J. Stern, Steven S. Agabegi, Thomas R. Kiefhaber, and Michael L. DiDonna J Bone Joint Surg Am Volume 87(1 suppl 2):166-174

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

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

Page 11: Proximal Row Carpectomy by Peter J. Stern, Steven S. Agabegi, Thomas R. Kiefhaber, and Michael L. DiDonna J Bone Joint Surg Am Volume 87(1 suppl 2):166-174

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.

Page 12: Proximal Row Carpectomy by Peter J. Stern, Steven S. Agabegi, Thomas R. Kiefhaber, and Michael L. DiDonna J Bone Joint Surg Am Volume 87(1 suppl 2):166-174

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

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

Page 13: Proximal Row Carpectomy by Peter J. Stern, Steven S. Agabegi, Thomas R. Kiefhaber, and Michael L. DiDonna J Bone Joint Surg Am Volume 87(1 suppl 2):166-174

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

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

Page 14: Proximal Row Carpectomy by Peter J. Stern, Steven S. Agabegi, Thomas R. Kiefhaber, and Michael L. DiDonna J Bone Joint Surg Am Volume 87(1 suppl 2):166-174

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

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

Page 15: Proximal Row Carpectomy by Peter J. Stern, Steven S. Agabegi, Thomas R. Kiefhaber, and Michael L. DiDonna J Bone Joint Surg Am Volume 87(1 suppl 2):166-174

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

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

Page 16: Proximal Row Carpectomy by Peter J. Stern, Steven S. Agabegi, Thomas R. Kiefhaber, and Michael L. DiDonna J Bone Joint Surg Am Volume 87(1 suppl 2):166-174

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

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

Page 17: Proximal Row Carpectomy by Peter J. Stern, Steven S. Agabegi, Thomas R. Kiefhaber, and Michael L. DiDonna J Bone Joint Surg Am Volume 87(1 suppl 2):166-174

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

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

Page 18: Proximal Row Carpectomy by Peter J. Stern, Steven S. Agabegi, Thomas R. Kiefhaber, and Michael L. DiDonna J Bone Joint Surg Am Volume 87(1 suppl 2):166-174

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.