Abstract
The anatomy of the innervation of the central wrist joints is described, and related, primarily to arthritic and post-traumatic wrist pain. Nerve blocks of the appropriate nerves are described. The technical approaches to partial and total denervation of the central wrist joints are described and illustrated. The results of central wrist denervation are presented.
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References
Buck-Gramcko D. Denervation of the wrist joint. J. Hand Surg Am. 1977;2:54–61.
Wilhelm A. Zur Innervation der Gelenke der oberen Extremität. Z Anat Entwicklgsch. 1958;120:331–71.
Wilhelm A. Die Gelenkdenervation und ihre anatomischen Grundlagen. Ein neues Behandlungsprinzip in der Handchirugie. Hefte Unfallheilkd. 1966;86:1–109.
Wilhelm A. Denervation of the wrist. Tech Hand Up Extrem Surg. 2001;5:14–30.
Dellon AL, Seif S. Anatomic dissections relating the posterior interosseous nerve to the carpus, and the etiology of dorsal wrist ganglion pain. J Hand Surg Am. 1978;3:326–32.
Dellon AL. Partial dorsal wrist denervation; resection of the distal posterior interosseous nerve. J Hand Surg Am. 1985;10A:527–33.
Thompson A, Schafer EA, Thane GD. Quain’s elements of anatomy, vol. I. 9th ed. New York: William Wood & Co; 1882. p. 616–7.
Dellon AL, Mackinnon SE, Daneshvar A. Terminal branch of anterior interosseous nerve as a source of wrist pain. J Hand Surg Br. 1984;9:316–22.
Kupfer DM, Lee GM, Shoemaker W, Dellon AL, McSweeney J. Simplified approach to wrist denervation for triangulofibrocartilage complex disruption. J Reconstr Microsurg. 1999;15:621.. (abstract).
Berger RA. Partial denervation of the wrist: a new approach. Tech Hand Up Extrem Surg. 1998;2:25–35.
Mathe J. Leonardo da Vinci: anatomical drawings. Fribourg: Productions Liber SA; 1978:9, 18, 65.
Rüdinger N. Die Gelenknerven des menschlichen Körpers. Erlangen: Verlag von Ferdinand Enke; 1857.
Gohritz A, Kaiser E, Guggenheim M, Dellon AL. Nikolaus Rüdinger (1832–1896), his description of joint innervation in 1857, and the history of surgical joint denervation. J Reconstr Microsurg. 2017;34:21–8.
Wilgis EF, Maxwell GP. Distal digital nerve grafts: clinical and anatomical studies. J Hand Surg Am. 1979;4:439–43.
Arnez ZM, Lister GD. The posterior interosseous arterial graft. Plast Reconstr Surg. 1994;94:202–6.
Dellon AL, Mackinnon SE. The pronator quadratus muscle flap. J Hand Surg Am. 1984;9:423–7.
Ferreres A, Foucher G, Suso S. Extensive denervation of the wrist. Tech Hand Up Extrem Surg. 2002;6:36–41.
Garnham AG, Ashe M, Gropper P. Chapter 23: wrist pain. In: Brukner & Khan’s clinical sports medicine. 4th ed. Sydney: McGraw-Hill; 2013. p. 413–34.
Grutter PW, Desilva GL, Meehan RE, Desilva SP. The accuracy of distal posterior interosseous and anterior interosseous nerve injection. J Hand Surg Am. 2004;29:865–70.
Dellon AL, Horner G. Partial wrist denervation. In: Levin S, editor. Problems in plastic and reconstruction surgery: the wrist. Philadelphia: Lippincott; 1993. p. 252–66.
Weinstein LP, Berger RA. Analgesic benefit, functional outcome, and patient satisfaction after partial joint denervation. J Hand Surg Am. 2002;27:833–9.
Hofmeister EP, Moran SL, Shin AY. Anterior and posterior interosseous neurectomy for the treatment of chronic dynamic instability of the wrist. Hand (NY). 2006;1:63–70.
Strauch RJ. Denervation of the wrist joint for chronic pain. In: Slutsky DJ, editor. Principles and practice of wrist surgery. Philadelphia: Saunders Elsevier; 2010. p. 624–31.
Storey PA, Lindau T, Jansen V, Woodbridge S, Bainbridge LC, Burke FD. Wrist denervation in isolation: a prospective outcome study with patient selection by wrist blockade. Hand Surg. 2011;16:251–7.
Riches PL, Elherik FK, Breusch SJ. Functional and patient-reported outcome of partial wrist denervation versus the Mannerfelt wrist arthrodesis in the rheumatoid wrist. Arch Orthop Trauma Surg. 2014;134:1037–44.
O’Shaughnessy MA, Wagner ER, Berger RA, Kakar S. Buying time: long-term results of wrist denervation and time to repeat surgery. Hand (NY). 2018;1:1558944718760031. [Epub ahead of print].
Geldmacher J, Legal HR, Brug E. Results of denervation of the wrist and wrist joint by Wilhelm’s method. Hand. 1972;4:57–9.
Helmke B, Geldmacher J, Luther R. Indikation, Technik und Ergebnisse der Handgelenkdevervation nach Wilhelm bei knöchernen Veränderungen im Handwurzelbereich. Orthop Praxis. 1977;13:96–8.
Stegemann B, Brig E, Stedtfeld W. Erfahrngen mit der Handgelenksdervation nach Wilhelp als Auxilärmassnahme in der operativen Therapie der Navikulare-Pseudarthrose und Lunatummalazie. Hefte Unfallheidlkd. 1980;148:756–8.
Rostlund T, Somnier F, Axelsson R. Denervation of the wrist joint – an alternative in conditions of chronic pain. Acta Orthop Scand. 1980;51:609–16.
Martini AK, Frank G, Kuster HH. Clinical experiences with Wilhelm’s method of wrist joint denervation. Z Orthop Grenzgeb. 1983;121:767–9.
Foucher G, Da Silva JB, Ferreres A. Total denervation of the wrist. Apropos of 50 cases. J Rev Chir Orthop Reparatrice Appar Mot. 1992;78:186–90.
Buck-Gramcko D. Wrist denervation procedures in the treatment of Kienböck’s disease. Hand Clin. 1993;9:517–20.
Ishida O, Tsai TM, Atasoy E. Long-term results of denervation of the wrist joint for chronic wrist pain. J Hand Surg Br. 1993;18:76–80.
Ferres A, Suso S, Foucher G, Ordi J, Llusa M, Ruano D. Wrist denervation, surgical considerations. J Hand Surg Br. 1995;20:769–72.
Grechenig W, Mahring M, Clement HG. Denervation of the radiocarpal joint. A follow-up study in 22 patients. J Bone Joint Surg. 1998;80B:504–7.
Foucher G, Long Pretz P, Erhard L. Joint denervation; a simple response to complex problems in the hand. J Chir. 1998;123:183–8.
Rothe M, Rudolf KD, Partecke BD. Long-term results following denervation of the wrist in patients with stages II and III SLAC-/SNAC-wrist [German]. Handchir Mikrochir Plast Chir. 2006;38(4):261–6.
Schweizer A, von Kiinel O, Kammer E, Meuli-Simmen C. Long-term follow-up evaluation of denervation of the wrist. J Hand Surg Am. 2006;31:559–64.
Braga-Silva J, Roman JA, Padoin AV. Wrist denervation for painful conditions of the wrist. J Hand Surg Am. 2011;36:961–6.
Simon E, Zemirline A, Richou J, Hu W, Le Nen D. Complete wrist denervation: a retrospective study of 27 cases with a mean follow-up period of 77 months. Chir Main. 2012;31:306–10.
Delclaux S, Elia F, Bouvet C, Apredoaei C, Rongieres M, Mansat P. Denervation of the wrist with two surgical incisions. Is it effective? A review of 33 patients with an average of 41 months’ follow-up. Hand Surg Rehabil. 2017;36:281–5.
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Dellon, A.L. (2019). Central Wrist Denervation. In: Joint Denervation. Springer, Cham. https://doi.org/10.1007/978-3-030-05538-7_3
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DOI: https://doi.org/10.1007/978-3-030-05538-7_3
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