proximal row carpectomy by peter j. stern, steven s. agabegi, thomas r. kiefhaber, and michael l....
TRANSCRIPT
![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](https://reader036.vdocuments.net/reader036/viewer/2022081519/56649dd25503460f94ac9735/html5/thumbnails/1.jpg)
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](https://reader036.vdocuments.net/reader036/viewer/2022081519/56649dd25503460f94ac9735/html5/thumbnails/2.jpg)
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](https://reader036.vdocuments.net/reader036/viewer/2022081519/56649dd25503460f94ac9735/html5/thumbnails/3.jpg)
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](https://reader036.vdocuments.net/reader036/viewer/2022081519/56649dd25503460f94ac9735/html5/thumbnails/4.jpg)
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](https://reader036.vdocuments.net/reader036/viewer/2022081519/56649dd25503460f94ac9735/html5/thumbnails/5.jpg)
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](https://reader036.vdocuments.net/reader036/viewer/2022081519/56649dd25503460f94ac9735/html5/thumbnails/6.jpg)
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](https://reader036.vdocuments.net/reader036/viewer/2022081519/56649dd25503460f94ac9735/html5/thumbnails/7.jpg)
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](https://reader036.vdocuments.net/reader036/viewer/2022081519/56649dd25503460f94ac9735/html5/thumbnails/8.jpg)
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](https://reader036.vdocuments.net/reader036/viewer/2022081519/56649dd25503460f94ac9735/html5/thumbnails/9.jpg)
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](https://reader036.vdocuments.net/reader036/viewer/2022081519/56649dd25503460f94ac9735/html5/thumbnails/10.jpg)
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](https://reader036.vdocuments.net/reader036/viewer/2022081519/56649dd25503460f94ac9735/html5/thumbnails/11.jpg)
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](https://reader036.vdocuments.net/reader036/viewer/2022081519/56649dd25503460f94ac9735/html5/thumbnails/12.jpg)
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](https://reader036.vdocuments.net/reader036/viewer/2022081519/56649dd25503460f94ac9735/html5/thumbnails/13.jpg)
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](https://reader036.vdocuments.net/reader036/viewer/2022081519/56649dd25503460f94ac9735/html5/thumbnails/14.jpg)
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](https://reader036.vdocuments.net/reader036/viewer/2022081519/56649dd25503460f94ac9735/html5/thumbnails/15.jpg)
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](https://reader036.vdocuments.net/reader036/viewer/2022081519/56649dd25503460f94ac9735/html5/thumbnails/16.jpg)
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](https://reader036.vdocuments.net/reader036/viewer/2022081519/56649dd25503460f94ac9735/html5/thumbnails/17.jpg)
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](https://reader036.vdocuments.net/reader036/viewer/2022081519/56649dd25503460f94ac9735/html5/thumbnails/18.jpg)
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.