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J Hand Microsurg
DOI: 10.1055/s-0043-1769748
Review Article

Isolated Osseous Excision in the Adult Carpus: A Narrative Review

Joshua D. Dolan
1   Department of Orthopaedic Surgery, Medical College of Georgia, Augusta, Georgia, United States
,
Luke Shiver
1   Department of Orthopaedic Surgery, Medical College of Georgia, Augusta, Georgia, United States
,
Doyle Wallace 
1   Department of Orthopaedic Surgery, Medical College of Georgia, Augusta, Georgia, United States
,
Jonathon Whitehead
1   Department of Orthopaedic Surgery, Medical College of Georgia, Augusta, Georgia, United States
,
Matthew Wood
1   Department of Orthopaedic Surgery, Medical College of Georgia, Augusta, Georgia, United States
,
S. Mark Fulcher
1   Department of Orthopaedic Surgery, Medical College of Georgia, Augusta, Georgia, United States
› Author Affiliations Funding None.
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Abstract

Various pathologies of the adult carpus result in clinical scenarios where excision can be considered and even recommended. In the appropriate patient population, isolated carpal excision can alleviate pain and improve mobility. Excisions of the pisiform, trapezium, and trapezoid have abundant literature evidence to support positive long-term functional outcomes. In contrast, isolated excision of the capitate, hamate, and triquetrum has limited support in the literature secondary to compromise of carpal mechanics and lead to recurrent pain. Additionally, isolated scaphoid and lunate excision are best avoided secondary to carpal collapse and should be paired with concomitant stabilizing procedures in the carpus. This article provides a comprehensive literature review of isolated excision of each osseous carpal bone, their indications, and previously assessed outcomes.

Keywords

capitate - carpal bone - carpal excision - lunate - scaphoid - trapezium - wrist surgery


Publication History

Article published online:
13 June 2023

© 2023. Society of Indian Hand Surgery & Microsurgeons. All rights reserved.

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