There is no consensus regarding the aetiology or treatment of carpal boss. Recurrences or carpometacarpal instability is reported after simple resection. Carpometacarpal arthrodesis has been proposed as a primary treatment and after failure of simple resection. This paper reports the results at a mean follow-up of 17 (range 13-28) months of treatment by wedge-shaped joint resection, corticocancellous radial bone graft and arthrodesis with a shape memory staple of seven of 32 patients who presented with a painful carpal boss. The study group included five women and two men of mean age at operation 29 (range 18-40) years. Fusion was achieved in all cases and all patients were pain free at follow-up. No complications occurred and all the patients were pleased with the aesthetic aspect of the treatment.
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http://dx.doi.org/10.1177/1753193408087068 | DOI Listing |
Cureus
August 2024
Radiodiagnosis, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
J Clin Ultrasound
October 2024
Radiology Unit, Istituto Diagnostico Varelli, Naples, Italy.
J Surg Case Rep
May 2024
Department of Orthopedic Surgery, Bahrain Defense Force Hospital Military Hospital, Riffa, Southern Governate Road, Wadi Alsail District, Bahrain.
J Plast Reconstr Aesthet Surg
May 2024
Department of Hand and Wrist Surgery, Xpert Clinic, Amsterdam, the Netherlands.
The treatment of carpal boss is primarily conservative. Surgical treatment by performing a wedge excision of the bony protrusion, is possible. However, a common belief exists that carpal boss should not be operated because of the high recurrence rate.
View Article and Find Full Text PDFIndian J Radiol Imaging
January 2024
All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
The "carpal boss" is a variant present in 19% of the population according to cadaveric studies but becomes symptomatic in only 1% of cases. With the rising popularity of "yoga," which includes prolonged hyperextension at the wrist joint with weight bearing, an increasing number of individuals with silent carpal boss present with dorsal wrist pain due to impingement over the dorsal soft tissues by this innocuous bony protuberance. This warrants the attention of radiologists and clinicians while dealing with wrist pain.
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