THE SYMPTOMATIC CARPAL BOSS: Is simple excision enough?

We reviewed 48 patients with symptomatic carpal boss seen during the 10 year period 1985–1994. Thirty-one patients had undergone either local excision of the boss or arthrodesis of the affected carpometacarpal joint. The mean follow-up was 3 years and nine cases have been revised. Twenty-four patien...

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Bibliographic Details
Published inJournal of hand surgery, British volume Vol. 24; no. 5; pp. 591 - 595
Main Authors CLARKE, A.M, WHEEN, D.J, VISVANATHAN, S, HERBERT, T.J, CONOLLY, W.B
Format Journal Article
LanguageEnglish
Published London, England Elsevier Ltd 01.10.1999
SAGE Publications
Subjects
Adult
Arthrodesis - methods
Carpal Bones - abnormalities
Carpal Bones - diagnostic imaging
Carpal Bones - surgery
Female
Humans
Male
Metacarpophalangeal Joint - abnormalities
Metacarpophalangeal Joint - diagnostic imaging
Metacarpophalangeal Joint - surgery
Middle Aged
Prognosis
Radiography
Range of Motion, Articular
Retrospective Studies
Treatment Outcome
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Summary:We reviewed 48 patients with symptomatic carpal boss seen during the 10 year period 1985–1994. Thirty-one patients had undergone either local excision of the boss or arthrodesis of the affected carpometacarpal joint. The mean follow-up was 3 years and nine cases have been revised. Twenty-four patients remained symptomatic and considered that surgery had failed to relieve their symptoms. These findings are in sharp contrast to previous reports that suggest simple excision of the carpal boss gives uniformly good results.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:0266-7681
1532-2211
DOI:10.1054/jhsb.1999.0238