Sensory nerve supply of the distal radio-ulnar joint with regard to wrist denervation

Hohenberger, Gloria; Maier, Marco Johannes; Dolcet, Claudia; Weiglein, Andreas; Schwarz, Angelika; Matzi, Veronika

doi:10.1177/1753193416677699

Cited by 9 publications

(2 citation statements)

References 19 publications

(21 reference statements)

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“…Consequently, the role of physical therapy to evaluate and treat posture-related extremity pain is critical and physicians that treat pain should not hesitate to refer patients with pain to physical and/or occupational therapy. Additionally, joint denervation is one treatment option in the algorithm for the management of arthritic pain [14][15][16][17][18][19].…”

Section: Pain Definitions and Biologymentioning

confidence: 99%

The Role of the Peripheral Nerve Surgeon in the Treatment of Pain

Poppler

Mackinnon

2019

Neurotherapeutics

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Pain is a frequent cause of physician visits. Many physicians find these patients challenging because they often have complicated histories, emotional comorbidities, confusing examinations, difficult problems to fix, and the possibility of factitious complaints for attention or narcotic pain medications. As a result, many patients are lumped into the category of chronic, centralized pain and relegated to pain management. However, recent literature suggests that surgical management of carefully diagnosed generators of pain can greatly reduce patients' pain and narcotic requirements. This article reviews recent literature on surgical management of pain and four specific sources of chronic pain amenable to surgical treatment: painful neuroma, nerve compression, myofascial/ musculoskeletal pain, and complex regional pain syndrome type II.

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Section: Pain Definitions and Biologymentioning

confidence: 99%

The Role of the Peripheral Nerve Surgeon in the Treatment of Pain

Poppler

Mackinnon

2019

Neurotherapeutics

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“…It is unclear whether this procedure improves outcomes because of denervation of the radiocarpal joint and helps resolve other pathology, or PIN neurectomy denervates the DRUJ. [26][27][28] It is also possible the PIN neurectomy is a surrogate for other technical factors that are unable to be captured in the data available.…”

Section: Discussionmentioning

confidence: 99%

Hemiresection Interposition Arthroplasty of the Distal Radioulnar Joint: A Long-term Outcome Study

Nawijn

Verhiel

Jupiter

et al. 2019

Hand (New York, N,Y.)

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Background: The aim of this study was to assess factors associated with long-term patient-reported functional, pain, and satisfaction scores in patients who underwent (Bowers) hemiresection interposition technique (HIT) arthroplasty of the distal radioulnar joint (DRUJ). The secondary aims were to determine the complication and reoperation rates. Methods: A retrospective study with long-term follow-up of patients undergoing HIT arthroplasty was performed. Demographic, disease, and treatment characteristics were collected for the 66 included patients. Thirty-one patients completed all surveys, which were the Quick Disabilities of Arm, Shoulder and Hand (QuickDASH), our custom-made HIT arthroplasty questionnaire, Numeric Rating Scale (NRS) for pain, and NRS for satisfaction. The mean interval between surgery and follow-up by means of questionnaires was 8.6 ± 3.4 years. Results: The mean QuickDASH score was 31.0 ± 20.2. The mean score of the HIT arthroplasty questionnaire was 2 ± 2. The median NRS for pain was 1 (interquartile range [IQR], 0-3), and the median NRS for satisfaction was 9 (IQR, 8-10). The complication rate and reoperation rate were 14% and 8%, respectively. Conclusion: Overall, patients expressed satisfaction with HIT arthroplasty, despite a mean QuickDASH score of 31.0. In our cohort, patients with inflammatory arthritis had higher satisfaction and lower pain scores. Patients who had prior trauma, prior surgery, or DRUJ subluxation are generally less satisfied. Men, older patients, and posttraumatic patients had higher long-term pain scores; however, posterior interosseous nerve neurectomy is associated with improved pain scores. Our findings support the use of HIT arthroplasty in patients with inflammatory arthritis.

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