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An alternative treatment for patients with ulnar-sided wristpain is a total replacement of the distal radial-ulnar joint. There are many surgical treatments of the condition, but most of these only improve the alignment and function of the radiocarpal joint. A persistent problem in these treatments has been the stiff DRUJ.
The pisiform bone is a small bone found in the proximal row of the wrist . It is situated where the ulna joins the wrist, within the tendon of the flexor carpi ulnaris muscle. [1]: 199, 205 It only has one side that acts as a joint, articulating with the triquetral bone. It is on a plane anterior to the other carpal bones and is spheroidal in form.
In this stage there are two surgical treatment options; total wrist arthroplasty and total wrist arthrodesis. Total wrist arthrodesis is the standard surgical treatment for patients with stage IV wrist osteoarthritis. During this procedure the carpal bones are all fused together and are then fastened to the distal radius. [14]
Carpometacarpal bossing (or metacarpal/carpal bossing) is a small, immovable mass of bone on the back of the wrist. The mass occurs in one of the joints between the carpus and metacarpus of the hand , called the carpometacarpal joints , where a small immovable protuberance [ 1 ] occurs when this joint becomes swollen or bossed.
[3] [1] [2] This joint is formed by the trapezium bone of the wrist and the metacarpal bone of the thumb. This is one of the joints where most humans develop osteoarthritis with age. [4] Osteoarthritis is age-related loss of the smooth surface of the bone where it moves against another bone (cartilage of the joint).
The management and treatment of SLAC wrist depends on the stage at the time of diagnosis. The options for management can be separated into two broad categories: non-surgical and surgical. Less advanced SLAC wrist may be managed initially with non-surgical options including nonsteroidal anti-inflammatory drugs , wrist splinting , and steroid ...