Symptomatic carpal collapse after trapeziectomy and partial trapeziodectomy: report of two cases.

Rectenwald, Joseph P; Green, David P; Dobyns, James H · J Hand Surg Am · 2005

case_report · Level V

Where this comes from

Abstract

We present 2 cases of symptomatic nondissociative dorsal intercalated segment instability (CIND-DISI) collapse after trapeziectomy and partial trapezoidectomy for pantrapezial arthritis. Preoperative radiographs showed normal carpal alignment in 1 case and a mild DISI alignment in the other. After surgery both developed increased CIND-DISI and carpal symptoms that differed from their original thumb-base problems. One required carpal realignment and fusion; to date the other has responded to nonsurgical treatment. Such problems may be recognized insufficiently by surgeons and thus may be more common than the current literature suggests.

Medical subject headings

Anatomy