Journal
SAGE OPEN MEDICAL CASE REPORTS
Volume 10, Issue -, Pages -Publisher
SAGE PUBLICATIONS INC
DOI: 10.1177/2050313X221086820
Keywords
Anterior interosseous nerve; chronic wrist pain; neurectomy; neurorrhaphy; posterior interosseous nerve
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Funding
- Fond pour la Recherche et l'Enseignement en Orthopedie de Sherbrooke (FREOS)
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This case report describes a new surgical technique for the treatment of chronic wrist pain in a young yoga teacher. Posterior interosseous nerve and anterior interosseous nerve neurectomy followed by neurorrhaphy effectively relieved the pain and prevented neuroma formation.
Selective wrist denervation is a surgical technique frequently performed for the treatment of chronic wrist pain. While this technique is often effective in pain reduction, it is still associated with certain complications such as pain recurrence secondary to neuroma formation. We present a case report that details the clinical case of a young yoga teacher suffering from debilitating chronic wrist pain, refractory to conservative treatments. We describe a new surgical technique for the treatment of chronic wrist pain: posterior interosseous nerve and anterior interosseous nerve neurectomy followed by neurorrhaphy in preventing neuroma formation. Post-operatively, the patient's wrist pain continuously improved and completely resolved without any signs of recurrence. Posterior interosseous nerve and anterior interosseous nerve neurectomy followed by an end-to-end neurorrhaphy can be used as an effective novel surgical technique in the management of chronic wrist pain with prevention of neuroma formation.
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