Indications
- Arthritis between the distal pole of the scaphoid and radial styloid seen in scaphoid nonunion with advanced collapse
- This procedure may relieve pain when performed alone or in conjunction with open reduction and internal fixation (ORIF) of the nonunited scaphoid.
- Impingement between the trapezium and radial styloid recognized intraoperatively following proximal row carpectomy
Technique
- Dorsal approach to the radius (Fig. 44-1)
- Incise the capsule between the second and fourth compartments (Fig. 44-2).
- Elevate the capsule from the dorsal aspect of the radial styloid working beneath and retracting the tendons of the second dorsal compartment dorsally.
- Dissect around the radial aspect of the styloid elevating the floor of the first extensor compartment and including the insertion of the brachioradialis tendon, retracting these tendons palmarly.