Radial Styloidectomy

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

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.