• Hand clinics · Feb 2016

    Review

    Surgical Treatment of Upper Extremity Pain.

    • Arnold Lee Dellon.
    • Department of Plastic Surgery, Johns Hopkins University, 1122 Kenilworth Drive, Suite 18, Towson, MD 21204, USA. Electronic address: ALDellon@Dellon.com.
    • Hand Clin. 2016 Feb 1; 32 (1): 71-80.

    AbstractIf the patient with hand pain remains without significant relief and without recovery of function after appropriate pharmaceutical and physical modality treatments, it is appropriate to consider a surgical approach to the pain. Categories of pain amenable to a surgical approach are pain caused by nerve compression, pain caused by a neuroma, and joint pain of neural origin. Compressed nerve should be decompressed and depending on the intraoperative findings a neurolysis also should be performed. Painful neuroma must be resected to stop the pain generator. For a painful joint, the biomechanics of that joint must first be stable before denervation. Copyright © 2016 Elsevier Inc. All rights reserved.

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