Surgical Denervation of the Thumb Carpometacarpal Joint

Description

This surgical video introduces Dr. Kanu Goyal, a hand surgeon at Ohio State University, showcasing the technique of surgical denervation of the thumb CMC joint. Joined by fellow practitioner Hussain Hamid and medical student Parth Vaghani, Dr. Goyal discusses the growing popularity of denervation as a treatment for painful joints, particularly focusing on symptomatic CMC arthritis which often does not respond to conservative measures. The video elaborates on the advantages of denervation over traditional CMC arthroplasty, primarily highlighting a significantly shorter recovery period of around two weeks compared to three months for arthroplasty.



The presentation details preoperative evaluations and patient profiles, illustrating a case study of a 50-year-old woman experiencing chronic pain in her right thumb. Dr. Goyal provides insight into the surgical procedure, including meticulous dissection techniques to safely access the joint and identify nerve branches for denervation. He emphasizes aggressive capsular exposure to enhance surgical outcomes and illustrates the importance of patient education regarding expected outcomes and variability in pain relief post-surgery.



The video concludes with references to literature supporting the efficacy and high satisfaction rates for the denervation procedure, positioning it as a viable option for patients suffering from basal thumb arthritis.

Specialties

Paper Links

https://bit.ly/ASSH_Hande