Risk of Injury to the Superficial Branch of the Radial Nerve in Dorsal and Anterolateral Approaches to the First Carpometacarpal Joint
The incision is closer to the RNSB pathway with Wagner's anterolateral approach than with Gervis' dorsal approach, crossing with nerve branches in 50% of cases. The density of nerves is higher in the skin overlying the anterolateral <i>versus</i> dorsal aspect of the carpometacarpal joint. The risk of neuropathic wound pain after 1CMCJ surgery could be higher with the anterolateral approach, which should therefore be avoided.
Authors
- Javier de Torres-Urrea (ORCID: https://orcid.org/0009-0009-5368-6775)
- Francisco O′Valle (ORCID: https://orcid.org/0000-0001-9207-2287)
- Natividad Martín‐Morales (ORCID: https://orcid.org/0000-0003-3540-1085)
- O. Roda-Murillo (ORCID: https://orcid.org/0000-0001-8696-6313)
- M. Simon (ORCID: https://orcid.org/0000-0002-3858-0325)
- Pedro Hernández-Cortés (ORCID: https://orcid.org/0000-0001-9629-3140)
- Irene Pérez de Gracia-Velázquez
Institutions
- Universidad de Valladolid (ES)
- Universidad de Granada (ES)
- Hospital HLA Mediterráneo (ES)
- Instituto de Investigación Biosanitaria de Granada (ES)
- Complejo Hospitalario Universitario de Granada (ES)
Publication Details
- Journal
- Hand
- Published
- 2025-12-17
- DOI
- https://doi.org/10.1177/15589447251392940
- Primary Topic
- Orthopedic Surgery and Rehabilitation
- Type
- article
- Field-Weighted Citation Impact
- 0.00