Treatments & Procedures

Proximal row carpectomy

Proximal row carpectomy surgery

The wrist joint is a complex structure that includes eight small carpal bones. These are arranged in two rows of four bones. Damage to bones or ligaments of the first (proximal) row can cause the wrist to slowly weaken and collapse. Pain, weakness and reduced of range of motion are typical symptoms.

A proximal row carpectomy is the removal of 3 bones of the first row of the carpal bones (the scaphoid, lunate and triquetrum). The second row of carpal bones now makes a new joint with the bones of the forearm. This can provide relief of pain with increased stability and grip strength.

The wrist needs to be splinted after surgery, followed by hand therapy to optimise mobility and strength.