77th ASSH Annual Meeting - Back to Basics: Practice and Education-IC35: Denervation of the Shoulder, Humeral Epicondyles, Wrist and Digits (AM22)

Video Transcription

Video Summary

The video transcript discusses joint denervation as a surgical option for patients suffering from joint pain. The procedure aims to interrupt pain signals by disconnecting nerve branches. The speaker focuses on joint denervation for the wrist and the thumb CMC joint. In the case of wrist joint denervation, the posterior interosseous nerve and the anterior interosseous nerve are targeted. The procedure involves resecting a portion of these nerves to prevent regrowth. Patients report positive results, such as decreased pain and improved grip strength. In the case of the thumb CMC joint, joint denervation has shown promising results, with many patients experiencing complete or near-complete resolution of pain. However, some patients may experience numbness around the incision site. The speaker emphasizes that denervation procedures can serve as a less invasive alternative for patients who want to preserve joint motion and function. They also mention the importance of patient selection and setting realistic expectations for long-term benefits. The speaker also addresses the question of whether preoperative nerve blocks are necessary and suggests that infiltrating lidocaine around the joint may be sufficient in some cases. Overall, the speaker highlights the growing interest and potential of denervation procedures as a first-line treatment option for certain joint conditions.

Meta Tag

Session Tracks Arthritis

Session Tracks Nerve

Speaker A. Lee Dellon, MD, PhD

Speaker Andreas Gohritz, MD

Speaker Nicholas E. Rose, MD

Speaker Sami Tuffaha, MD

Keywords

joint denervation

surgical option

patients

joint pain

pain signals

wrist joint denervation

thumb CMC joint

decreased pain

improved grip strength

numbness

less invasive alternative

patient selection