Abstract
Various pathologies of the adult carpus result in clinical scenarios where excision
can be considered and even recommended. In the appropriate patient population, isolated
carpal excision can alleviate pain and improve mobility. Excisions of the pisiform,
trapezium, and trapezoid have abundant literature evidence to support positive long-term
functional outcomes. In contrast, isolated excision of the capitate, hamate, and triquetrum
has limited support in the literature secondary to compromise of carpal mechanics
and lead to recurrent pain. Additionally, isolated scaphoid and lunate excision are
best avoided secondary to carpal collapse and should be paired with concomitant stabilizing
procedures in the carpus. This article provides a comprehensive literature review
of isolated excision of each osseous carpal bone, their indications, and previously
assessed outcomes.
Keywords
capitate - carpal bone - carpal excision - lunate - scaphoid - trapezium - wrist surgery
