What are the treatment options for palmar midcarpal instability (PMCI)?

Updated: Nov 22, 2019
  • Author: David M Lichtman, MD; Chief Editor: Harris Gellman, MD  more...
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Answer

Answer

Nonoperative treatment may include activity modification, use of NSAIDs, steroid injections, and splinting. Surgical options include limited midcarpal arthrodesis, distal advancement of the volar ulnar arm of the arcuate ligament, dorsal radiocarpal capsulodesis, and suturing the palmar radioscaphocapitate ligament to the radiolunotriquetral ligament to close the space of Poirier.


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