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This is indicated in young people who require movement, and which is pain is restricting them. It is generally preceded by a local anaesthetic test. If that local anaesthetic test works and relives pain then the operation will probably be successful.
A smaller operation can be performed which cuts two nerves of the wrist. Once called the anterior interosseous and posterior interosseous nerves. This can be done through a small incision on the back of the wrist. Again, this could be used as a form of tester. If this actually helps the pain relief in the wrist then it may be worth doing the other nerve supply in the wrist.
Complications
- Infection - infections can occur after any operation and I think they are less likely in the hand than anywhere else.
- Neuroma formation - sometimes nerves form pain nerve ends once the nerves have been cut. This is a rare complication following this surgery.
- Bad reaction (CRPS type 1) This bad reaction can occur after any operation on the hand and happens in between 1% and 5% of cases.
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