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Wheeless' Textbook of Orthopaedics
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Palmar shelf arthroplasty. A follow-up note


Skoff-H Yale-New Haven Hospital, Connecticut. J-Bone-Joint-Surg-Am. 1988 Oct; 70(9): 1377-82 Palmar shelf arthroplasty was described by Albright and Chase as a successful, so-called conservative surgical alternative for the treatment of subluxation of a wrist that is affected by advanced rheumatoid arthritis. Subsequent to their report, seven wrists in six patients who had been treated with a palmar shelf arthroplasty by Albright and Chase or by their trainees were studied, after an average follow-up of nine years. All of the patients had long-term relief of pain and improved motion of the wrist, and all were satisfied with the result of the procedure. All but one patient had increased function.



Original Text by Clifford R. Wheeless, III, MD.