Scaphoid Nonunion Advanced Collapse: Denervation

A 50-year-old right-hand dominant architect complained about increasing pain in his left wrist over the past couple of years. At first, the pain manifested only during dumbbell workouts, especially when the wrist was loaded in dorsiflexion. The patient described a condition of moderate rest pain (VAS 2-3). Under minor load sudden severe pain (VAS 8-9) appeared. His functional impairment consisted of a decrease in grip and pinch strength and a progressive limitation of range of motion in his left wrist. The current symptoms did not appear to be related to trauma, but the patient reported a sports accident 20 years before with wrist pain for several weeks at that time. No care was provided at that time.