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Article
August 1948

END RESULTS OF EXCISION OF THE CARPAL BONES

Arch Surg. 1948;57(2):245-252. doi:10.1001/archsurg.1948.01240020250007
Abstract

DESTOT, in his monograph "Injuries of the Wrist," translated from the French and published in 1925,1 referred to the carpal, navicular and the lunate bone as the scapholunary system. He stated that this system forms the intermediary joint between the radius and the capitate, and it is responsible in a large measure for the amplitude of movement that the wrist enjoys. This position, which makes these bones important, also makes them vulnerable, for it places them in a wedge, as it were, caught between the anvil of the forearm and the hammer of the distal row. These two bones also participate in the formation of the carpal arches, both the transverse and longitudinal; in fact, the lunate is the keystone of the arch. It is situated at the apex of the excavation of the palmar groove which gives passage into the palm of certain of the nerves, tendons and blood vessels of the hand and

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