December 1960

Carpal Bossing

Arch Surg. 1960;81(6):1013-1015. doi:10.1001/archsurg.1960.01300060159029

Carpal bossing is a relatively common clinical entity and may result in considerable discomfort, pain, and limitation of motion of the affected hand. Surgery is not required in the majority of patients so afflicted, and certainly should not be carried out for simply aesthetic reasons. It was the French surgeon Fiolle who first reported this condition in 1931. At that time, his description was that of a symptomless exostosis at the bases of the second and third metacarpals and located over the dorsal aspect of the wrist adjacent to the capitate bone.

It is interesting that Fiolle first described himself as having this pathology, and it was he who designated the deformity as carpe bossu, or carpal bossing.

From 1932 through 1934 only seven papers describing carpe bossu appeared in the French literature, adding only a total of nine cases reported. In 1941 Carter added six more cases, and of

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