CPT® Code 25230

Radial styloidectomy is a surgical procedure aimed at alleviating pain that arises from the impingement between the scaphoid bone and the radial styloid process. This condition often results in discomfort and limited mobility in the wrist, necessitating intervention. The procedure involves making a precise incision on the radial side of the wrist, specifically located between the first and second extensor tendon compartments. During the surgery, careful attention is given to identify and protect the sensory branches of the radial nerve and the radial artery to prevent any potential nerve damage or vascular complications. The surgical approach includes subperiosteal dissection, which is performed down to the bone for a length of approximately 1.5 to 2 centimeters. This dissection allows for the elevation of the periosteum off the bone, along with the retinaculum, thereby exposing the radioscaphoid joint. Once the joint capsule is incised, an intra-articular elevator is utilized to lift the scaphoid bone away from the radial styloid process. The excision of the radial styloid is then carried out using an osteotome or a bone saw, ensuring that sufficient bone is removed to relieve the impingement. Following the removal of the radial styloid, the periosteum is reapproximated, the retinaculum is repaired, and the overlying soft tissues are meticulously closed in layers to promote optimal healing.