Fig. (5) (A) Painful radial impingement between the radial styloid and trapezium after PRC (arrow). (B) Radial styloidectomy at level A (arrow) is able to avoid radial impingement after PRC. (C) Advanced stage of OA in radiocapitate joint 12 years after PRC, note the pronounced flattening of the proximal capitate pole. Furthermore, a radial styloidectomy was not performed that resulted in an impingement-related advanced stage of OA between radial styloid and trapezium.