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[Arthroscopic wrist arthrolysis.]

R Luchetti1, A Atzei, I Papini Zorli

  • 1Rimini Hand Center, Rimini, Italie.

Chirurgie De La Main
|March 14, 2007
PubMed
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Arthroscopic wrist arthrolysis effectively treats wrist stiffness after trauma or surgery. This procedure significantly improves range of motion and grip strength, with minimal complications.

Area of Science:

  • Orthopedics
  • Sports Medicine
  • Reconstructive Surgery

Background:

  • Wrist stiffness is a common complication following wrist trauma or surgery.
  • Rehabilitation is the primary treatment to restore wrist range of motion.
  • Arthroscopic wrist arthrolysis has been utilized since 1988 for managing wrist stiffness.

Purpose of the Study:

  • To evaluate the efficacy of arthroscopic wrist arthrolysis in patients with wrist stiffness.
  • To assess improvements in range of motion, grip strength, and patient-reported outcomes post-procedure.

Main Methods:

  • A retrospective study included 45 patients (35 males, 10 females) with wrist stiffness and failed conservative treatment.
  • Arthroscopic wrist arthrolysis was performed using radiocarpal, midcarpal, and distal radioulnar joint (DRUJ) portals.

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  • Follow-up averaged 58 months (range 3-176 months).

    • Main Results:

    • No complications were reported during the follow-up period.
    • Mean flexion-extension range of motion improved from 92 to 106 degrees.
    • Mean grip strength increased from 25 to 31 kg, and pronation/supination improved from 145 to 155 degrees.
    • Modified Mayo Wrist Score improved from 39 to 87, and DASH scores averaged 21 postoperatively.

    Conclusions:

    • Arthroscopic wrist arthrolysis is a safe and effective treatment for wrist stiffness.
    • The procedure leads to significant improvements in wrist function, range of motion, and patient satisfaction.
    • It offers a viable surgical option for patients with persistent wrist stiffness unresponsive to rehabilitation.