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[Arthroscopic wrist arthrolysis].

R Luchetti1, A Atzei, I Papini Zorli

  • 1Rimini Hand Center, Rimini, Italie. rluc@adhoc.net

Chirurgie De La Main
|March 17, 2007
PubMed
Summary
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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:

  • Orthopedic Surgery
  • Sports Medicine
  • Rehabilitation Medicine

Context:

  • Wrist stiffness is a common complication following wrist trauma or surgery.
  • Conservative rehabilitation often fails to restore wrist function within 3-6 months.
  • Arthroscopic wrist arthrolysis has been utilized since 1988 for managing wrist stiffness.

Purpose:

  • To evaluate the efficacy and outcomes of arthroscopic wrist arthrolysis for treating wrist stiffness.
  • To assess improvements in range of motion, grip strength, and patient-reported outcomes.
  • To document complications associated with the procedure.

Summary:

  • A study reviewed 47 cases (45 patients) of wrist stiffness treated with arthroscopic wrist arthrolysis between 1988 and 2003.
  • The procedure involved using radiocarpal, midcarpal, and distal radioulnar joint (DRUJ) portals.

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  • Mean follow-up was 58 months, with no reported complications.

    • Impact:

    • Significant improvements were observed in mean flexion-extension (92° to 106°) and pronation/supination (145° to 155°).
    • Mean grip strength increased from 25 to 31 kg.
    • Patient-reported outcomes showed substantial improvement, with the modified Mayo Wrist Score increasing from 39 to 87 and a postop DASH score of 21.