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Complications of wrist arthroscopy
1Indiana University School of Medicine, Indianapolis, Indiana, U.S.A.
Summary
This systematic review found a 4.7% complication rate in wrist arthroscopy, suggesting current data may underestimate the true incidence of adverse outcomes. Understanding these wrist surgery complications can improve techniques.
Area of Science:
- Orthopedic Surgery
- Minimally Invasive Procedures
Background:
- Wrist arthroscopy is a common procedure.
- Information on its complications is limited.
Purpose of the Study:
- To systematically review and report the incidence of complications associated with wrist arthroscopy.
- To consolidate existing data on adverse outcomes from wrist arthroscopy procedures.
Main Methods:
- A comprehensive literature search was conducted across multiple databases (PubMed, Google Scholar, EBSCO, Academic Megasearch).
- Inclusion criteria focused on studies with explicit descriptions of operative complications, regardless of evidence level.
- Two independent reviewers assessed study eligibility and extracted data on reported complications.
Main Results:
- Eleven studies (1994-2010) reported 42 complications in 895 wrist arthroscopy procedures, yielding a 4.7% complication rate.
- Four case reports identified specific injuries, including nerve damage (dorsal sensory branch of ulnar nerve, posterior interosseous nerve) and extensor tendon sheath fistula.
Conclusions:
- The reported 4.7% complication rate for wrist arthroscopy may underestimate the actual incidence.
- Documented complications offer valuable insights for refining surgical techniques and improving patient outcomes in wrist arthroscopy.
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