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Updated: Aug 27, 2025

Metacarpal Small Incision for Carpal Tunnel Syndrome
Published on: April 5, 2024
Open release of stiff wrist: a medium to long term case series and literature review
Norman Della Rosa1, Giulia Colzani2, Giovanna Petrella3
1Hand Surgery Department, Policlinico of Modena. normandellarosa@yahoo.it.
Background And Aim Of The Work:
The authors reported a personal case series of open release of stiff wrists performed after previous internal osteosynthesis of distal radius fractures.
Methods:
From a series of 16 patients operated by a single surgeon, 12 were evaluated at a mean 7.1 years follow-up (range 2.25 to 19 years), while 4 were lost at follow-up. The ROM in flexion-extension achieved at the final control was measured with a goniometer and compared to that recorded before surgery. The PRWHE questionnaire was administred at the last follow-up.
Results:
The mean flexion improved from 25.5° to 42.3° and the extension from 15.75° to 43°. The mean PRWHE value was 32.9.
Conclusions:
Although arthroscopic release is increasingly used in clinical practice for its minimal invasinevess and warranty of fast recovery, open arthrolysis in post-traumatic stiff wrists appears to be an effective procedure, adaptable to all types of stiffness, that lets get good long lasting functional results.

