Complications of Wrist Arthroscopy

Ahsan, Zahab S.; Yao, Jeffrey

doi:10.1016/j.arthro.2012.01.008

Cited by 67 publications

(34 citation statements)

References 20 publications

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“…Complication rate for wrist arthroscopy is rather high. A recent systematic analysis of the literature identified a 4.7% [6]. This includes the complication related to portal and instrumentation insertion.…”

Section: Discussionmentioning

confidence: 96%

Late radio-lunate arthritis following ulnar shortening osteotomy

Lim

Lee

2017

Journal of Orthopaedic Science

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Section: Discussionmentioning

confidence: 96%

Late radio-lunate arthritis following ulnar shortening osteotomy

Lim

Lee

2017

Journal of Orthopaedic Science

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“…This complication rate is similar to previous studies. 1,3 One in 8 patients had 1 or more subsequent wrist surgeries, most of them in the continued setting of an unclear diagnosis. Examples of surgeries that would generate some debate among hand surgeons include ulnar shortening without clear evidence of ulnocarpal impaction, extensor carpi ulnaris (ECU) tendon stabilization in the absence of tendon subluxation or dislocation from the ECU notch on the ulna, and carpal tunnel releases (a surgery that addresses numbness not nonspecific wrist pain) with no or mild median neuropathy on electrodiagnostic testing.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic Wrist Arthroscopy for Nonspecific Wrist Pain

Mohamadi

Claessen

Özkan

et al. 2016

Hand (New York, N,Y.)

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Background: This study addresses the prevalence of discrete pathophysiology accounting for patients' symptoms during diagnostic wrist arthroscopy in individuals with wrist pain without a specific preoperative diagnosis. Secondarily, we determined the number and type of surgeries subsequent to diagnostic wrist arthroscopy. Methods: Between January 2000 and January 2015, 135 diagnostic wrist arthroscopies were performed by 12 surgeons in 3 urban academic hospitals. We recorded the diagnostic findings of diagnostic wrist arthroscopy and any subsequent surgeries. Results: One hundred and five patients had synovitis or a normal wrist (78%), 17 had likely age-appropriate changes (eg, central triangular fibrocartilage complex defects scapholunate changes) (13%), 8 (6%) were given uncommon diagnoses, and 5 (4%) had osteochondral defects. Sixteen patients (12%) had subsequent wrist surgery: 2 were for adverse events, 2 were carpal tunnel releases, and 12 were other surgeries. Conclusion: Diagnostic arthroscopy performed in the setting of an unclear preoperative diagnosis yielded limited diagnostic benefit.

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“…Arthroscopic interventions generally require special equipment and substantial surgical training and may thus be associated with higher costs than open procedures [4]. In addition, arthroscopic procedures may be associated with various complications [5]. Arthroscopic interventions may, however, be more cost-effective if their efficacy is superior to that of non-arthroscopic treatments or if they have similar efficacy but provide additional benefit, such as quicker recovery or lower morbidity.…”

Section: Introductionmentioning

confidence: 99%

Intervention randomized controlled trials involving wrist and shoulder arthroscopy: a systematic review

Tadjerbashi

Rosales²,

Atroshi

2014

BMC Musculoskelet Disord

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BackgroundAlthough arthroscopy of upper extremity joints was initially a diagnostic tool, it is increasingly used for therapeutic interventions. Randomized controlled trials (RCTs) are considered the gold standard for assessing treatment efficacy. We aimed to review the literature for intervention RCTs involving wrist and shoulder arthroscopy.MethodsWe performed a systematic review for RCTs in which at least one arm was an intervention performed through wrist arthroscopy or shoulder arthroscopy. PubMed and Cochrane Library databases were searched up to December 2012. Two researchers reviewed each article and recorded the condition treated, randomization method, number of randomized participants, time of randomization, outcomes measures, blinding, and description of dropouts and withdrawals. We used the modified Jadad scale that considers the randomization method, blinding, and dropouts/withdrawals; score 0 (lowest quality) to 5 (highest quality). The scores for the wrist and shoulder RCTs were compared with the Mann–Whitney test.ResultsThe first references to both wrist and shoulder arthroscopy appeared in the late 1970s. The search found 4 wrist arthroscopy intervention RCTs (Kienböck’s disease, dorsal wrist ganglia, volar wrist ganglia, and distal radius fracture; first 3 compared arthroscopic with open surgery). The median number of participants was 45. The search found 50 shoulder arthroscopy intervention RCTs (rotator cuff tears 22, instability 14, impingement 9, and other conditions 5). Of these, 31 compared different arthroscopic treatments, 12 compared arthroscopic with open treatment, and 7 compared arthroscopic with nonoperative treatment. The median number of participants was 60. The median modified Jadad score for the wrist RCTs was 0.5 (range 0–1) and for the shoulder RCTs 3.0 (range 0–5) (p = 0.012).ConclusionDespite the increasing use of wrist arthroscopy in the treatment of various wrist disorders the efficacy of arthroscopically performed wrist interventions has been studied in only 4 randomized studies compared to 50 randomized studies of significantly higher quality assessing interventions performed through shoulder arthroscopy.

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Complications of Wrist Arthroscopy

Cited by 67 publications

References 20 publications

Late radio-lunate arthritis following ulnar shortening osteotomy

Late radio-lunate arthritis following ulnar shortening osteotomy

Diagnostic Wrist Arthroscopy for Nonspecific Wrist Pain

Intervention randomized controlled trials involving wrist and shoulder arthroscopy: a systematic review

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