Dorsal Wrist Syndrome Repair

Yasuda, Mitsutaka; Masada, Kazuhiro; Takeuchi, Eiji

doi:10.1142/s0218810404002054

Cited by 9 publications

(15 citation statements)

References 11 publications

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“…This is supported by Abe et al who found disease in an analogous group of patients through arthroscopy [3,4]. After conservative treatment failed, the second author has operated on these wrist joints; the operation has been previously described [5] but results have not been studied critically.…”

Section: Introductionmentioning

confidence: 79%

Surgical technique for the treatment of radial wrist pain

Wollstein

Watson

Wear-Maggitti

et al. 2008

Scandinavian Journal of Plastic and Reconstructive Surgery and

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Chronic radial wrist pain with no radiographic evidence of scapholunate instability or other wrist disease can be difficult to diagnose and treat. Our purpose was to evaluate the results of an operation to treat chronic radial or periscaphoid wrist pain that has failed to respond to conservative treatment. We examined the scapholunate ligament and performed a dorsal capsulodesis. One hundred-and-two patients were reviewed retrospectively. Casenotes were available for 88 patients. Function, pain, range of movement (ROM), and grip and pinch strengths were evaluated. Twenty (23%) of the patients were found to have a scapholunate ligament tear of 0-30%, 55 (61%) had a tear of 30%-60%, and 14 (16%) had a tear of 60%-100%. Mean postoperative grip strength was 29.5 kg (80% of the normal side). Postoperative range of movement was significantly limited in flexion compared with the normal side. All patients returned to their previous employment. Seventy (80%) of the patients described improvement in pain and function. Twenty-two (25%) required further operation on the same wrist. This procedure may be indicated in patients with chronic radial wrist pain and no overt instability that is resistant to conservative treatment. It has minimal morbidity and gives good results.

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Section: Introductionmentioning

confidence: 79%

Surgical technique for the treatment of radial wrist pain

Wollstein

Watson

Wear-Maggitti

et al. 2008

Scandinavian Journal of Plastic and Reconstructive Surgery and

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“…The full-text articles for the remaining 109 studies were read and assessed for eligibility, resulting in 11 studies that met the inclusion criteria. 4 5 9 15 16 17 18 19 20 21 22…”

Section: Resultsmentioning

confidence: 99%

Treatment of Primary Dorsal Wrist Ganglion—A Systematic Review

et al. 2022

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Purpose The aim of this study was to compare the rates of recurrence and wound infection in patients with primary dorsal wrist ganglion treated with aspiration (with or without an injection of an additive), open excision, or arthroscopic resection. Methods This systematic review was conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines and registered on PROSPERO. Systematic electronic searches in PubMed (MEDLINE), EMBASE, Web of Science, and the Cochrane Library of Controlled Trials were performed on May 5, 2020, and June 1, 2021, respectively. All clinical studies written in English determining the recurrence and wound infection rates after treatment of primary dorsal wrist ganglion with aspiration, open excision, or arthroscopic resection in patients over the age of 16 years were eligible for inclusion. Quality assessment was guided by the Cochrane Collaboration's tool for randomized controlled trials (RCTs) and the methodological index for nonrandomized studies (MINORS) tool for observational studies. Results The literature searches resulted in 1,691 studies. After screening, five RCTs, enrolling 233 patients, and six observational studies, enrolling 316 patients with primary dorsal wrist ganglions were included. Quality assessment of the included RCTs and observational studies determined the existing level of evidence pertaining to primary dorsal wrist ganglion treatment to be low. About 11 studies reported on recurrence rate, which ranged between 7 and 72% for patients initially treated with aspiration (with or without an injection of an additive). In comparison, the recurrence rate for the open excision and arthroscopic resection groups ranged between 6 to 41% and 0 to 16%, respectively. Four studies investigated wound-related complications, for which zero infections were reported, irrespective of treatment. Conclusion The evidence summarized in this systematic review demonstrates a considerable variability in recurrence rate following aspiration and open or arthroscopic resection of a primary dorsal wrist ganglion. The greatest variability in recurrence was displayed among studies on aspiration. The overall infection rate after treatment of dorsal wrist ganglions seems to be low regardless of the treatment type. However, the divergent results of individual studies highlight a pressing need for prospective controlled trials assessing outcomes following dorsal wrist ganglion treatment. Level of evidence Systematic review on level 1 to 4 clinical therapeutic studies.

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“…In 2004, Yasuda et al described 20 cases in which open excision of the dorsal wrist capsules, with excision of the posterior interosseous nerve, was performed; postoperatively, 60% of their patients reported an absence of pain. (9) In a 2008 cadaveric study, Henry proposed that arthroscopic excision of the dorsal wrist capsule was a reliable solution for the treatment of dorsal wrist impingement. (1) In the same year, Wollstein et al published the results of dorsal capsulodesis for radial wrist pain in 88 patients; 80% of their patients described improvement in pain and function, while 25% required further operation.…”

Section: Discussionmentioning

confidence: 99%