Surgical technique for the treatment of radial wrist pain
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 tre...
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| Veröffentlicht in: | Scandinavian journal of plastic and reconstructive surgery and hand surgery 2008, Vol.42 (3), p.149-152 |
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| container_title | Scandinavian journal of plastic and reconstructive surgery and hand surgery |
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| creator | Wollstein, Ronit Kirk Watson, H. Wear-Maggitti, Kelley Schmidt, Scott Carlson, Lois |
| description | 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. |
| doi_str_mv | 10.1080/02844310801987685 |
| format | Article |
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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.</description><identifier>ISSN: 0284-4311</identifier><identifier>EISSN: 1651-2073</identifier><identifier>DOI: 10.1080/02844310801987685</identifier><identifier>PMID: 18470792</identifier><language>eng</language><publisher>England: Informa UK Ltd</publisher><subject>Adult ; Arthralgia - etiology ; Arthralgia - surgery ; capsulodesis ; Chronic Disease ; Female ; Humans ; Joint Capsule - surgery ; Lacerations - complications ; Lacerations - surgery ; Ligaments, Articular - injuries ; Ligaments, Articular - surgery ; Lunate Bone - surgery ; Male ; Orthopedic Procedures - methods ; Pain Measurement ; Range of Motion, Articular ; Retrospective Studies ; scapholunate tear ; Treatment Outcome ; Wrist Joint - surgery ; Wrist pain ; wrist sprain</subject><ispartof>Scandinavian journal of plastic and reconstructive surgery and hand surgery, 2008, Vol.42 (3), p.149-152</ispartof><rights>2008 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted 2008</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c404t-21476b071ff28c0a1ddab64464573a75e99a07bf952abce8b55607d1f029fa2c3</citedby><cites>FETCH-LOGICAL-c404t-21476b071ff28c0a1ddab64464573a75e99a07bf952abce8b55607d1f029fa2c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.tandfonline.com/doi/pdf/10.1080/02844310801987685$$EPDF$$P50$$Ginformahealthcare$$H</linktopdf><linktohtml>$$Uhttps://www.tandfonline.com/doi/full/10.1080/02844310801987685$$EHTML$$P50$$Ginformahealthcare$$H</linktohtml><link.rule.ids>314,780,784,4024,27923,27924,27925,59647,59753,60436,60542,61221,61256,61402,61437</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18470792$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wollstein, Ronit</creatorcontrib><creatorcontrib>Kirk Watson, H.</creatorcontrib><creatorcontrib>Wear-Maggitti, Kelley</creatorcontrib><creatorcontrib>Schmidt, Scott</creatorcontrib><creatorcontrib>Carlson, Lois</creatorcontrib><title>Surgical technique for the treatment of radial wrist pain</title><title>Scandinavian journal of plastic and reconstructive surgery and hand surgery</title><addtitle>Scand J Plast Reconstr Surg Hand Surg</addtitle><description>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.</description><subject>Adult</subject><subject>Arthralgia - etiology</subject><subject>Arthralgia - surgery</subject><subject>capsulodesis</subject><subject>Chronic Disease</subject><subject>Female</subject><subject>Humans</subject><subject>Joint Capsule - surgery</subject><subject>Lacerations - complications</subject><subject>Lacerations - surgery</subject><subject>Ligaments, Articular - injuries</subject><subject>Ligaments, Articular - surgery</subject><subject>Lunate Bone - surgery</subject><subject>Male</subject><subject>Orthopedic Procedures - methods</subject><subject>Pain Measurement</subject><subject>Range of Motion, Articular</subject><subject>Retrospective Studies</subject><subject>scapholunate tear</subject><subject>Treatment Outcome</subject><subject>Wrist Joint - surgery</subject><subject>Wrist pain</subject><subject>wrist sprain</subject><issn>0284-4311</issn><issn>1651-2073</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1LxDAQhoMouq7-AC_Sk7fqJE2aFr3I4hcseFDPYZomNtKPNUmR_fd22QURwdMMzPO-DA8hZxQuKRRwBazgPNustCxkXog9MqO5oCkDme2T2eaeTgA9IschfAAA41wekiNacAmyZDNSvoz-3Wlsk2h007vP0SR28ElsTBK9wdiZPiaDTTzWbqK-vAsxWaHrT8iBxTaY092ck7f7u9fFY7p8fnha3C5TzYHHlFEu8woktZYVGpDWNVY55zkXMkMpTFkiyMqWgmGlTVEJkYOsqQVWWmQ6m5OLbe_KD9N3IarOBW3aFnszjEHlJQMBQkwg3YLaDyF4Y9XKuw79WlFQG0nqj68pc74rH6vO1D-JnaAJuNkCrp-0dPg1-LZWEdft4K3HXrugsv_6r3_FG4NtbDR6oz6G0feTuH---wZZAInn</recordid><startdate>2008</startdate><enddate>2008</enddate><creator>Wollstein, Ronit</creator><creator>Kirk Watson, H.</creator><creator>Wear-Maggitti, Kelley</creator><creator>Schmidt, Scott</creator><creator>Carlson, Lois</creator><general>Informa UK Ltd</general><general>Taylor & Francis</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2008</creationdate><title>Surgical technique for the treatment of radial wrist pain</title><author>Wollstein, Ronit ; Kirk Watson, H. ; Wear-Maggitti, Kelley ; Schmidt, Scott ; Carlson, Lois</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c404t-21476b071ff28c0a1ddab64464573a75e99a07bf952abce8b55607d1f029fa2c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adult</topic><topic>Arthralgia - etiology</topic><topic>Arthralgia - surgery</topic><topic>capsulodesis</topic><topic>Chronic Disease</topic><topic>Female</topic><topic>Humans</topic><topic>Joint Capsule - surgery</topic><topic>Lacerations - complications</topic><topic>Lacerations - surgery</topic><topic>Ligaments, Articular - injuries</topic><topic>Ligaments, Articular - surgery</topic><topic>Lunate Bone - surgery</topic><topic>Male</topic><topic>Orthopedic Procedures - methods</topic><topic>Pain Measurement</topic><topic>Range of Motion, Articular</topic><topic>Retrospective Studies</topic><topic>scapholunate tear</topic><topic>Treatment Outcome</topic><topic>Wrist Joint - surgery</topic><topic>Wrist pain</topic><topic>wrist sprain</topic><toplevel>online_resources</toplevel><creatorcontrib>Wollstein, Ronit</creatorcontrib><creatorcontrib>Kirk Watson, H.</creatorcontrib><creatorcontrib>Wear-Maggitti, Kelley</creatorcontrib><creatorcontrib>Schmidt, Scott</creatorcontrib><creatorcontrib>Carlson, Lois</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Scandinavian journal of plastic and reconstructive surgery and hand surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wollstein, Ronit</au><au>Kirk Watson, H.</au><au>Wear-Maggitti, Kelley</au><au>Schmidt, Scott</au><au>Carlson, Lois</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgical technique for the treatment of radial wrist pain</atitle><jtitle>Scandinavian journal of plastic and reconstructive surgery and hand surgery</jtitle><addtitle>Scand J Plast Reconstr Surg Hand Surg</addtitle><date>2008</date><risdate>2008</risdate><volume>42</volume><issue>3</issue><spage>149</spage><epage>152</epage><pages>149-152</pages><issn>0284-4311</issn><eissn>1651-2073</eissn><abstract>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.</abstract><cop>England</cop><pub>Informa UK Ltd</pub><pmid>18470792</pmid><doi>10.1080/02844310801987685</doi><tpages>4</tpages></addata></record> |
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| identifier | ISSN: 0284-4311 |
| ispartof | Scandinavian journal of plastic and reconstructive surgery and hand surgery, 2008, Vol.42 (3), p.149-152 |
| issn | 0284-4311 1651-2073 |
| language | eng |
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| source | MEDLINE; Taylor & Francis Medical Library - CRKN; Taylor & Francis Journals Complete |
| subjects | Adult Arthralgia - etiology Arthralgia - surgery capsulodesis Chronic Disease Female Humans Joint Capsule - surgery Lacerations - complications Lacerations - surgery Ligaments, Articular - injuries Ligaments, Articular - surgery Lunate Bone - surgery Male Orthopedic Procedures - methods Pain Measurement Range of Motion, Articular Retrospective Studies scapholunate tear Treatment Outcome Wrist Joint - surgery Wrist pain wrist sprain |
| title | Surgical technique for the treatment of radial wrist pain |
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