gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

Arthroscopic treatment of chronic wrist pain after distal radius fractures

Meeting Abstract

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  • presenting/speaker Young Keun Lee - Chonbuk National University Hospital, Jeonju, South Korea
  • Young Ran Jung - Chonbuk National University Hospital, Jeonju, South Korea
  • Kwang Wook Choi - Chonbuk National University Hospital, Jeonju, South Korea

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-399

doi: 10.3205/19ifssh0763, urn:nbn:de:0183-19ifssh07633

Veröffentlicht: 6. Februar 2020

© 2020 Lee et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.


Gliederung

Text

Objectives/Interrogation: The purpose of this study is to report the arthroscopic findings and clinical results of patients with chronic wrist pain after distal radius fracture who underwent diagnostic arthroscopy and arthroscopic-assisted tailored treatment.

Methods: We retrospectively analyzed the records of 11 chronic wrist pain patients after distal radius fracture, who underwent diagnostic arthroscopy and arthroscopic-assisted tailored treatment from 2010 to 2015. Average patient age was 49 years (range 31-68 years), the average time from injury to treatment was 13.8 months (range 3-36 months) and the average follow up period was 17.5 months (range 12-39 months). The functional outcome was evaluated by comparing the range of motion, grip strength, pinch strength, visual analogue scale (VAS) for pain and quick Disabilities of the Arm, Shoulder and Hand questionnaire (Quick DASH score), which were measured preoperatively and at final follow up.

Results and Conclusions: Based on the arthroscopic findings, we could find synovitis in all cases and we could classify the pathologic intra-articular lesions into 4 patterns. TFCC rupture was seen in 11 cases, intercarpal ligament rupture and radiocarpal ligament rupture was in 7 cases, ulnar impaction syndrome was observed in 4 cases, and cartilage defect was noted in 8 cases. In terms of surgical treatment, 11 patients underwent arthroscopic synovectomy, 5 underwent foveal or capsular repair of TFCC, 5 underwent intercarpal K-wires fixation or intercarpal thermal shrinkage, 1 underwent intercarpal ligament reconstruction, 2 underwent Sauve-Kapandji procedure and 1 underwent unlar shortening osteotomy. Postoperatively, the average range of motion, grip strength and pinch strength increased significantly. The average VAS score increased from 6.4 (range 4-8) preoperatively to 1.3 (range 0=3) at the final follow up (P=0.003), while the average quick DASH score decreased from 54.9 preoperatively to 14.7 at the final follow up (P=0.003).

Diagnostic arthroscopy and arthroscopic-assisted tailored treatment of chronic wrist pain after distal radius fracture can provide an accurate diagnosis, significant pain relief and functional improvement.