Open release of stiff wrist: a medium to long term case series and literature review
Main Article Content
Keywords
Wrist open arthrolysis, wrist stiffness, wrist osteosynthesis
Abstract
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.
Downloads
References
[2] Nelson D, Mitchell MA, Groszewski PG, et al. Wrist range of motion in activities of daily living. In: Schuind F, An KN, Cooney III WP, et al. Advances in the Biomechanics of the Hand and Wrist. New York: Plenum Press; 1994, p. 329-334. Part of the NATO ASI Series (NSSA, vol. 256)
[3] Ryu JY, Cooney WP, Askew LJ, et al. Functional ranges of motion of the wrist joint. J Hand Surg Am 1991;16(3):409-419
[4] Saffar P. Extrinsic and intrinsic causes of radiocarpal stiffness. In: Copeland SA, Gschwend N, Landi A, et al. Joint stiffness of the upper limb. London: Martin Dunitz; 1997, p. 149-167
[5] Kamal RN, Ruch DS. Volar capsular release after distal radius fractures. J Hand Surg Am 2017;42(12):1034.e1-1034.e6
[6] Babazadeh S, Puig de la Bellacasa I, Jamieson R, et al. Anteromedial release for posttraumatic flexion-pronation contracture of the wrist: surgical technique. Tech Hand Up Extrem Surg 2019;23(4):170-175
[7] Luchetti R, Atzei A, Fairplay T. Arthroscopic wrist arthrolysis after wrist fractures. Arthroscopy 2007;23(3):255-260
[8] Luchetti R, Atzei A, Papini Zorli I. Arthroscopic wrist arthrolysis. Chir Main 2006;25S1:S244-S253
[9] Mathoulin C, Massarella M. Therapeutic interest of wrist arthroscopy about 1000 cases. Chir Main 2006;25S1:S145-S160
[10] Del Pinal F, Klausmeyer M, Thams C, et al. Artrhoscopic resection arthroplasty for malunited intra-articular distal radius fractures. J Hand Surg Am 2012;37(12):2447-2455
[11] Brown M, Chung KC. Postburn contractures of the hand. Hand Clin 2017;33(2):317-331
[12] Voche P, Merle M. Arthrolysis of the wrist, indications and technique. Rev Chir Orthop Reparatrice Appar Mot 1993;79(2):135-139
[13] Verhellen R, Bain GI. Arthroscopic capsular release for contracture of the wrist: a new technique. Arthroscopy 2000;16(1):106-110
[14] Fernandez DL. Fractures of the distal radius: operative treatment. Instr Course Lect 1993;42:73-88
[15] MacDermid JC. Development of a scale for patient rating of wrist pain and disability. J Hand Ther 1996;9(2):178-183
[16] Fairplay T, Atzei A, Corradi M, et al. Cross-cultural adaptation and validation of the Italian version of the patient-rated wrist/hand evaluation questionnaire. J Hand Surg Eur Vol 2012;37(9):863-870
Article Sidebar
Article Details
How to Cite
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Transfer of Copyright and Permission to Reproduce Parts of Published Papers.
Authors retain the copyright for their published work. No formal permission will be required to reproduce parts (tables or illustrations) of published papers, provided the source is quoted appropriately and reproduction has no commercial intent. Reproductions with commercial intent will require written permission and payment of royalties.
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.