Purpose: In this study, the efficiency of arthroscopic approach employed in patients suffering from chronic wrist pain was analyzed in terms of diagnosis and treatment.
Patients and Method: The wrists of 31 patients who had chronic wrist pain were analyzed in our study. Pre-arthroscopy diagnoses of the patients were compared to those following the arthroscopic intervention. Pre- and post-operative daily functions of 21 patients who were treated arthroscopically were evaluated using the Q-DASH-T questionnaire. Indicated pain levels were evaluated according to the Visual Analogue Scale (VAS).
Results: The mean follow-up period was 8 months (range, 4-12 months). Pre- and post-operative diagnoses from 24 patients (96%) were coherent. Twenty-one patients (67.7%) were treated using arthroscopic techniques. While the patients had indicated a mean pre-operative pain score of 6 (range, 4-8) according to the Visual Analogue Scale (VAS), the mean the pain score went down to 1 point (range, 0-3) following the arthroscopic procedure. The mean pre-operative wrist grip strength of 24 kg was found to be 26 kg after the surgery. The patients who received a mean score of 18 points in the Q-DASH-T questionnaire during the initial examination got 11 points in their final examinations.Open surgery was required in ten patients (31%) subsequent to the arthroscopic procedure.
Discussion and Findings: In conclusion, wrist arthroscopy performed on patients with chronic wrist pain was found to be efficient in the assessment of diagnosis and treatment while successful results were attained through surgery.
Wrist, arthroscopy, wrist arthroscopy, chronic wrist pain, triangular fibro-cartilage complex
Article Language: Turkish English