Short-term result of arthroscopic synovial excision for dorsal wrist XXXX in @entity3579 associated with @entity1184 .

@entity1184 @entity1 @entity3579 @entity158
INTRODUCTION: Arthroscopic excision of the @entity1184 dorsal synovium is performed on @entity1 with dorsal wrist @entity158 in @entity3579 . Although dorsal wrist impingement has been described in cadaveric studies, to our knowledge, there is no published clinical data on its treatment with arthroscopic synovial excision. Herein, we present the results of arthroscopic management of this condition in our hospital. METHOD: A total of 13 @entity1 underwent arthroscopic excision of the @entity1184 dorsal impinging synovium. All @entity1 presented with the cardinal symptom of dorsal-radial wrist @entity158 in extreme extension. The diagnoses were made after excluding other causes and confirmed on wrist arthroscopy. Arthroscopy was offered after nonoperative measures failed. The mean postoperative follow-up period was 14 (range 6-31) months. RESULTS: Mean pre- and postoperative quick Disabilities of the Arm, Shoulder and Hand scores were 49 (range 34-82) and 17 (range 0-48), respectively; paired t-test revealed a significant difference between the two (p < 0.001). Mean postoperative flexion-extension arc and radial-ulnar deviation arc were 120   and 46  , respectively. Postoperatively, one @entity1 developed @entity158 , with tethering of the dorsal branch of the ulnar nerve, which required surgical release, while another @entity1 required revision arthroscopic excision of the impinging tissue. Both @entity1 had good postoperative outcomes. CONCLUSION: When treating @entity1 with dorsal wrist @entity158 , dorsal wrist impingement caused by @entity1184 should be included in the differential diagnosis. Arthroscopic excision of the impinging synovium can achieve reliable @entity158 relief with significant functional improvement in the short term, although further research on its long-term benefits is required.
