Arthroscopic arthrolysis

Riccardo Luchetti, Gregory I. Bain, Levi Philip Morse, Duncan Thomas McGuire

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

1 Citation (Scopus)

Abstract

Wrist stiffness is a debilitating condition that may complicate a traumatic injury to the wrist or follow immobilization of the wrist in a brace or plaster cast. We classify joint contracture (stiffness) as either intra-articular, capsular, or extra-articular. Arthrofibrosis is the predominant intra-articular pathology encountered and may involve the radiocarpal, radioulnar, and/or ulnocarpal joints. Treatment initially consists of a prolonged course of conservative treatment involving therapists. Following failure of conservative treatment, arthroscopic arthrolysis is an effective treatment for reestablishing range of motion and improving patient’s pain. At the same time other intra-articular pathologies may be identified and treated. The postoperative rehabilitation protocol needs to be considered when treating other coexistent pathologies, as early postoperative mobilization is mandatory following arthrolysis. The surgical procedure involves resection of intra-articular adhesions, capsulotomy, and possible release of the radiocarpal ligaments. Due to the complex nature of this condition, certain parts of the procedure may need to be performed as an open procedure. Satisfactory results may be obtained following surgery with improvement in range of motion.
Original languageEnglish
Title of host publicationArthroscopy
Subtitle of host publicationBasic to Advanced
PublisherSpringer
Chapter76
Pages935-951
Number of pages17
ISBN (Electronic)9783662493762
ISBN (Print)9783662493748
DOIs
Publication statusPublished - 2016

Keywords

  • Arthroscopy
  • Malunion
  • Contracture
  • Stiffness
  • Arthrolysis

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