Arthroscopic Arthrolysis of the Wrist

Riccardo Luchetti; Lucian Lior Marcovici; Marco Guidi; Gregory I. Bain

doi:10.1007/978-3-031-81381-8_27

Arthroscopic Arthrolysis of the Wrist

Riccardo Luchetti, Lucian Lior Marcovici, Marco Guidi, Gregory I. Bain

College of Medicine and Public Health

Research output: Chapter in Book/Report/Conference proceeding › Chapter

Abstract

Wrist stiffness is a common condition after a surgical procedure or trauma and can be classified as intra-articular, capsular, or extra-articular. Arthrofibrosis is stimulated as well by prolonged immobilization and may involve the radiocarpal, distal radioulnar, and/or ulnocarpal joints. Midcarpal (MC) joint is infrequently involved. In case of failure of conservative treatment, arthroscopic arthrolysis could be an effective treatment to improve the range of motion of the wrist.

The “inside-out progressive arthrolysis” technique represents a step-by-step procedure for the treatment of wrist stiffness and could be used for the radiocarpal (RC) joint, midcarpal joint (MC), and for the distal radioulnar joint (DRUJ).

Each joint is inspected and progressively treated from the inner part to the outer capsular structures. The advantage of this minimally invasive technique is that intra-articular and capsular structures can be assessed and released in a standardized fashion.

Original language	English
Title of host publication	Stiffness of the Elbow, Wrist and Related Pathologies
Editors	Luigi Pederzini , Toshiyasu Nakamura, Andrea Celli , Gregory I. Bain
Place of Publication	Cham, Switzerland
Publisher	Springer Nature
Chapter	27
Pages	323-350
Number of pages	28
ISBN (Electronic)	978-3-031-81381-8
ISBN (Print)	978-3-031-81380-1
DOIs	https://doi.org/10.1007/978-3-031-81381-8_27
Publication status	Published - 2025

Keywords

Wrist arthrolysis
Wrist stiffness
Wrist contracture
Wrist malunion
Arthroscopy

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title = "Arthroscopic Arthrolysis of the Wrist",

abstract = "Wrist stiffness is a common condition after a surgical procedure or trauma and can be classified as intra-articular, capsular, or extra-articular. Arthrofibrosis is stimulated as well by prolonged immobilization and may involve the radiocarpal, distal radioulnar, and/or ulnocarpal joints. Midcarpal (MC) joint is infrequently involved. In case of failure of conservative treatment, arthroscopic arthrolysis could be an effective treatment to improve the range of motion of the wrist.The “inside-out progressive arthrolysis” technique represents a step-by-step procedure for the treatment of wrist stiffness and could be used for the radiocarpal (RC) joint, midcarpal joint (MC), and for the distal radioulnar joint (DRUJ).Each joint is inspected and progressively treated from the inner part to the outer capsular structures. The advantage of this minimally invasive technique is that intra-articular and capsular structures can be assessed and released in a standardized fashion.",

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AU - Guidi, Marco

AU - Bain, Gregory I.

PY - 2025

Y1 - 2025

N2 - Wrist stiffness is a common condition after a surgical procedure or trauma and can be classified as intra-articular, capsular, or extra-articular. Arthrofibrosis is stimulated as well by prolonged immobilization and may involve the radiocarpal, distal radioulnar, and/or ulnocarpal joints. Midcarpal (MC) joint is infrequently involved. In case of failure of conservative treatment, arthroscopic arthrolysis could be an effective treatment to improve the range of motion of the wrist.The “inside-out progressive arthrolysis” technique represents a step-by-step procedure for the treatment of wrist stiffness and could be used for the radiocarpal (RC) joint, midcarpal joint (MC), and for the distal radioulnar joint (DRUJ).Each joint is inspected and progressively treated from the inner part to the outer capsular structures. The advantage of this minimally invasive technique is that intra-articular and capsular structures can be assessed and released in a standardized fashion.

AB - Wrist stiffness is a common condition after a surgical procedure or trauma and can be classified as intra-articular, capsular, or extra-articular. Arthrofibrosis is stimulated as well by prolonged immobilization and may involve the radiocarpal, distal radioulnar, and/or ulnocarpal joints. Midcarpal (MC) joint is infrequently involved. In case of failure of conservative treatment, arthroscopic arthrolysis could be an effective treatment to improve the range of motion of the wrist.The “inside-out progressive arthrolysis” technique represents a step-by-step procedure for the treatment of wrist stiffness and could be used for the radiocarpal (RC) joint, midcarpal joint (MC), and for the distal radioulnar joint (DRUJ).Each joint is inspected and progressively treated from the inner part to the outer capsular structures. The advantage of this minimally invasive technique is that intra-articular and capsular structures can be assessed and released in a standardized fashion.

KW - Wrist arthrolysis

KW - Wrist stiffness

KW - Wrist contracture

KW - Wrist malunion

KW - Arthroscopy

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M3 - Chapter

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EP - 350

BT - Stiffness of the Elbow, Wrist and Related Pathologies

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A2 - Nakamura, Toshiyasu

A2 - Celli , Andrea

A2 - Bain, Gregory I.

PB - Springer Nature

CY - Cham, Switzerland

ER -

Arthroscopic Arthrolysis of the Wrist

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Keywords

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