Arthroscopic capsular release for contracture of the wrist: a new technique

Rik Verhellen, Gregory I. Bain

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Stiffness of the wrist can occur following trauma or surgery. In some patients, loss of motion may be refractory to conservative treatment and operative treatment may thus be indicated. The authors report the results and technique of arthroscopic capsular release of the wrist. A cadaveric study was performed to assess the safety of arthroscopic capsular release. Arthroscopic capsular release was performed on 2 patients with limited wrist mobility. The average distance from the radiocarpal joint capsule to the neurovascular structures were 6.9 mm to the median nerve, 6.7 mm to the ulnar nerve and 5.2 mm to the radial artery. At 6 months follow-up, the average range of motion had improved from 17° flexion and 10° extension to 47° flexion and 50° extension. The average grip strength had improved from 13 to 31 kg. Pain measured on a visual analogue score (0-10) had improved from 1.5 to 1.0. There were no complications. Arthroscopic capsular release of the wrist is a safe and minimally invasive technique that provides good improvement to range of motion.
Original languageEnglish
Pages (from-to)106-110
Number of pages5
JournalArthroscopy-The Journal of Arthroscopic and Related Surgery
Volume16
Issue number1
DOIs
Publication statusPublished - 2000
Externally publishedYes

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