Demmer Wolfram, Meyer Emanuel, Ehrl Denis, Volkmer Elias, Lukas Bernhard, Knie Nina F, Giunta Riccardo E, Wachtel Nikolaus
Division of Hand, Plastic and Aesthetic Surgery, University Hospital LMU, 81377 Munich, Germany.
Clinic of Hand Surgery, Helios Klinikum München West, 81377 Munich, Germany.
J Clin Med. 2024 Apr 15;13(8):2280. doi: 10.3390/jcm13082280.
: Elective soft-tissue-only wrist arthroscopy is a standard procedure in hand surgery for the diagnosis and treatment of wrist pain. A number of pathologies can be treated arthroscopically, with the aim of pain reduction and improved wrist mobility. A postinterventional evaluation of the treatment using objective and patient-reported outcome measures (PROMs) allows for an evidence-based statement about the benefits of soft-tissue-only wrist arthroscopy. : A dual-center study combining retro- and prospective clinical analyses of patient outcomes after soft-tissue-only wrist arthroscopies was performed. The data were collected at two hospitals with departments specializing in hand surgery. The outcome was measured by assessing the range of motion of the wrist and its manual strength, as well as PROMs, including Disabilities of the Arm, Shoulder and Hand (DASH) scores. : A total of 154 soft interventions met the study criteria and could be included. Seven months after the elective soft-tissue-only wrist arthroscopies, mobility improved significantly for active extension and flexion, as well as the ulnar and radial abduction of the wrist. The grip strength also improved significantly, by an average of 6 kg, during this period. The DASH score improved significantly, from 35 points to 14 points. Additionally, wrist pain at rest was reduced significantly. : After elective soft-tissue-only wrist arthroscopy, patients showed an overall functional improvement in their wrist, with a significant reduction in pain and improvement of mobility and grip strength. This study emphasizes the importance of wrist arthroscopy as a successful treatment option for soft tissue pathologies of the wrist.
选择性单纯软组织腕关节镜检查是手外科用于诊断和治疗腕部疼痛的标准手术。许多病理情况可通过关节镜进行治疗，目的是减轻疼痛并改善腕关节活动度。使用客观和患者报告的结局指标（PROMs）对治疗进行干预后评估，有助于就单纯软组织腕关节镜检查的益处做出基于证据的陈述。
进行了一项双中心研究，结合了单纯软组织腕关节镜检查后患者结局的回顾性和前瞻性临床分析。数据在两家设有手外科专科的医院收集。通过评估腕关节的活动范围及其手动力量以及PROMs（包括手臂、肩部和手部功能障碍（DASH）评分）来衡量结局。
共有154项软组织干预符合研究标准并可纳入。在选择性单纯软组织腕关节镜检查七个月后，主动伸展和屈曲以及腕关节的尺侧和桡侧外展的活动度显著改善。在此期间，握力也显著提高，平均提高了6千克。DASH评分从35分显著提高到14分。此外，静息时的腕部疼痛明显减轻。
选择性单纯软组织腕关节镜检查后，患者腕关节的整体功能得到改善，疼痛显著减轻，活动度和握力提高。这项研究强调了腕关节镜检查作为腕部软组织病变成功治疗选择的重要性。
