Diagnostic Wrist Arthroscopy for Nonspecific Wrist Pain

Amin Mohamadi, Femke M.A.P. Claessen, Sezai Ozkan, Gregory P. Kolovich, David Ring*, Neal C. Chen

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Background: This study addresses the prevalence of discrete pathophysiology accounting for patients’ symptoms during diagnostic wrist arthroscopy in individuals with wrist pain without a specific preoperative diagnosis. Secondarily, we determined the number and type of surgeries subsequent to diagnostic wrist arthroscopy. Methods: Between January 2000 and January 2015, 135 diagnostic wrist arthroscopies were performed by 12 surgeons in 3 urban academic hospitals. We recorded the diagnostic findings of diagnostic wrist arthroscopy and any subsequent surgeries. Results: One hundred and five patients had synovitis or a normal wrist (78%), 17 had likely age-appropriate changes (eg, central triangular fibrocartilage complex defects scapholunate changes) (13%), 8 (6%) were given uncommon diagnoses, and 5 (4%) had osteochondral defects. Sixteen patients (12%) had subsequent wrist surgery: 2 were for adverse events, 2 were carpal tunnel releases, and 12 were other surgeries. Conclusion: Diagnostic arthroscopy performed in the setting of an unclear preoperative diagnosis yielded limited diagnostic benefit.

Original languageEnglish
Pages (from-to)193-196
Number of pages4
JournalHand
Volume12
Issue number2
DOIs
Publication statusPublished - 1 Mar 2017
Externally publishedYes

Cite this

Mohamadi, A., Claessen, F. M. A. P., Ozkan, S., Kolovich, G. P., Ring, D., & Chen, N. C. (2017). Diagnostic Wrist Arthroscopy for Nonspecific Wrist Pain. Hand, 12(2), 193-196. https://doi.org/10.1177/1558944716661993