Dorsal wrist syndrome repair

Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand
Masataka YasudaEiji Takeuchi

Abstract

Dorsal wrist pain with or without a palpable dorsal wrist ganglion is a common complaint. Watson developed the concept of the dorsal wrist syndrome (DWS) which is an entity encompassing pre-dynamic rotary subluxation of the scaphoid and the overloaded wrist. We reviewed 20 cases of DWS treated surgically. There were nine males (11 wrists) and nine females (nine wrists). Post-operative follow-up ranged from five to 67 months (mean, 37 months). At operation, we observed SLL tears in eight wrists and dorsal ganglia in 12 cases. Following surgery, 12 cases reported being pain free, five had mild pain, two moderate pain and one case reported severe pain. Post-operative extension/flexion was 73/70 average. Post-operative grip strength was 28 kg average. We believe that excision of the posterior interosseous nerve and the dorsal capsule including the ganglion, if present, provides pain relief in DWS.

References

Sep 1, 1989·The Journal of Hand Surgery·H K WatsonD Ashmead
Sep 1, 1988·The Journal of Hand Surgery·H K WatsonM V Makhlouf
May 1, 1988·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·T OginoH Kato
Jun 1, 1985·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·W E Sanders
Sep 1, 1985·The Journal of Hand Surgery·S F Gunther
Nov 1, 1985·The Journal of Hand Surgery·D Carr, P Davis
Feb 1, 1993·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·H WatsonA G Handal
Mar 18, 1999·Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Mikrochirurgie der Peripheren Nerven und Gefässe : Organ der Vereinigung der Deut·H HayashiK Fukumoto
Apr 8, 1999·The Journal of Hand Surgery·B D Steinberg, W B Kleinman
Jun 5, 1999·The Journal of Hand Surgery·S F ViegasR M Patterson

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Citations

Sep 3, 2008·The Journal of Hand Surgery·Mark Henry
May 13, 2008·Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery·Ronit WollsteinLois Carlson
Sep 21, 2020·The Orthopedic Clinics of North America·Sierra G Phillips

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