Arthroscopic Management of Dorsal Wrist Impingement

Short-term result of arthroscopic synovial excision for dorsal wrist pain in hyperextension associated with synovial hypertrophy

“…(9) In a 2008 cadaveric study, Henry proposed that arthroscopic excision of the dorsal wrist capsule was a reliable solution for the treatment of dorsal wrist impingement. (1) In the same year, Wollstein et al published the results of dorsal capsulodesis for radial wrist pain in 88 patients; 80% of their patients described improvement in pain and function, while 25% required further operation. (4) VanHeest et al, who described partial distal resection of the extensor retinaculum in five athletes with dorsal wrist pain in hyperextension, reported complete pain relief and full return to sports in all five athletes.…”

“…Investigations in the form of radiography or magnetic resonance imaging are only helpful in some cases. Although dorsal wrist impingement has been described in cadaveric studies, (1) to the best of our knowledge, there is currently no published clinical data on its treatment with arthroscopic synovial excision. Herein, we present the results of arthroscopic synovial excision performed in patients who presented to our hospital with dorsal wrist pain in extension.…”

“…Patients with dorsal wrist impingement generally report pain in a precise location in the dorsal-radial location of the wrist; this pain is experienced particularly in loaded extension, such as when pushing up from a chair. (1) Diagnosis is established via thorough history-taking and physical examination. Investigations in the form of radiography or magnetic resonance imaging are only helpful in some cases.…”

Pictorial review of wrist injuries in the elite golfer

“…In golfers, continued impaction of the dorsal radial rim on the lunate and scaphoid when the club hits the ground can result in dorsal capsular hypertrophic synovitis (figure 12). Clinical impingement occurs when the thickened dorsal wrist capsule becomes trapped and pinched between the radius, extensor carpi radialis brevis, the radiolunatotriquetral ligament and the dorsal ridge of the scaphoid 36. A degenerative cascade can then ensue with radiolunate cartilage loss, subchondral cyst formation and bone oedema preceding radiolunate osteophytosis.…”

Outcomes After Wrist Arthroscopy for the Treatment of Scapholunate Predynamic Instability in the Young Active Patient

“…Ganglion formation at the dorsal wrist has been considered a sequela of the early stages of scaphoid rotatory subluxation. 7 Dorsal wrist impingement, defined as capsular impingement, may also cause dorsal wrist pain with hyperextension. 8 However, it is unclear whether dorsal wrist impingement is a separate clinical entity or a component of predynamic SL instability.…”