Outcomes Following Isolated Posterior Interosseous Nerve Neurectomy: A Systematic Review

Berge, Dennis Vanden; Kusnezov, Nicholas; Rubin, Sydney; Dagg, Thomas; Orr, Justin D.; Mitchell, Justin; Pirela-Cruz, Miguel A.; Dunn, John C.

doi:10.1177/1558944717692093

Cited by 19 publications

(9 citation statements)

References 21 publications

(59 reference statements)

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“…It is unclear whether this procedure improves outcomes because of denervation of the radiocarpal joint and helps resolve other pathology, or PIN neurectomy denervates the DRUJ. [26][27][28] It is also possible the PIN neurectomy is a surrogate for other technical factors that are unable to be captured in the data available.…”

Section: Discussionmentioning

confidence: 99%

Hemiresection Interposition Arthroplasty of the Distal Radioulnar Joint: A Long-term Outcome Study

Nawijn

Verhiel

Jupiter

et al. 2019

Hand (New York, N,Y.)

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Background: The aim of this study was to assess factors associated with long-term patient-reported functional, pain, and satisfaction scores in patients who underwent (Bowers) hemiresection interposition technique (HIT) arthroplasty of the distal radioulnar joint (DRUJ). The secondary aims were to determine the complication and reoperation rates. Methods: A retrospective study with long-term follow-up of patients undergoing HIT arthroplasty was performed. Demographic, disease, and treatment characteristics were collected for the 66 included patients. Thirty-one patients completed all surveys, which were the Quick Disabilities of Arm, Shoulder and Hand (QuickDASH), our custom-made HIT arthroplasty questionnaire, Numeric Rating Scale (NRS) for pain, and NRS for satisfaction. The mean interval between surgery and follow-up by means of questionnaires was 8.6 ± 3.4 years. Results: The mean QuickDASH score was 31.0 ± 20.2. The mean score of the HIT arthroplasty questionnaire was 2 ± 2. The median NRS for pain was 1 (interquartile range [IQR], 0-3), and the median NRS for satisfaction was 9 (IQR, 8-10). The complication rate and reoperation rate were 14% and 8%, respectively. Conclusion: Overall, patients expressed satisfaction with HIT arthroplasty, despite a mean QuickDASH score of 31.0. In our cohort, patients with inflammatory arthritis had higher satisfaction and lower pain scores. Patients who had prior trauma, prior surgery, or DRUJ subluxation are generally less satisfied. Men, older patients, and posttraumatic patients had higher long-term pain scores; however, posterior interosseous nerve neurectomy is associated with improved pain scores. Our findings support the use of HIT arthroplasty in patients with inflammatory arthritis.

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Section: Discussionmentioning

confidence: 99%

Hemiresection Interposition Arthroplasty of the Distal Radioulnar Joint: A Long-term Outcome Study

Nawijn

Verhiel

Jupiter

et al. 2019

Hand (New York, N,Y.)

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“…This is a simple technical procedure, associated with excellent results [ 11 ] and is not associated with decreased proprioception of the wrist [ 12 ]. A systematic review conducted by Vande Berge et al [ 13 ] showed a significant improvement in pain in all patients, with a satisfaction rate of 884% and only one complication in 113 cases of PINN.…”

Section: Discussionmentioning

confidence: 99%

Ulnar head arthroplasty with posterior interosseous nerve neurectomy: A case report

Ribeiro

Botton

2018

International Journal of Surgery Case Reports

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“…Die publizierten Ergebnisse basieren auf retrospektiven Analysen mit einem Follow-up bis zu 12 Jahren. Ein systemischer Review zeigte, dass bei einer isolierten Neurektomie des PIN eine gute Schmerzreduktion bei dorsalseitigem Handgelenkschmerz erreicht werden kann [14]. Weinstein u. Berger [13] und Hofmeister u. Mitarb.…”

Section: Ergebnisse Der Partiellen Denervierungunclassified

Behandlung der radiokarpalen Arthrose nach distalen Radiusfrakturen

Pezzei¹,

Keuchel-Strobl²,

Quadlbauer³

2021

Handchirurgie Scan

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Outcomes Following Isolated Posterior Interosseous Nerve Neurectomy: A Systematic Review

Abstract: Isolated PINN have shown excellent clinical outcomes, with few patients experiencing recurrent pain at long-term follow-up. PINN can provide relief in patient's chronic wrist pain.

Cited by 19 publications

References 21 publications

Hemiresection Interposition Arthroplasty of the Distal Radioulnar Joint: A Long-term Outcome Study

Hemiresection Interposition Arthroplasty of the Distal Radioulnar Joint: A Long-term Outcome Study

Ulnar head arthroplasty with posterior interosseous nerve neurectomy: A case report

Behandlung der radiokarpalen Arthrose nach distalen Radiusfrakturen

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