Clinical results of habits treated with hand wrist arthroscopy

Aim; The physical and clinical results of 78 patients were evaluated that were performed wrist arthroscopic surgery in Inonu University Hospital Orthopedics Department between february of 2012 and july of 2017. Materials and Methods; We measured grip strength and used the neutral-zero method to measure range of motion of wrist for assesment of patients. Patients were asked to complete both Quick Disabilities of the Arm, Shoulder and Hand (Q-DASH) and mayo hand-wrist score. The patients were examined with tests that spesific to their diagnoses. Findings; 49 (%62,8) of patients were female gender and 29 (%37,8) male gender. Mean age was 38 years (16-81). %28,2 of diagnoses were ganglion cysts, %19.2 TFCC rupture, %14,1 kienböck's dissease and %10,3 of patients had an intraarticuler fracture of distal radius. The waiting period between diagnosis and surgery was 5.18 months (0,03-36 months). Trauma story was positive in %47,4 of patients. In %93,6 of patients, right hand was dominant. In %59 of patients the affected hand was right hand. Postoperative complication was seen in only 1 patient as regional pain syndrome. In one patient from the 22 patients that arthroscopic ganglion cyst excision performed, dorsal ganglion reccurence developed after 64 months. It is found that the all patients's postoperative DASH score average was 31,3 along with the last MAYO score average 91,28. Results; Wrist arthroscopy is a surgical technique that used for both diagnosis and treatment. Wrist arthroscopic surgery stands out with shorter hospitalization time, lesser soft tissue trauma and decreased complications rate. In addition, the wrist arthroscopy curtail the rehabilitation period and has a shorter duration period of returning to work which makes the technique gold standart. After hand wrist arthroscopy performed in 78 patients, only 4 patients were not satisfied with their clinic and their symptoms did not decrease. We found that wrist arthroscopy was a good treatment method in our study in which satisfaction was determined with 95% of the clinical outcomes. Key words: Wrist arthroscopy, ganglion cyst, kienböck disaese