Journal of Hand Surgery
Volume 33, Issue 7 , Pages 1201-1204, September 2008

Arthroscopic Management of Dorsal Wrist Impingement

  • Mark Henry, MD

      Affiliations

    • Corresponding Author InformationCorresponding author: Mark Henry, MD, Hand and Wrist Center of Houston, 1200 Binz Street, Thirteenth Floor, Houston, TX 77004

Hand and Wrist Center of Houston, Houston, TX

Received 30 April 2008; accepted 25 June 2008.

Dorsal wrist impingement (DWI) occurs when the dorsal wrist capsule becomes trapped and pinched between the extensor carpi radialis brevis (ECRB) and the dorsal ridge of the scaphoid. The diagnosis is purely clinical and depends on accurate localization by history and during examination as well as carefully ruling out alternative etiologies for dorsal wrist pain. Nonsurgical treatment is based on corticosteroid injection and activity modification. In resistant cases, arthroscopic resection of the involved segment of dorsal capsule offers a reliable solution for the problem.

Key words: Arthroscopy, dorsal, impingement, wrist

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PII: S0363-5023(08)00529-7

doi:10.1016/j.jhsa.2008.06.020

Journal of Hand Surgery
Volume 33, Issue 7 , Pages 1201-1204, September 2008