Arthroscopic-assisted treatment for pigmented villonodular synovitis of the wrist
Objective To evaluate the results of arthroscopic-assisted treatment for pigmented villonodular synovitis(PVNS)of the wrist,and to review the diagnosis and treatment strategy.Methods Two patients with PVNS of unilateral wrist underwent arthroscopic-assisted treatment between 2018 and 2019 in Beijing Ji Shui Tan Hospital.The characteristics of the disease and outcomes of surgical treatment were reviewed.The two wrists were evaluated with flexion-extension range of motion(F-E ROM),grip power,Modified Mayo Wrist Score(MMWS),Patient Rated Wrist Evaluation(PRWE),quick DASH score and pain Visual Analogue Scale(VAS)scores preoperatively and postoperatively.Recurrence and complications following the surgical procedures were assessed as well.Results There were intraarticular and extraarticular involvement in both wrists.The intraarticular lesions were resected arthroscopically and the extraarticular lesions were resected by open approach.Patient 1 was followed up for 22 months.At the last follow-up,the F-E ROM improved from 100 degree to 105 degree,grip power increased from 25 kg to 44 kg,MMWS improved from 45 to 95,PRWE improved from 72 to 2,quick DASH score improved from 82 to 0,and pain VAS improved from 5 to 0 when compared with preoperative data.Patient 2 was followed up for 12 months.At the last follow-up,the F-E ROM improved from 110 degree to 130 degree,grip power increased from 40 kg to 45 kg,MMWS improved from 65 to 95,PRWE improved from 70 to 8,quick DASH score improved from 59 to 16,and pain VAS improved from 5 to 1 when compared with preoperative data.There was no recurrence or complication observed in both patients.Conclusions Arthroscopic-assisted treatment for PVNS of the wrist is a feasible mini-invasive approach to relieve the symptom and improve the wrist function.
Synovitis,pigmented villonodularGiant cell tumor of tendon sheathCarpal jointsArthroscopes
NETL
NSTL
万方数据
维普
