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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT04648527
Other study ID # 20/31
Secondary ID
Status Recruiting
Phase N/A
First received
Last updated
Start date January 2021
Est. completion date January 2023

Study information

Verified date November 2020
Source Consorci Sanitari Integral
Contact Camila Chanes Puiggrós, MD
Phone +34935072700
Email cami.chanes@gmail.com
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The objective of the study is to evaluate de results of the arthroscopic diagnose and arthroscopic treatment of the dorsal wrist pain syndrome associated with dorsal synovial hypertrophy. It is a prospective study of 25 consecutive patients with the diagnosis of dorsal wrist radiographies and MRI) have discarded other concomitant pathologies. After being refractory to the conservative measures consisting in physiotherapy for at least 3 months, a wrist arthroscopy will be performed with diagnostic and treatment objectives. All these procedures will be performed by the same surgical team. Only will be included those patients whose diagnostic arthroscopy show absence of other concomitant lesions as scapho-lunate or luno-triquetral tears, triangular fibrocartilage injuries, chondral injuries, fractures, arthritis or other injuries that will be considered as exclusion criteria. In those cases where a hypertrophy of the dorsal synovial is confirmed, an arthroscopic synovectomy and radiofrequency thermocoagulation of the hypertrophic synovial will be performed. The standard radiocarpal portals for wrist arthroscopy will be performed: 3-4 portal and 6-R portal. The pain syndrome described as dorsal localized wrist pain, especially reproductible in hyperextension and axial load of the wrist and in whom the complementary tests (plain The following data will be reviewed and analyzed: age, sex, right/left wrist, right/left-handed, anamnesis, physical exam, MRI findings, arthroscopic diagnosis and functional outcome through Mayo score as a main viable and also, VAS(visual analogue scale for pain), DASH score, grip strength measured with jamar dynamometer and articular balance. All these parameters will be registered pre-surgery and post-surgery at 6 weeks, 3 months and 12 months of the follow-up and at the end of follow-up. The minimum follow-up will be at least of 12 months.


Recruitment information / eligibility

Status Recruiting
Enrollment 25
Est. completion date January 2023
Est. primary completion date January 2022
Accepts healthy volunteers No
Gender All
Age group 18 Years to 65 Years
Eligibility Inclusion Criteria: 1. Men or women 2. Age 18-65 years old, both included 3. Diagnose of primary dorsal wrist syndrome, defined as: 3.1 Radiocarpal dorsal focal pain 3.2 Pain increases in hyperextension of the wrist and in axial load 3.3 X-rays and MRI without significant findings 3.4 Watson test, extension finger test, Kleinman shuck test, distal radio-ulnar ballottement test, fovea sign all of them negatives and absence of tenosynovitis of the extensor tendons. 4. Refractory to conservative treatment consisting in at least 3 months of physical therapy. 5. Presence of a hypertrophy of the dorsal synovial of the wrist diagnosed through direct visualization in wrist arthroscopy. 6. Other diagnoses excluded through wrist arthroscopy Exclusion Criteria: 1. Hand or wrist fractures 2. Arthritis 3. Carpal boss 4. Scapho-lunate ligament tears 5. Luno-triquetral ligament tears 6. Triangular fibrocartilage tears 7. Bone necrosis 8. Systemic arthritis as rheumatoid arthritis, psoriasic arthritis, gouty arthritis, etc.) 9. Dorsal or volar ganglions 10. Distal radio-ulnar joint injury or instability 11. Hand or wrist infections or tumors

Study Design


Related Conditions & MeSH terms


Intervention

Procedure:
arthroscopic synovectomy and thermocoagulation
An diagnostic arthroscopy and an arthroscopic synovectomy and thermocoagulation of the dorsal hypertrophic synovial will be performed

Locations

Country Name City State
Spain Hospital Dos de Maig, Consorci Sanitari Integral Barcelona

Sponsors (1)

Lead Sponsor Collaborator
Consorci Sanitari Integral

Country where clinical trial is conducted

Spain, 

Outcome

Type Measure Description Time frame Safety issue
Primary Changes in the Mayo wrist score Assessment of the changes of Mayo score, before the intervention and at 3 months, 6 months and 12 months after the intervention. The Mayo wrist score ranges from 0 to 100 with a score of 0 indicating a worse wrist condition and 100 indicating a better wrist condition. Before intervention, 3 months after intervention, 6 months after intervention, 12 months after intervention