Publikation

Factors associated with self-reported pain and hand function following dorsal wrist ganglion excision.

Wissenschaftlicher Artikel/Review - 16.02.2023

Bereiche
PubMed
DOI
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Zitation
Greminger M, Koopman J, van Kooij Y, Hoogendam L, Smit J, Slijper H, Selles R, Calcagni M, SUpExOr Study Group, Hand-Wrist Study Group. Factors associated with self-reported pain and hand function following dorsal wrist ganglion excision. J Hand Surg Eur Vol 2023; 48:551-560.
Art
Wissenschaftlicher Artikel/Review (Englisch)
Zeitschrift
J Hand Surg Eur Vol 2023; 48
Veröffentlichungsdatum
16.02.2023
eISSN (Online)
2043-6289
Seiten
551-560
Kurzbeschreibung/Zielsetzung

This study aimed to analyse which factors contribute to pain and limited hand function after dorsal wrist ganglion excision. We included 308 patients who underwent surgery between September 2017 and August 2021. Patients completed baseline questionnaires and the patient-rated wrist/hand evaluation questionnaire at baseline and 3 months postoperatively. We observed an improvement in postoperative pain and hand function, but individual outcomes were highly variable. We performed stepwise linear regression analyses to examine which patient characteristics, disease characteristics and psychological factors were associated with postoperative pain and hand function. Higher postoperative pain intensity was associated with recurrence following previous surgery, treatment of the dominant hand, higher baseline pain intensity, lower credibility the patient attributes to the treatment and longer symptom duration. Worse hand function was associated with recurrence following prior surgery, worse baseline hand function and lower treatment credibility. Clinicians should take these findings into account during patient counselling and expectation management. II.