Publication

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

Journal Paper/Review - Feb 16, 2023

Units
PubMed
Doi
Contact

Citation
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.
Type
Journal Paper/Review (English)
Journal
J Hand Surg Eur Vol 2023; 48
Publication Date
Feb 16, 2023
Issn Electronic
2043-6289
Pages
551-560
Brief description/objective

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.