Wrist Ligament Surgeries: Nationwide Incidence in a 25-year Follow-Up
Purpose: Wrist ligament surgeries are common procedures, but there is a lack of knowledge regarding their incidence and trends. This study is a retrospective registry study aimed at investigating nationwide incidence of wrist ligament surgeries from 1997 to 2021, in Finland. Methods: The data were r...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-07-01
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| Series: | Journal of Hand Surgery Global Online |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2589514125000325 |
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| author | Annele Marianne Pönkkö, MD Antti Kalevi Kaivorinne, MD Ville Matti Mattila, MD, PhD Aleksi Rafael Reito, MD, PhD Mikko Petteri Räisänen, MD |
| author_facet | Annele Marianne Pönkkö, MD Antti Kalevi Kaivorinne, MD Ville Matti Mattila, MD, PhD Aleksi Rafael Reito, MD, PhD Mikko Petteri Räisänen, MD |
| author_sort | Annele Marianne Pönkkö, MD |
| collection | DOAJ |
| description | Purpose: Wrist ligament surgeries are common procedures, but there is a lack of knowledge regarding their incidence and trends. This study is a retrospective registry study aimed at investigating nationwide incidence of wrist ligament surgeries from 1997 to 2021, in Finland. Methods: The data were retrieved from national electronic registry, the Finnish National Hospital Discharge Register. The primary outcome variable was the incidence of surgically treated wrist ligament tears per 100,000 person-years. Results: Our study detected a 23-fold increase in traumatic wrist ligament surgery incidence from 1997 to 2014 (from 0.48 to 11.4), followed by a steep decrease to one-third (from 11.4 to 4.0) between 2014 and 2021. The incidence of arthroscopic procedures was more than twofold compared to open procedures. In 2013, the incidence of arthroscopic procedures peaked, with arthroscopic procedures being performed more than four times as frequently as open ones. Conclusions: Our study has uncovered a notable increase in the incidence of wrist ligament surgeries, particularly in traumatic cases, over a 25-year period in Finland. This rise was prominent, and the trend continued until 2014, after which a decline was observed. A similar pattern was noted in the incidence of all arthroscopic ligament tear procedures, especially in the debridement of traumatic tears. The precise reasons for the observed rise and subsequent decline remain unknown, but factors such as advancements in imaging, equipment availability, development of surgical techniques, long and demanding learning curve for arthroscopic procedures, industry influences, scientific publications, and a larger proportion of young hand surgeons may have played a role. We believe that reporting operative trends, based on a reliable national registry, is valuable for enabling informed planning and resource allocation. However, further studies are needed to reveal the exact reasons behind these incidence changes and to evaluate the overall health care cost burden of these procedures. Type of study/level of evidence: Therapeutic IV. |
| format | Article |
| id | doaj-art-7ad604e8489a4cbaa7d05d02efb21fce |
| institution | OA Journals |
| issn | 2589-5141 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Hand Surgery Global Online |
| spelling | doaj-art-7ad604e8489a4cbaa7d05d02efb21fce2025-08-20T02:31:12ZengElsevierJournal of Hand Surgery Global Online2589-51412025-07-017410071310.1016/j.jhsg.2025.02.006Wrist Ligament Surgeries: Nationwide Incidence in a 25-year Follow-UpAnnele Marianne Pönkkö, MD0Antti Kalevi Kaivorinne, MD1Ville Matti Mattila, MD, PhD2Aleksi Rafael Reito, MD, PhD3Mikko Petteri Räisänen, MD4Department of Hand Surgery and Orthopaedics, Oulu University Hospital, Oulu, FinlandDivision of Musculoskeletal Diseases, Tampere University Hospital, Tampere, FinlandDivision of Musculoskeletal Diseases, Tampere University Hospital, Tampere, Finland; Faculty of Medicine and Health Technology, Tampere University, Tampere, FinlandDivision of Musculoskeletal Diseases, Tampere University Hospital, Tampere, Finland; Coxa Hospital for Joint Replacement, Tampere, FinlandFaculty of Medicine and Health Technology, Tampere University, Tampere, Finland; Department of Orthopaedics, Traumatology and Hand Surgery, Kuopio University Hospital, Kuopio, Finland; Corresponding author: Mikko Petteri Räisänen, MD, Faculty of Medicine and Health Technology, Tampere University, Arvo Ylpön katu 34, 33520 Tampere, Finland.Purpose: Wrist ligament surgeries are common procedures, but there is a lack of knowledge regarding their incidence and trends. This study is a retrospective registry study aimed at investigating nationwide incidence of wrist ligament surgeries from 1997 to 2021, in Finland. Methods: The data were retrieved from national electronic registry, the Finnish National Hospital Discharge Register. The primary outcome variable was the incidence of surgically treated wrist ligament tears per 100,000 person-years. Results: Our study detected a 23-fold increase in traumatic wrist ligament surgery incidence from 1997 to 2014 (from 0.48 to 11.4), followed by a steep decrease to one-third (from 11.4 to 4.0) between 2014 and 2021. The incidence of arthroscopic procedures was more than twofold compared to open procedures. In 2013, the incidence of arthroscopic procedures peaked, with arthroscopic procedures being performed more than four times as frequently as open ones. Conclusions: Our study has uncovered a notable increase in the incidence of wrist ligament surgeries, particularly in traumatic cases, over a 25-year period in Finland. This rise was prominent, and the trend continued until 2014, after which a decline was observed. A similar pattern was noted in the incidence of all arthroscopic ligament tear procedures, especially in the debridement of traumatic tears. The precise reasons for the observed rise and subsequent decline remain unknown, but factors such as advancements in imaging, equipment availability, development of surgical techniques, long and demanding learning curve for arthroscopic procedures, industry influences, scientific publications, and a larger proportion of young hand surgeons may have played a role. We believe that reporting operative trends, based on a reliable national registry, is valuable for enabling informed planning and resource allocation. However, further studies are needed to reveal the exact reasons behind these incidence changes and to evaluate the overall health care cost burden of these procedures. Type of study/level of evidence: Therapeutic IV.http://www.sciencedirect.com/science/article/pii/S2589514125000325IncidenceLigamentNationwide ratesSurgeryWrist |
| spellingShingle | Annele Marianne Pönkkö, MD Antti Kalevi Kaivorinne, MD Ville Matti Mattila, MD, PhD Aleksi Rafael Reito, MD, PhD Mikko Petteri Räisänen, MD Wrist Ligament Surgeries: Nationwide Incidence in a 25-year Follow-Up Journal of Hand Surgery Global Online Incidence Ligament Nationwide rates Surgery Wrist |
| title | Wrist Ligament Surgeries: Nationwide Incidence in a 25-year Follow-Up |
| title_full | Wrist Ligament Surgeries: Nationwide Incidence in a 25-year Follow-Up |
| title_fullStr | Wrist Ligament Surgeries: Nationwide Incidence in a 25-year Follow-Up |
| title_full_unstemmed | Wrist Ligament Surgeries: Nationwide Incidence in a 25-year Follow-Up |
| title_short | Wrist Ligament Surgeries: Nationwide Incidence in a 25-year Follow-Up |
| title_sort | wrist ligament surgeries nationwide incidence in a 25 year follow up |
| topic | Incidence Ligament Nationwide rates Surgery Wrist |
| url | http://www.sciencedirect.com/science/article/pii/S2589514125000325 |
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