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Hand Clinics

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https://www.readbyqxmd.com/read/28991594/evolution-and-inspiration-from-hand-and-wrist-arthroscopy
#1
EDITORIAL
Clara Wing-Yee Wong, Pak-Cheong Ho
No abstract text is available yet for this article.
November 2017: Hand Clinics
https://www.readbyqxmd.com/read/28991593/complications-of-wrist-and-hand-arthroscopy
#2
REVIEW
Zahab S Ahsan, Jeffrey Yao
Arthroscopy of the wrist continues to evolve and advance as a valuable clinical technique in hand surgery. This article aims to address safety of wrist arthroscopy and provide an overview of the known iatrogenic complications. Ultimately, the likelihood of associated injuries during wrist arthroscopy is dependent on the surgeon's ability and understanding of the equipment. Case volume and duration of experience directly correlate with mitigating iatrogenic injury and optimizing patient outcomes.
November 2017: Hand Clinics
https://www.readbyqxmd.com/read/28991592/progress-and-role-of-finger-joint-arthroscopy
#3
REVIEW
Isato Sekiya, Masaaki Kobayashi, Hideki Okamoto, Takanobu Otsuka
This article describes the authors' experience with, and recent advancement in, the techniques that have allowed the development of many new arthroscopic procedures in the finger joints. It also describes the role and techniques of arthroscopy in small finger joints. Because the intra-articular anatomy of the first to the fifth metacarpophalangeal (MCP) joints is similar, this article discusses the hand MCP joints without distinguishing thumb from fingers.
November 2017: Hand Clinics
https://www.readbyqxmd.com/read/28991591/arthroscopic-management-of-scaphoid-trapezium-trapezoid-joint-arthritis
#4
REVIEW
Loris Pegoli, Alessandro Pozzi
Scaphoid-trapezium-trapezoid (STT) joint arthritis is a common condition consisting of pain on the radial side of the wrist and base of the thumb, swelling, and tenderness over the STT joint. Common symptoms are loss of grip strength and thumb function. There are several treatments, from symptomatic conservative treatment to surgical solutions, such as arthrodesis, arthroplasties, and prosthesis implant. The role of arthroscopy has grown and is probably the best treatment of this condition. Advantages of arthroscopic management of STT arthritis are faster recovery, better view of the joint during surgery, and possibility of creating less damage to the capsular and ligamentous structures...
November 2017: Hand Clinics
https://www.readbyqxmd.com/read/28991590/arthroscopic-management-of-thumb-carpometacarpal-joint-arthritis
#5
REVIEW
Clara Wing-Yee Wong, Pak-Cheong Ho
The thumb carpometacarpal joint (CMCJ1) is born to have good freedom of motion. However, the excellent mobility at this joint also predisposes attenuation of capsuloligamentous structures, joint incongruity, instability, and osteoarthritis. The prevalence of radiographic CMCJ1 arthritis is high. There is no single ideal surgery for all stages of CMCJ1 arthritis, and for all kinds of patients. The arthroscopic approach seems to provide a better alternative with rewarding preliminary results. It includes arthroscopic synovectomy/debridement/thermal shrinkage, arthroscopic partial trapeziectomy and suture button suspensionplasty, and arthroscopic CMCJ1 excision/suture button suspensionplasty/K-wire fixation...
November 2017: Hand Clinics
https://www.readbyqxmd.com/read/28991589/arthroscopic-management-of-bennett-fracture
#6
REVIEW
Jason Solomon, Randall W Culp
Bennett fracture is the most common fracture of the thumb. Choosing the appropriate approach to fracture fixation requires a thorough knowledge of the anatomy surrounding the first carpometacarpal joint, which is necessary to prevent injury to local sensory nerves and tendons. Although no study has shown superior outcomes compared with open reduction internal fixation and fluoroscopically guided closed reduction and percutaneous pinning, arthroscopic-assisted fixation allows for debridement of the carpometacarpal joint, direct visualization of the articular surface during reduction, and has minimal morbidity and associated complications...
November 2017: Hand Clinics
https://www.readbyqxmd.com/read/28991588/arthroscopic-synovectomy-of-wrist-in-rheumatoid-arthritis
#7
REVIEW
Jae Woo Shim, Min Jong Park
Rheumatoid arthritis (RA) is a systemic inflammatory disorder affecting multiple joints. Wrist involvement is common. Patients with persistent symptoms despite medical management are candidates for surgery. Synovectomy can provide pain relief and functional improvement for rheumatoid wrist. Arthroscopic synovectomy is a safe and reliable method, with minimal postoperative morbidity. This article reviews the role, technique, and results of arthroscopic synovectomy in the rheumatoid wrist.
November 2017: Hand Clinics
https://www.readbyqxmd.com/read/28991587/arthroscopic-management-of-dorsal-and-volar-wrist-ganglion
#8
REVIEW
Christophe Mathoulin, Mathilde Gras
Dorsal and volar wrist ganglions are benign tumors; most of them are asymptomatic. They can disappear spontaneously. Arthroscopic resection can be performed for pain or cosmetic concern. Dorsal ganglion is more common (70%). The hypothesis of the origin is the result of mucoid dysplasia in association with intracapsular and extrasynovial ganglia that occur at the level of the dorsal scapholunate complex. Volar wrist ganglia are less common (20%) and occur mainly in the radiocarpal joint. They are due to capsular destruction at the volar insertion of the SL ligament and arise from the interval between radio scaphocapitate and long radiolunate ligament...
November 2017: Hand Clinics
https://www.readbyqxmd.com/read/28991586/arthroscopic-transplantation-of-osteochondral-autograft-for-treatment-of-cartilage-defects-in-the-wrist
#9
REVIEW
Pak-Cheong Ho, Wing-Lim Tse, Clara Wing-Yee Wong
Focal chondral lesions are a common cause of chronic wrist pain, with no ideal treatment. The authors developed arthroscopic transplantation of osteochondral autograft from lateral femoral condyle to distal radius with satisfactory outcome in 4 consecutive patients between December 2006 and December 2010. In all cases, graft incorporation was completed by 3 months to 4 months postoperation. All patients showed improvement in wrist function with no pain at follow-up at an average of 70.5 months (range 24-116 months)...
November 2017: Hand Clinics
https://www.readbyqxmd.com/read/28991585/arthroscopic-assisted-partial-wrist-arthrodesis
#10
REVIEW
Eva-Maria Baur
Partial wrist arthrodesis (PWA) is a well-known procedure for treating degenerative or posttraumatic wrist conditions. Four-corner fusion (4CF) is mostly used for scapholunate advanced collapse and scaphoid nonunion advanced collapse. The author performed 39 procedures, including 4CFs, 2-corner fusions, 3-corner fusions, scaphoid-capitate/scaphoid-capitate-lunate fusions, scaphoid-trapezium-trapezoid arthrodeses, and radioscapholunate arthroscopic PWAs (A-PWAs). There were 8 revision cases including 4 partial nonunions...
November 2017: Hand Clinics
https://www.readbyqxmd.com/read/28991584/the-role-of-wrist-arthroscopy-in-kienbock-disease
#11
REVIEW
Simon B M MacLean, Karim Kantar, Gregory I Bain, David M Lichtman
Kienbock disease (KD) is a disease of uncertain etiology, leading to chondral and osseous change in the lunate and wrist. Traditionally, Lichtman's classification of KD, based on radiographic appearances, has been used to direct treatment. Diagnostic wrist arthroscopy allows direct assessment of the lunate and surrounding articulations. Wrist arthroscopy can also serve as a therapeutic tool for performing debridement, resection, or arthrodesis procedures. The new Lichtman-Bain algorithm takes into consideration the status of the lunate, the effect on the wrist, and surgical and patient factors to guide management...
November 2017: Hand Clinics
https://www.readbyqxmd.com/read/28991583/midcarpal-instability-the-role-of-wrist-arthroscopy
#12
REVIEW
Ryan P C Higgin, David G Hargreaves
The evidence behind management options for midcarpal instability (MCI) is scarce, relying solely on case series. Established treatments cause significant loss of wrist motion. As understanding of the condition has progressed, surgeons have been trying soft tissue techniques. The treatment option should be chosen for the appropriate type and grade of MCI. The Hargreaves grading system for palmar MCI aids treatment decision-making. A possible role for arthroscopy in treatment of MCI has been developed using arthroscopic thermal capsular shrinkage, appropriate for cases with dynamic instabilities...
November 2017: Hand Clinics
https://www.readbyqxmd.com/read/28991582/arthroscopic-management-of-perilunate-injuries
#13
REVIEW
Bo Liu, Shan-Lin Chen, Jin Zhu, Guang-Lei Tian
The key to successful treatment of perilunate injuries is to achieve early anatomic reduction and maintain the carpal alignment. Open surgery may lead to capsular scarring and joint stiffness. Furthermore, there is increased chance of damage of the already tenuous blood supply to scaphoid and the torn ligaments. Recently, arthroscopic-assisted management of perilunate injuries has been suggested. This article describes the surgical technique and outcome of this minimally invasive approach for perilunate injuries...
November 2017: Hand Clinics
https://www.readbyqxmd.com/read/28991581/arthroscopic-scapholunate-ligament-reconstruction-volar-and-dorsal-reconstruction
#14
REVIEW
Fernando Corella, Miguel Del Cerro, Montserrat Ocampos, Clara Simon de Blas, Ricardo Larrainzar-Garijo
Arthroscopic scapholunate volar and dorsal ligament reconstruction achieves an anatomic reconstruction, avoids an open approach and capsular detachment, and provides a strong construct for early mobilization. Clinical results are discussed. Detailed "surgical tips" and technical modifications are provided.
November 2017: Hand Clinics
https://www.readbyqxmd.com/read/28991580/scaphoid-union-the-role-of-wrist-arthroscopy
#15
REVIEW
Jeff Ecker
There are times when clinical examinations, radiographs, and computed tomography scans do not provide sufficient information to know whether a scaphoid fracture or scaphoid bone graft has united, partially united, or not united. When this problem arises, arthroscopic examination of the scaphoid fracture or scaphoid bone graft provides additional information to solve the problem and plan further management in an evidence-based manner. The indications for the use of arthroscopy and surgical technique are described...
November 2017: Hand Clinics
https://www.readbyqxmd.com/read/28991579/arthroscopic-management-of-intra-articular-malunion-in-fractures-of-the-distal-radius
#16
REVIEW
Francisco Del Piñal, James Clune
Treatment of intra-articular malunion of the distal radius has evolved over the past 20 years, from open treatment to wet then dry arthroscopic techniques that provide excellent results with less morbidity than open approaches. Dry wrist arthroscopy provides a well-visualized surgical space in treating intra-articular malunion and results in less edema than wet techniques. The best results are attained in the first 3 months after injury. Alternative methods for avoiding total wrist arthrodesis in those who present later have been developed...
November 2017: Hand Clinics
https://www.readbyqxmd.com/read/28991578/arthroscopic-assisted-reduction-of-intra-articular-distal-radius-fracture
#17
REVIEW
Yukio Abe, Kenzo Fujii
Wrist arthroscopy is an efficient adjunct for intra-articular distal radius fracture fixation. However, performing wrist arthroscopy during the plate fixation is troublesome with the vertical traction applied and released. To facilitate the procedure, the authors developed a surgical technique, plate presetting arthroscopic reduction technique (PART), using a palmar locking plate. Since July 2005, they have performed PART for 248 intra-articular distal radius fractures with good and excellent results. Arthroscopic-assisted reduction of intra-articular fragments is superior to fluoroscopic assisted...
November 2017: Hand Clinics
https://www.readbyqxmd.com/read/28991577/arthroscopic-evaluation-of-associated-soft-tissue-injuries-in-distal-radius-fractures
#18
REVIEW
Tommy Lindau
The best outcome in distal radius fractures is achieved if anatomy is restored, in particular the intra-articular congruity. This is achieved partly with improved fixation, such as using volar locking plates, and partly by using an arthroscopy-assisted reduction and fixation technique. In addition to improving the intra-articular congruity, associated ligament and chondral injuries can be detected and treated. This article outlines various associated injuries with suggested management in a stepwise fashion...
November 2017: Hand Clinics
https://www.readbyqxmd.com/read/28991576/arthroscopic-management-of-ulnocarpal-impaction-syndrome-and-ulnar-styloid-impaction-syndrome
#19
REVIEW
David J Slutsky
Both ulnocarpal impaction syndrome and ulnar styloid impaction syndrome can produce ulnar wrist pain. The definition and clinical differentiation are explained. The relevant anatomy, biomechanics, causes, diagnosis, and arthroscopic treatments, as well as the surgical indications, techniques, and outcomes of these syndromes are discussed in detail.
November 2017: Hand Clinics
https://www.readbyqxmd.com/read/28991575/arthroscopic-assisted-triangular-fibrocartilage-complex-reconstruction
#20
REVIEW
Michael Chu-Kay Mak, Pak-Cheong Ho
Injury of the triangular fibrocartilage complex (TFCC) is a common cause of ulnar-sided wrist pain. Volar and dorsal radioulnar ligaments and their foveal insertion are the most important stabilizing components of the TFCC. In irreparable tears, anatomic reconstruction of the TFCC aims to restore normal biomechanics and stability of the distal radioulnar joint. We proposed a novel arthroscopic-assisted technique using a palmaris longus tendon graft. Arthroscopic-assisted TFCC reconstruction is a safe and effective approach with outcomes comparable to conventional open reconstruction and may result in a better range of motion from minimizing soft tissue dissection and subsequent scarring...
November 2017: Hand Clinics
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