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Wrist arthroscopy

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https://www.readbyqxmd.com/read/29448916/tensioning-of-the-radioscaphocapitate-and-long-radio-lunate-ligaments-for-dynamic-radiocarpal-instability
#1
Carin Rubensson, Torsten Johansson, Lars Adolfsson
During 1994-2003, we treated 20 patients with post-traumatic radial-sided wrist pain and dynamic radiocarpal instability. After arthroscopy confirmed no disruption of the radioscaphocapitate ligament and an increased laxity of the ligament, we passed a strip of the radioscaphocapitate ligament through the long radio-lunate ligament. The rationale of this procedure was to increase tension of the two ligaments and to close the space of Poirier. Eighteen patients were assessed after 1-3.7 years (mean 2.5 years)...
January 1, 2018: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/29395584/arthroscopic-diagnosis-of-the-triangular-fibrocartilage-complex-foveal-tear-a%C3%A2-cadaver-assessment
#2
Samir K Trehan, Lindley B Wall, Ryan P Calfee, Tony S Shen, Christopher J Dy, Sarah M Yannascoli, Charles A Goldfarb
PURPOSE: To determine whether the arthroscopic hook and trampoline tests are accurate and reliable diagnostic tests for foveal triangular fibrocartilage complex (TFCC) detachment. METHODS: Wrist arthroscopy was performed on 10 cadaveric upper extremities. Arthroscopic hook and trampoline tests were performed and videos recorded (baseline). The deep foveal TFCC insertion was then sharply detached. Arthroscopic hook and trampoline tests were repeated. Subsequently, the foveal detachment was repaired via an ulnar tunnel technique and the hook test was repeated for a third time...
January 25, 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29394904/operative-treatment-of-intra-articular-distal-radius-fractures-with-versus-without-arthroscopy-study-protocol-for-a-randomised-controlled-trial
#3
Marjolein A M Mulders, Caroline A Selles, Joost W Colaris, Rolf W Peters, Mark van Heijl, Berry I Cleffken, Niels W L Schep
BACKGROUND: In the past several years, an increase in open reduction and internal fixation (ORIF) for intra-articular distal radius fractures has been observed. This technique leads to a quicker recovery of function compared to non-operative treatment. However, some patients continue to have a painful and stiff wrist postoperatively. Arthroscopically assisted removal of intra-articular fracture haematoma and debris may improve the functional outcomes following operative treatment of intra-articular distal radius fractures...
February 2, 2018: Trials
https://www.readbyqxmd.com/read/29375263/wrist-arthroscopy-basic-tips-for-dry-arthroscopic-exploration
#4
Henrique DE Barros Pinto, Suzilaine Ramos DE Oliveira, Flavia Curvo Pereira, Nilton Mazzer
Objective: This article provides details and tips on the dry arthroscopic technique, based on our experience and its clinical applications. Method: The technique was applied to 65 patients (33 men and 32 women) aged between 20 and 62 years (average of 35.4 years) for treating: synovial cyst resection, scapholunate ligament injury repair, ulnocarpal impact correction, triangular fibrocartilage injury repair, and assisted reduction of distal radius fractures. Results: A minimally invasive intra-articular evaluation has been observed as a benefit, with low infection rate, small scars, and high rates of early recovery, without affecting intra-articular fluid use, reducing the risk of compartment syndrome and infiltrated soft tissues, in the case of need for associated open surgery...
November 2017: Acta Ortopedica Brasileira
https://www.readbyqxmd.com/read/29368237/the-minimally-invasive-flexor-carpi-radialis-approach-a-new-perspective-for-distal-radius-fractures
#5
Yuka Igeta, Paul Vernet, Sybille Facca, Ismaël Naroura, Juan José Hidalgo Diaz, Philippe A Liverneaux
The minimally invasive flexor carpi radialis approach can be used for volar locking plate fixation of distal radius fractures. After 15-mm incision on the lateral aspect of the FCR tendon and all structures but the radial artery are reclined ulnarly, a plate is inserted under the pronator quadratus just proximal to the "watershed line." The distal epiphyseal screws are put in place, and the proximal part of the plate is exposed by flexion of the wrist to put in place the proximal screws. No drainage or postoperative immobilization is used...
January 24, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29354477/arthroscopic-treatment-of-type-1b-triangular-fibrocartilage-complex-tear-by-outside-in-repair-technique-using-transcapsular-transverse-mattress%C3%A2-suture
#6
Maysara Abdelhalim Bayoumy, Amr El-Sayed, Hesham A Elkady, Waleed Reyad Saleh, Hatem G Said, Abdelaziz M Ali
Triangular fibrocartilage complex (TFCC) injuries are increasingly recognized as a cause of ulnar-sided wrist pain. Palmer grouped these tears into either traumatic or degenerative, with various subclassifications. Magnetic resonance imaging (MRI), arthrogram, and arthroscopy are the methods used to establish the diagnosis. Several arthroscopic methods of TFCC repair including outside-in, inside-out, and all-inside techniques have been described. The outside-in repair, which involves piercing the TFCC via the ulnar side of the wrist, has been described by several authors, but the technique varies among authors with respect to instrumentation and subtle surgical modifications...
October 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29322875/biomechanical-analysis-of-capsular-repair-versus-arthrex-tfcc-ulnar-tunnel-repair-for-triangular-fibrocartilage-complex-tears
#7
Jayson C Johnson, Ferris M Pfeiffer, Jill E Jouret, David M Brogan
BACKGROUND: This study compares the effectiveness of a peripheral capsular repair with a knotless arthroscopic transosseous ulnar tunnel repair (TR) in restoring distal radioulnar joint (DRUJ) stability and stiffness in the setting of a massive triangular fibrocartilage complex (TFCC) tear. METHODS: Eight matched pairs of fresh-frozen cadaveric forearms were tested. Each forearm was tested in supination and pronation using 3-dimensional (3D) optical tracking devices prior to any intervention...
January 1, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29258363/20-year-outcome-of-tfcc-repairs
#8
Maria Moloney, Simon Farnebo, Lars Adolfsson
The aims of this study were to investigate the functional result and rate of osteoarthritis 15-25 years after a TFCC-repair. Forty-seven patients completed the questionnaire Patient Rated Wrist Evaluation (PRWE), and 43 had new X-rays. Fifty-seven percent had a simultaneous arthroscopy. Sixteen patients had later additional surgery to the wrist, of these eight had a reoperation of the TFCC-injury due to recurrent instability. Radiographs showed that 17.5% had developed radiocarpal osteoarthritis and 34% osteoarthritis in the distal radioulnar joint...
December 19, 2017: Journal of Plastic Surgery and Hand Surgery
https://www.readbyqxmd.com/read/29234651/dorsal-capsulodesis-associated-with-arthoscopy-assisted-scapholunate-ligament-reconstruction-using-a-palmaris-longus-tendon-graft
#9
Victor Bignatto Carvalho, Carlos Henrique Vieira Ferreira, Andresa Ramires Hoshino, Viviane Alves Bernardo, Gustavo Mantovani Ruggiero, Márcio Aurélio Aita
Objectives: To measure the quality of life, the time to work return, and clinical, functional, and radiographic parameters of patients treated with dorsal capsulodesis associated with scapholunate (SL) reconstruction, assisted by arthroscopy. Methods: From January 2015 to September 2016, 14 adult patients with SL dissociation underwent surgical treatment with the SL reconstruction procedure assisted by arthroscopy, using the new technique proposed in this study...
November 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/29185350/arthroscopic-resection-of-dorsal-wrist-ganglion-results-and-rate-of-recurrence-over-a-minimum-follow-up-of-4-years
#10
Carlos H Fernandes, Lia M Meirelles, Jorge Raduan Neto, Marcela Fernandes, João Baptista G Dos Santos, Flávio Faloppa
BACKGROUND: Dorsal wrist ganglia are the most common soft tissue tumor type of the upper limb. Surgical resection, open or arthroscopic, is one of the most frequent procedures performed by hand surgeons. This study sought to perform an objective evaluation of the outcomes of arthroscopic resection of dorsal wrist ganglia and their recurrence rates over 4 years. Patients treated with arthroscopic resection were expected to have favorable outcomes and low complication rates after 4 years of follow-up...
November 1, 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29095398/mri-and-arthroscopic-correlation-of-the-wrist
#11
Nicholas C Nacey, Jeffrey D Boatright, Aaron M Freilich
Since its introduction in 1979, the practice of and indications for wrist arthroscopy in the diagnosis and treatment of pathologic conditions in the wrist continues to grow. Magnetic resonance imaging (MRI) is another commonly used tool to noninvasively examine the anatomy and pathology of the wrist joint. Here, we review the normal wrist anatomy as seen arthroscopically and through MRI. We then examine the various common pathologic entities and define both the arthroscopic findings and correlated MRI findings in each of these states...
December 2017: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/29089828/anatomical-variants-of-lister-s-tubercle-a-new-morphological-classification-based-on-magnetic-resonance-imaging
#12
Wan Ying Chan, Le Roy Chong
OBJECTIVE: Lister's tubercle is used as a standard anatomical landmark in hand surgery and arthroscopy procedures. In this study, we aimed to evaluate and propose a classification for anatomical variants of Lister's tubercle. MATERIALS AND METHODS: Between September 2011 and July 2014, 360 MRI examinations for wrists performed using 1.5T scanners in a single institution were retrospectively evaluated. The prevalence of anatomical variants of Lister's tubercle based on the heights and morphology of its radial and ulnar peaks was assessed...
November 2017: Korean Journal of Radiology: Official Journal of the Korean Radiological Society
https://www.readbyqxmd.com/read/29054543/outcomes-of-surgically-treated-distal-radial-fractures-with-associated-triangular-fibrocartilage-complex-injury
#13
Katerina Kasapinova, Viktor Kamiloski
STUDY DESIGN: Prospective cohort. INTRODUCTION: Clinical studies that evaluate the correlation between associated lesions of the triangular fibrocartilage complex (TFCC) and outcome of distal radial fractures expressed with the patient-rated disability are missing. PURPOSE OF THE STUDY: To evaluate the outcomes of distal radius fractures associated with or without an injury of the TFCC. METHODS: Patients undergoing operative treatment for distal radial fracture were prospectively enrolled (n = 70)...
October 17, 2017: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/28991594/evolution-and-inspiration-from-hand-and-wrist-arthroscopy
#14
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
#15
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/28991591/arthroscopic-management-of-scaphoid-trapezium-trapezoid-joint-arthritis
#16
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/28991586/arthroscopic-transplantation-of-osteochondral-autograft-for-treatment-of-cartilage-defects-in-the-wrist
#17
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/28991584/the-role-of-wrist-arthroscopy-in-kienbock-disease
#18
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
#19
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/28991580/scaphoid-union-the-role-of-wrist-arthroscopy
#20
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
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