1,355 results match your criteria Wrist Arthroscopy


Modified anteromedial and anterolateral elbow arthroscopy portals show superiority to standard portals in guiding arthroscopic radial head screw fixation.

Knee Surg Sports Traumatol Arthrosc 2019 Mar 12. Epub 2019 Mar 12.

Center for Orthopedic and Trauma Surgery, University Medical Center, Kerpenerstrasse 62, 50937, Cologne, Germany.

Purpose: Arthroscopic fixation of radial head radial head fractures is an appealing alternative to open reduction and internal fixation, which presents the advantage of minimal surgical trauma. The aim of this study was to evaluate if modifications to the standard anteromedial (AM) and anterolateral (AL) portals could allow screw placement for radial head fracture osteosynthesis closer to the plane of the radial head articular surface.

Methods: Eight fresh-frozen specimens were prepared to mimic arthroscopic setting. Read More

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http://dx.doi.org/10.1007/s00167-019-05411-8DOI Listing

[Preliminary effectiveness of carpal arthroscopic adjuvant treatment of intra-articular fractures of distal radius].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2019 Feb;33(2):138-143

Department of Orthopedics, Second Affiliated Hospital of Fujian Medical University, Quanzhou Fujian, 362000,

Objective: To investigate the early-term effectiveness of carpal arthroscopy in the treatment of intra-articular fractures of distal radius.

Methods: The clinical data of 50 cases of intra-articular fractures of distal radius between January 2015 and December 2017 were retrospectively analyzed. According to the different methods of intraoperative assisted treatment, the patients were divided into the trial group (11 cases with carpal arthroscopy assisted treatment) and the control group (39 cases with traditional open reduction). Read More

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http://dx.doi.org/10.7507/1002-1892.201807038DOI Listing
February 2019
2 Reads

A Modified Surgical Technique for Minimally Invasive Arthroscopic Total Wrist Fusion.

J Wrist Surg 2019 Feb 18;8(1):84-88. Epub 2018 Sep 18.

Department of Surgery, Tehran University of Medical Sciences, Tehran, Iran.

 Arthroscopic total wrist arthrodesis is a procedure with minimal violation of extensor compartments and less scar formation, compared with open wrist arthrodesis. In this paper, we would like to present our experience with a modified surgical technique for arthroscopic total wrist arthrodesis.  After an arthroscopic cartilage removal through radiocarpal and midcarpal portals, the operation is continued under fluoroscopic control. Read More

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http://dx.doi.org/10.1055/s-0038-1669918DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6358453PMC
February 2019

The Twist X-Ray: A Novel Test for Dynamic Scapholunate Instability.

J Wrist Surg 2019 Feb 3;8(1):61-65. Epub 2018 Oct 3.

Division of Hand Surgery, Department of Orthopaedic Surgery, Dandenong Hospital, Monash University, Melbourne, Australia.

 Scapholunate instability (SLI) is the most common form of carpal instability. Early detection of SLI is imperative as early reconstructive procedures can potentially prevent the natural history of progressive degenerative arthritis. After wrist arthroscopy, magnetic resonance imaging (MRI) remains the next best noninvasive diagnostic option; however, access still remains costly and is often limited in many health care systems worldwide. Read More

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http://dx.doi.org/10.1055/s-0038-1673344DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6358452PMC
February 2019
1 Read

Arthroscopic treatment of triangular fibrocartilage complex injuries in paediatric and adolescent patients.

J Hand Surg Eur Vol 2019 Jan 31:1753193418825070. Epub 2019 Jan 31.

Department of Orthopaedic Surgery, Washington University School of Medicine, Saint Louis, MO, USA.

We assessed outcomes of 43 paediatric and adolescent patients (44 wrists) undergoing arthroscopic triangular fibrocartilage complex surgery by a single surgeon between 2003 and 2016. Medical records were reviewed for clinical, imaging, and operative data. Preoperatively, 49% of patients had additional diagnoses and mean QuickDASH was 47. Read More

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http://dx.doi.org/10.1177/1753193418825070DOI Listing
January 2019

All-Arthroscopic Triangular Fibrocartilage Complex Ligamentoplasty for Chronic DRUJ Instability.

Tech Hand Up Extrem Surg 2019 Mar;23(1):44-51

Infanta Leonor Hospital Madrid, Madrid, Spain.

Peripheral injuries of the triangular fibrocartilage complex can produce pain and instability of the distal radioulnar joint (DRUJ). There are several techniques for the repair or reconstruction of these injuries, which vary depending on the location, healing capacity, and viability of the tissues, as described by the classification proposed by Atzei. In irreparable chronic injuries of the triangular fibrocartilage complex in which there are no associated chondral injuries of the DRUJ or in failures in previous repair techniques, ligament reconstruction plasty with tendon grafts, either by open surgery or assisted by arthroscopy, are the treatments of choice. Read More

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http://dx.doi.org/10.1097/BTH.0000000000000222DOI Listing

Arthroscopic removal of loose bodies in synovial chondromatosis of shoulder joint, unusual location of rare disease: A case report and literature review.

Ann Med Surg (Lond) 2019 Jan 5;37:25-29. Epub 2018 Dec 5.

Department of Orthopaedics, Aga Khan University Hospital AKUH, Karachi, Pakistan.

Introduction: Synovial chondromatosis is a benign mono-articular arthropathy affecting synovial joints. It mostly affects knee joint, followed by hip, elbow and wrist and is rarely reported for shoulder joint. The exact pathogenesis is not known. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S20490801183026
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http://dx.doi.org/10.1016/j.amsu.2018.11.016DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6297053PMC
January 2019
8 Reads

Arthroscopic Transosseous Repair for both Proximal and Distal Components of Peripheral Triangular Fibrocartilage Complex Tear.

Indian J Orthop 2018 Nov-Dec;52(6):596-601

Department of Orthopaedic Surgery, Korea University Anam Hospital, Seoul, Korea.

Background: Tears of the triangular fibrocartilage complex (TFCC) can result in instability of the distal radioulnar joint (DRUJ) and ulnar-sided wrist pain. This study evaluates clinical results of arthroscopic transosseous repair for both proximal and distal components of TFCC tear with DRUJ instability.

Materials And Methods: Ten patients who underwent both proximal component and distal component of TFCC repair were retrospectively reviewed. Read More

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http://dx.doi.org/10.4103/ortho.IJOrtho_598_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6241056PMC
December 2018
3 Reads

Arthroscopic Ganglionectomy in the Pediatric Population.

Plast Reconstr Surg 2018 11;142(5):718e-721e

Dallas, Texas From the Departments of Plastic Surgery and Orthopedic Surgery, University of Texas Southwestern Medical Center.

Background: Arthroscopic dorsal wrist ganglionectomy is an established alternative to open excision in the adult population. The purpose of this study was to retrospectively compare outcomes of arthroscopic and open dorsal wrist ganglionectomy in the pediatric population.

Methods: All patients who underwent arthroscopic or open dorsal wrist ganglionectomy at a single pediatric institution between 2011 and 2014 were retrospectively evaluated by chart review and telephone interview. Read More

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http://dx.doi.org/10.1097/PRS.0000000000004844DOI Listing
November 2018
21 Reads

Gender Disparities in Preoperative Resource Use for Wrist Arthroscopy.

Plast Reconstr Surg 2018 11;142(5):1267-1274

Ann Arbor, Mich. From the Section of Plastic Surgery, University of Michigan Health System; and the Section of Plastic Surgery, University of Michigan Medical School.

Background: Although national efforts to minimize gender biases exist, gender differences in surgery persist. This study aims to investigate gender differences in preoperative resource use of patients undergoing wrist arthroscopy for nontraumatic wrist pain.

Methods: Patients who underwent a wrist arthroscopy for nontraumatic pain from 2009 to 2015 were selected from the Truven MarketScan databases. Read More

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http://Insights.ovid.com/crossref?an=00006534-201811000-0002
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http://dx.doi.org/10.1097/PRS.0000000000004840DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6282178PMC
November 2018
3 Reads

Does arthroscopic assistance improve reduction in distal articular radius fracture? A retrospective comparative study using a blind CT assessment.

Eur J Orthop Surg Traumatol 2019 Feb 28;29(2):405-411. Epub 2018 Nov 28.

Service Chirurgie Orthopédique et Traumatologie, Hôpital Ambroise Paré AP-HP, 9 Avenue Charles-de-Gaulle, 92100, Boulogne-Billancourt, France.

Introduction: The objective of this study was to compare the articular reduction in two groups of patients with a distal articular radius fracture who underwent surgery with versus without arthroscopic assistance. The initial hypothesis of this study is that arthroscopic assistance does not improve reduction in distal articular radius fractures.

Methods: The study was retrospective (1/04/2014-01/04/2017) and included 41 patients: 23 had arthroscopically assisted osteosynthesis, and 18 had not. Read More

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http://dx.doi.org/10.1007/s00590-018-2348-yDOI Listing
February 2019
1 Read

Wide-Awake Wrist and Small Joints Arthroscopy of the Hand.

Hand Clin 2019 Feb;35(1):85-92

Upper Limb Unit, Wrightington Hospital, Hall Lane, Appley Bridge, Wigan, Lancashire WN6 9EP, UK.

The minimally invasive nature of wrist and small joint arthroscopy renders it particularly suitable for the application of the wide-awake local anesthesia no tourniquet (WALANT) technique. The application of WALANT wrist and small joint arthroscopy has given surgeons the ability to visualize both static and dynamic movements of a joint, to show the pathology and discuss with the patient, and to visualize a patient's repaired structures. This reinforces confidence in surgeons and encourages patients to comply with postoperative rehabilitation. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07490712183010
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http://dx.doi.org/10.1016/j.hcl.2018.08.010DOI Listing
February 2019
15 Reads

ARTHROSCOPIC ASSESSMENT OF THE WRIST WITH KIENBÖCK'S DISEASE.

Acta Ortop Bras 2018 ;26(5):286-289

Grupo de Mão e Microcirurgia, Instituto de Ortopedia e Traumatología, Hospital das Clinicas (HC-FMUSP), Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.

Objective: Treatment of Kienböck's disease is challenging and the variability of results, despite the surgical technique, shows that there must be other aspects that can influence outcomes. The objective of this study is determine, through arthroscopic approach, the pattern of impairment of the carpal bones in Lichtman stage III patients.

Method: Wrist arthroscopy was performed in patients with symptoms and evidence of lunate necrosis on x-rays, with signs of 3A and 3B stages. Read More

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http://dx.doi.org/10.1590/1413-785220182605208269DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220665PMC
January 2018
14 Reads

Surgical Strategy for Scaphoid Nonunion Treatment.

J Hand Surg Asian Pac Vol 2018 Dec;23(4):450-462

1 Department of Orthopaedic Surgery, Dongguk University College of Medicine, Dongguk University Ilsan Hospital, Goyang, Korea.

Scaphoid fracture is the most common carpal fracture. Nonunion rate has been reported around 10 to 15% of scaphoid fractures. Risk factors for scaphoid nonunion are known as location, displacement, poor vascularity, time to treatment etc. Read More

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http://dx.doi.org/10.1142/S2424835518300049DOI Listing
December 2018
20 Reads

Editorial Commentary: Arthroscopic Triangular Fibrocartilage Complex Debridement May or May Not Help With Ulnar-Sided Wrist Pain.

Arthroscopy 2018 Nov;34(11):2999-3000

Wake Forest University School of Medicine.

After ruling out additional potential pain generators for ulnar-sided wrist pain, arthroscopic debridement for triangular fibrocartilage complex pathology can be an effective means for decreasing pain and improving function in the short term. Arthroscopic skills aside, this procedure will not work for all comers, and establishing realistic patient expectations is essential for optimal outcomes. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07498063183066
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http://dx.doi.org/10.1016/j.arthro.2018.08.004DOI Listing
November 2018
6 Reads

[The classification and MR imaging of scapholunate ligament injuries].

Zhonghua Yi Xue Za Zhi 2018 Oct;98(39):3153-3157

To explore the MRI characteristics of injuries of scapholunate ligament (SLL), and provide imaging basis for the early diagnosis and treatment of the injuries. A total of 20 healthy volunteers without wrist injuries and 30 patients who complained dorsoradial-sided wrist pain and were highly suspected as the injury of SLL underwent the wrist magnetic resonance examination and X-ray examination in Beijing Jishuitan Hospital from January 2013 to September 2017.All subjects underwent anterior and lateral radiographs of the wrist joint and examination on coronal T(1)WI scan and PD-FS on 3 planes respectively in a prone position. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0376-2491.2018.39.005DOI Listing
October 2018
14 Reads

Experimental Substantiation of the Possibility of Wrist Joint Arthroscopy Under Distraction with External Fixation Apparatus.

Bull Exp Biol Med 2018 Oct 23;165(6):813-816. Epub 2018 Oct 23.

Faculty of Fundamental Medicine, M. V. Lomonosov Moscow State University, Moscow, Russia.

In cases of splintered intra-articular distal radius fractures, it is important to accurately restore the joint surface. Wrist joint arthroscopy makes possible accurate assessment of intra-articular damage and reposition quality. The joint gap is to be enlarged for arthroscopy, but this can distort the topographic and anatomical relationships in the wrist joint. Read More

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http://dx.doi.org/10.1007/s10517-018-4271-yDOI Listing
October 2018

Handmade Traction Wrist Tower.

J Wrist Surg 2018 Nov 7;7(5):441-444. Epub 2018 May 7.

Department of Orthopedic Surgery, Medical Center, Far Eastern Federal University, Vladivostok, Russia.

The article presents handmade traction wrist tower, made from improvised means, which can be an alternative for expensive branded traction devices. The proposed device can be used successfully for wrist joint arthroscopy, as well as for performing various surgical procedures on the wrist and forearm, when traction is needed. This a Level IV study. Read More

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http://dx.doi.org/10.1055/s-0038-1649504DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6196085PMC
November 2018

Accuracy of Pre- and Postcontrast, 3 T Indirect MR Arthrography Compared with Wrist Arthroscopy in the Diagnosis of Wrist Ligament Injuries.

J Wrist Surg 2018 Nov 26;7(5):382-388. Epub 2018 Jun 26.

Department of Clinical Sciences Malmö -Hand Surgery, Skåne University Hospital, Lund University, Malmö, Sweden.

 Magnetic resonance (MR) is the most important imaging technique to assess intra-articular pathology of the wrist. Among various MR imaging protocols, the diagnostic performance of indirect MR arthrography needs further investigation.  The purpose of this study was to assess the diagnostic performance of pre- and postcontrast, 3 T indirect MR arthrography in the diagnosis of scapholunate intrinsic ligament (SLIL) and triangular fibrocartilage complex (TFCC) injuries, using wrist arthroscopy as reference standard. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1661419
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http://dx.doi.org/10.1055/s-0038-1661419DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6196091PMC
November 2018
5 Reads

Percutaneous elevation of depressed lunate fossa: A surgical technique.

Chin J Traumatol 2018 Oct 27;21(5):304-307. Epub 2018 Sep 27.

Department of Orthopaedics, Indraprastha Apollo Hospital, New Delhi, India.

Die-punch fractures or impaction fractures of distal radius articular surface are difficult to treat and hard to achieve satisfactory reduction. We present a unique, percutaneous and minimally invasive technique to elevate the depressed lunate fossa and maintain the reduction of the elevated fragment with no need of grafting in such fractures. This technique is simple, reproducible and can be executed with simple instrumentations. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10081275183008
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http://dx.doi.org/10.1016/j.cjtee.2018.07.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6235794PMC
October 2018
14 Reads

Arthroscopic Excision of Tendinous Giant Cell Tumors Causing Locking in the Knee Joint.

Acta Chir Orthop Traumatol Cech 2018 ;85(2):109-112

Istanbul Medipol University, Department of Orthopaedics and Traumatology, Istanbul, Turkey.

PURPOSE OF THE STUDY Non-osseous giant cell tumors are locally aggressive tumors arising around joints. They are commonly located around synovial joints such as wrist and knee and occasionally cause mechanical symptoms. MATERIAL AND METHODS This retrospective case series includes 7 patients operated due to intraarticular lesion. Read More

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January 2019
9 Reads

Dorsal Capsular Defect and Synovial Fistula to the Fourth Extensor Compartment: A Late Complication after Arthroscopic Dorsal Wrist Ganglionectomy.

J Hand Surg Asian Pac Vol 2018 Sep;23(3):404-407

* Division of Hand Surgery, Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA.

Arthroscopic dorsal wrist ganglionectomy is demonstrably a safe procedure with recurrence rates comparable to open surgery. We present a patient with wrist pain following arthroscopic ganglion excision. MRI and arthroscopic findings showed a large dorsal capsular defect, synovial fistula to the fourth extensor compartment, and dorsal radiocarpal ligament resection. Read More

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http://dx.doi.org/10.1142/S2424835518720244DOI Listing
September 2018

Triangular Fibrocartilage Complex Repair and Ulna Variance: A Systematic Review.

J Hand Surg Asian Pac Vol 2018 Sep;23(3):313-319

§ Department of Orthopedic Surgery, Seoul National University Bundang Hospital, Seongnam, Korea.

Background: This purpose of the study was to conduct a systematic review of available literature regarding the association between ulnar variance and outcomes after repair of peripheral traumatic tears of the triangular fibrocartilage complex (TFCC).

Methods: A systematic literature search of the medical literature about peripheral tears of the TFCC was performed. We selected seven studies comparing clinical outcome and ulnar variance in patients with peripheral TFCC tears. Read More

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https://www.worldscientific.com/doi/abs/10.1142/S24248355183
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http://dx.doi.org/10.1142/S2424835518300025DOI Listing
September 2018
1 Read

[Arthroscopic Resection and Spongioplasty of Scapholunate Joint in Treating Chronic Dynamic Scapholunate Instability].

Acta Chir Orthop Traumatol Cech 2018 ;85(1):34-39

Traumatologická klinika Lékařské fakulty Univerzity Palackého v Olomouci a Fakultní nemocnice Olomouc.

PURPOSE OF THE STUDY The study evaluated the method of arthroscopic stabilisation of dynamic scapholunate (SL) instability by scapholunate joint resection using bone graft to create synarthrosis between the scaphoid and lunate. MATERIAL AND METHODS Twenty-six patients with chronic dynamic SL instability of Geisler-Messina - EWAS grade IIIB, C and IV were treated by artificial synarthrosis of SL joint using an arthroscopic technique. The mean follow-up period of the patients was 32. Read More

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January 2019
3 Reads

Arthroscopy-assisted treatment of scaphoid and lunate cysts: Clinical evaluation of 7 cases.

Hand Surg Rehabil 2018 12 14;37(6):358-362. Epub 2018 Sep 14.

University Hospital Center of Amiens, avenue Rene-Laennec, 80480 Salouel, France.

Intraosseous cysts of the carpus are relatively common benign tumors. They are often discovered by chance and can cause wrist pain thereby requiring appropriate management. While conventional open surgical treatment leads to good results, it has certain disadvantages, the main one being postoperative stiffness. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S24681229183012
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http://dx.doi.org/10.1016/j.hansur.2018.08.004DOI Listing
December 2018
22 Reads

Small Scope Arthroscopy and Breakages.

J Wrist Surg 2018 Sep 12;7(4):355-356. Epub 2018 Feb 12.

Department of Orthopaedics, King's College Hospital, London, United Kingdom.

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1625952
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http://dx.doi.org/10.1055/s-0038-1625952DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6117176PMC
September 2018
1 Read

Arthroscopic Treatment of Symptomatic Congenital Lunotriquetral Coalition.

J Wrist Surg 2018 Sep 14;7(4):341-343. Epub 2018 Feb 14.

Center of Hand Surgery, Private Hospital of Saint Martin, Caen, France.

Symptomatic lunotriquetral coalition is very rare and need open surgery after failure of conservative treatment. We report a case of a symptomatic congenital lunotriquetral coalition type 1 according to the Minaar classification, at the left wrist of a 14-year-old boy. We performed an arthroscopic treatment with two compression screws and without cancellous bone grafting. Read More

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http://dx.doi.org/10.1055/s-0038-1627444DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6117173PMC
September 2018

Arthroscopic Dorsal Capsuloplasty in Scapholunate Tears EWAS 3: Preliminary Results after a Minimum Follow-up of 1 Year.

J Wrist Surg 2018 Sep 8;7(4):324-330. Epub 2018 Jun 8.

Département de Chirurgie Orthopédique et Traumatologique, Chirurgie du Rachis, CHU Carémeau, Nîmes, France.

 We retrospectively evaluated the results of all arthroscopic dorsal scapholunate (SL) capsuloplasty without pinning in patients presenting predynamic instability and dorsal capsuloscapholunate septum lesions on arthro-computed tomography scan after failed medical treatment.  Fifteen patients, mean age 34.3 years, underwent all arthroscopically assisted dorsal capsuloplasty. Read More

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http://dx.doi.org/10.1055/s-0038-1660446DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6117177PMC
September 2018
2 Reads

Midterm Results after Open versus Arthroscopic Transosseous Repair for Foveal Tears of the Triangular Fibrocartilage Complex.

J Wrist Surg 2018 Sep 10;7(4):292-297. Epub 2018 Apr 10.

Department of Orthopaedic Surgery, Saiseikai Shimonoseki General Hospital, Yamaguchi, Japan.

 Various surgical procedures for foveal tears of the triangular fibrocartilage complex (TFCC) have been reported, and the procedures can be grossly divided into open and arthroscopic repair. The surgical results of both procedures were compared.  Twenty-nine patients underwent repair of a TFCC foveal tear. Read More

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http://dx.doi.org/10.1055/s-0038-1641720DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6117178PMC
September 2018

Retrospective Comparative Outcomes Analysis of Arthroscopic Versus Open Bone Graft and Fixation for Unstable Scaphoid Nonunions.

Arthroscopy 2018 Oct 30;34(10):2810-2818. Epub 2018 Aug 30.

Department of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Korea. Electronic address:

Purpose: To compare union rates and clinical and radiologic outcomes after arthroscopic and open bone grafting and internal fixation for unstable scaphoid nonunions.

Methods: Between March 2009 and November 2014, patients with unstable scaphoid nonunion underwent arthroscopic (group A) or open (group O) bone grafting and internal fixation. One senior surgeon alternatively performed either arthroscopic or open osteosynthesis for the same surgical indications. Read More

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http://dx.doi.org/10.1016/j.arthro.2018.04.024DOI Listing
October 2018
1 Read

Locating the ulnar nerve during elbow arthroscopy using palpation is only accurate proximal to the medial epicondyle.

Knee Surg Sports Traumatol Arthrosc 2018 Aug 23. Epub 2018 Aug 23.

Department of Orthopaedic Surgery, Academic Medical Center, University of Amsterdam, Amsterdam Movement Sciences, 1105 AZ, Amsterdam, The Netherlands.

Purpose: Knowledge of ulnar nerve position is of utmost importance to avoid iatrogenic injury in elbow arthroscopy. The aim of this study was to determine how accurate surgeons are in locating the ulnar nerve after fluid extravasation has already occurred, and basing their localization solely on palpation of anatomical landmarks.

Methods: Seven cadaveric elbows were used and seven experienced surgeons in elbow arthroscopy participated. Read More

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http://dx.doi.org/10.1007/s00167-018-5108-yDOI Listing
August 2018
1 Read

Outcomes of Operative Treatment of Triangular Fibrocartilage Tears in Pediatric and Adolescent Athletes.

J Pediatr Orthop 2018 Nov/Dec;38(10):e618-e622

Pediatric Hand & Upper Extremity Center of Georgia, Atlanta, GA.

Background: Triangular fibrocartilage complex (TFCC) tears have been treated with increasing frequency in pediatric and adolescent patients over the past decade. There is little information on these injuries in young athletes and a scarcity of data regarding their ability to return to preinjury levels of athletic participation. The purpose of this study was to review the outcomes of pediatric and adolescent athletes with operatively treated TFCC tears with or without a concurrent ulnar shortening osteotomy and to determine their ability to return to their preoperative level of activity. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001243DOI Listing
December 2018

Development of an end-effector device for loose body removal in hip arthroscopy.

Proc Inst Mech Eng H 2018 Oct 22;232(10):987-998. Epub 2018 Aug 22.

1 Robotics and Media Institute, Korea Institute of Science and Technology (KIST), Seoul, Republic of Korea.

This article describes a novel hand-operated end-effector device developed for loose body removal in hip arthroscopy. This sterilizable and reusable device incorporates a wire-ball joint mechanism that provides motion with 5 degrees of freedom. The design accounted for the following: (1) the diameter of the femoral head, (2) range of motion of the wrist joint of the operator, (3) ease of assembly of modular parts, and (4) material stiffness and durability. Read More

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http://journals.sagepub.com/doi/10.1177/0954411918794991
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http://dx.doi.org/10.1177/0954411918794991DOI Listing
October 2018
27 Reads

Do Orthopedic Trauma Surgeons Adhere to AAOS Guidelines when Treating Distal Radius Fractures?

Iowa Orthop J 2018 ;38:53-60

Orthopaedic Surgery Resident, Department of Orthopaedic Surgery, Washington University School of Medicine, 660 S. Euclid Ave, Campus Box 8233, St. Louis, MO 63110

Background: The American Academy of Orthopedic Surgeons (AAOS) has provided Clinical Practice Guidelines (CPG) and Appropriate Use Criteria (AUC) regarding management of distal radius fractures. The purpose of this study was to evaluate current practices in management of distal radius fractures among orthopedic trauma surgeons and to examine adherence to the AAOS criteria.

Methods: An online survey was posted and distributed via the Orthopaedic Trauma Association (OTA) website. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6047401PMC
December 2018
2 Reads

Serum metabolomic profiling predicts synovial gene expression in rheumatoid arthritis.

Arthritis Res Ther 2018 08 3;20(1):164. Epub 2018 Aug 3.

Division of Rheumatology, University of California, San Diego, 9500 Gilman Drive, San Diego, CA, 92093, USA.

Background: Metabolomics is an emerging field of biomedical research that may offer a better understanding of the mechanisms of underlying conditions including inflammatory arthritis. Perturbations caused by inflamed synovial tissue can lead to correlated changes in concentrations of certain metabolites in the synovium and thereby function as potential biomarkers in blood. Here, we explore the hypothesis of whether characterization of patients' metabolomic profiles in blood, utilizing H-nuclear magnetic resonance (NMR), predicts synovial marker profiling in rheumatoid arthritis (RA). Read More

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http://dx.doi.org/10.1186/s13075-018-1655-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6091066PMC
August 2018
18 Reads
3.753 Impact Factor

A combination of an anteromedial, anterolateral and midlateral portals is sufficient for 360° exposure of the radial head for arthroscopic fracture fixation.

Knee Surg Sports Traumatol Arthrosc 2019 Jan 1;27(1):319-325. Epub 2018 Aug 1.

Laboratory of Applied Biomechanics, Department of Biomedical Sciences for Health, Università degli Studi di Milano, Via Mangiagalli 31, 20133, Milan, Italy.

Purpose: Arthroscopic fixation of radial head fractures is an alternative to open reduction and internal fixation; the latter, however, presents the advantage of minimal soft-tissue damage. The exposure of the radial head for adequate screw placement can be technically challenging. The aim of this study was to evaluate the inter-observer agreement on the effective contact arc in the axial plane of the radial head of three different elbow arthroscopy portals. Read More

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http://dx.doi.org/10.1007/s00167-018-5077-1DOI Listing
January 2019

Force Required to Maintain Reduction of a Preexisting Scapholunate Dissociation.

J Hand Surg Am 2018 Sep 23;43(9):812-818. Epub 2018 Jul 23.

Department of Orthopedic Surgery, SUNY Upstate Medical University, Syracuse, NY.

Purpose: To determine the force required to maintain reduction of Geissler grade 4 scapholunate dissociations during physiological wrist motions.

Methods: Fresh-frozen cadaveric wrists with Geissler grade 4 scapholunate dissociations were identified by arthroscopy. Following reduction, a load cell was attached to measure the force across the scapholunate joint at a neutral position and during 4 different wrist motions re-created using a servohydraulic wrist simulator, including a large flexion-extension motion (FEM), small and large dart-thrower's motions (DTMs), and a large DTM with ulnar offset. Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.06.022DOI Listing
September 2018
16 Reads
1.660 Impact Factor

Cutaneous innervation of the distal forearm and hand - Minimizing complication rate by defining danger zones for surgical approaches.

Ann Anat 2018 Nov 23;220:38-50. Epub 2018 Jul 23.

Division of Anatomy, Center for Anatomy and Cell Biology, Medical University of Vienna, Währinger Straße 13, 1090 Vienna, Austria.

Background: The aim of this study was to investigate the course of the lateral, medial and posterior antebrachial cutaneous nerves, the superficial branch of the radial nerve, the dorsal branch of the ulnar nerve and the palmar branches of the median and ulnar nerve and to determine their relationship to osseous and tendinous landmarks in order to define danger zones for open and arthroscopic approaches in this region.

Methods: The cutaneous nerves were dissected on 20 embalmed forearms and hands of anatomical specimens. The position and distribution of nerves and landmarks were measured at pre-determined positions. Read More

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http://dx.doi.org/10.1016/j.aanat.2018.06.007DOI Listing
November 2018
2 Reads

Treatment of distal radius fractures with locking plates: an update.

Eur J Orthop Surg Traumatol 2018 Dec 12;28(8):1537-1542. Epub 2018 Jul 12.

Department of Orthopedic, Trauma, Plastic and Reconstructive Surgery and Hand Clinic, University Hospital Besançon - Medical School CIC IT, 808 - Bd Fleming, 25033, Besançon, France.

Internal fixation with volar locking plates has revolutionized the treatment of distal radius fractures. Manufacturers have introduced plate designs that closely follow the anatomy of the distal radius. However, use of volar plates has also led to the emergence of new types of complications. Read More

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http://link.springer.com/10.1007/s00590-018-2274-z
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http://dx.doi.org/10.1007/s00590-018-2274-zDOI Listing
December 2018
4 Reads

Prognostic factors for the outcome of arthroscopic capsular repair of peripheral triangular fibrocartilage complex tears.

Arch Orthop Trauma Surg 2018 Dec 4;138(12):1741-1746. Epub 2018 Jul 4.

Department of Orthopaedic Surgery, Seoul National University College of Medicine, Seoul, South Korea.

Background: Little information is available about prognostic factors of arthroscopic capsular repair for peripheral triangular fibrocartilage complex (TFCC) lesions. The purpose of this study was to analyze factors that affect the treatment outcomes of arthroscopic capsular repair for peripheral TFCC tears.

Methods: This study retrospectively enrolled 60 patients who were treated with arthroscopic outside-in capsular repair for peripheral TFCC tears. Read More

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http://dx.doi.org/10.1007/s00402-018-2995-9DOI Listing
December 2018
5 Reads

Why do we use arthroscopy for distal radius fractures?

Eur J Orthop Surg Traumatol 2018 Dec 19;28(8):1505-1514. Epub 2018 Jun 19.

Institut de la Main Nantes Atlantique ELSAN Santé Atlantique, Saint-Herblain, France.

The management of distal radius fractures needs to be adapted to the increasingly complex traumas in patients with greater functional requirements. The goal remains to restore normal anatomy in order to preserve function. A pre-operative assessment using x-rays and thin-slice CT scans with three-dimensional reconstructions enables the best possible understanding of the fracture prior to surgery and planning of the pre-operative strategy. Read More

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http://dx.doi.org/10.1007/s00590-018-2263-2DOI Listing
December 2018
2 Reads

Wrist Arthroscopy in Juvenile Idiopathic Arthritis: A Review of Current Literature and Future Implications.

J Wrist Surg 2018 Jul 13;7(3):186-190. Epub 2018 Apr 13.

Department of Plastic and Reconstructive Surgery, Birmingham Women's and Children's Hospital, Birmingham, United Kingdom.

 Juvenile Idiopathic Arthritis (JIA) is the most common rheumatological condition in children and frequently affects the wrist. The roles for wrist arthroscopy and arthroscopic synovectomy (AS) in JIA are unclear. Our aim was to find the current evidence supporting its use. Read More

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http://dx.doi.org/10.1055/s-0038-1639508DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6005783PMC
July 2018
5 Reads

Wrist Arthroscopy in Juvenile Idiopathic Arthritis.

J Wrist Surg 2018 Jul 18;7(3):185. Epub 2018 Jun 18.

Department of Orthopaedic Surgery, School of Medicine, International University of Health and Welfare, Tokyo, Japan.

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http://dx.doi.org/10.1055/s-0038-1660822DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6005770PMC
July 2018
1 Read

Demographics and rates of surgical arthroscopy and postoperative rehabilitative preferences of arthroscopists from the Arthroscopy Association of North America (AANA).

J Orthop 2018 Jun 7;15(2):591-595. Epub 2018 May 7.

Division of Sports Medicine and Orthopaedic Surgery, NY Sportscare, New York, NY, United States.

Survey of 869 arthroscopists regarding joint-specific arthroscopic procedures and postoperative rehabilitative preferences revealed comparable support for use of supervised physical therapy (SPT) and home exercise programs (HEPs) but stronger preference for joint-specific HEP applications (wrist, knee). Among respondents utilizing HEPs, modality of delivery (verbal/handout/web-based) didn't differ by joint, yet only 2.9% utilized web-based HEPs. Read More

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http://dx.doi.org/10.1016/j.jor.2018.05.033DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5990328PMC
June 2018
4 Reads

Treatment of distal radioulnar joint dislocation with spontaneous rupture of extensor tendon by Sauve-Kapandji osteotomy assisted by wrist arthroscopy: A case series and literature review.

Medicine (Baltimore) 2018 Jun;97(22):e10752

People's First Hospital of Zhangjiagang, Jiangsu, China.

Rationale: Dislocation of the distal radioulnar joint and injury to distal forearm are commonly encountered. However, delayed diagnosis or misdiagnosis has been relatively rare due to improved diagnosis and treatment. Treatment of old dislocation of radioulnar joint is challenging due to development of secondary chronic instability and difficulties in restoration of joint function. Read More

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http://dx.doi.org/10.1097/MD.0000000000010752DOI Listing
June 2018
19 Reads

[Effectiveness of arthroscopy-assisted combined fixation of Kirschner wire and external fixator for treating extreme distal radial fractures].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2017 Dec;31(12):1414-1417

Department of Orthopedics, Wuxi Orthopedic Hospital Affiliated to Soochow University (the Ninth People's Hospital of Wuxi City), Wuxi Jiangsu, 214000, P.R.China.

Objective: To investigate the effectiveness of arthroscopy-assisted combined fixation of Kirschner wire and external fixator for treating extreme distal radial fractures.

Methods: Between January 2014 and May 2016, 21 patients who suffered from extreme distal radial fractures were treated by arthroscopy-assisted combined fixation of Kirschner wire and external fixator. There were 14 males and 7 females with an age of 32-57 years (mean, 42. Read More

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http://dx.doi.org/10.7507/1002-1892.201704091DOI Listing
December 2017
15 Reads

Arthroscopic resection of an osteochondral loose body in the distal radioulnar joint: A case report.

Acta Orthop Traumatol Turc 2018 Sep 22;52(5):404-407. Epub 2018 May 22.

Department of Orthopaedic Surgery, Seikeikai Hospital, Sakai City, Osaka, Japan. Electronic address:

We report a 34-year-old man who presented with ulnar wrist pain, painful click, and locking during forearm rotation following a motorcycle accident. Plain radiographs showed a loose body in the distal radioulnar joint (DRUJ), deformity of the sigmoid notch and ulnar head, and ulnar minus variant. The DRUJ deformity was assumed to be associated with physeal injury of the distal ulna during childhood. Read More

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http://dx.doi.org/10.1016/j.aott.2018.05.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6204445PMC
September 2018
4 Reads

[Clinical examination of the distal radioulnar joint].

Orthopade 2018 Aug;47(8):628-636

AUVA Unfallkrankenhaus Lorenz Böhler - European Hand Trauma Center, Donaueschingenstraße 13, 1200, Wien, Österreich.

Background: The distal radioulnar joint (DRUJ) provides the distal link between radius and ulnar and is the centre of rotation during pronation and supination. Pronation and supination are essential in controlling the posture and optimal presentation of the hand to grasp an object. In addition, pronation and supination enable us to rotate tools when they are in the longitudinal axis of the forearm. Read More

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http://dx.doi.org/10.1007/s00132-018-3584-xDOI Listing

[Arthroscopy of the distal radioulnar joint].

Orthopade 2018 Aug;47(8):647-654

Klinik für Handchirurgie, Salzburger Leite 1, 97616, Bad Neustadt an der Saale, Deutschland.

Objective: The aim of the procedure is to visualize the proximal pouch of the DRUJ, the joint surfaces of the sigmoid notch and the ulnar head, the convexity of the ulnar head and the proximal ulnar side surface of the triangular fibrocartilage complex (TFCC).

Indications: Arthroscopy of the distal radioulnar joint is applied for the evaluation of joint pathologies in ulnar-sided wrist pain, especially in cases without diagnostic findings in standard X‑rays and MRIs and arthroscopically assisted procedures.

Surgical Technique: In vertical extension, two portals of the wrist are created on the dorsal side of the DRUJ between the extensor digiti minimi and extensor carpi ulnaris tendons. Read More

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http://dx.doi.org/10.1007/s00132-018-3582-zDOI Listing