1,344 results match your criteria Wrist Arthroscopy


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
4 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
1 Read

Gender Disparities in Preoperative Resource Use for Wrist Arthroscopy.

Plast Reconstr Surg 2018 Nov;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
2 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 2018 Nov 28. 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
November 2018
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
7 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
13 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
10 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
5 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://dx.doi.org/10.1055/s-0038-1661419DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6196091PMC
November 2018

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
6 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 Dec 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
17 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
1 Read

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
19 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
13 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 2018 Aug 1. 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

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

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

Eur J Orthop Surg Traumatol 2018 Jul 12. 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
July 2018
2 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 Jun 19. 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
June 2018
1 Read

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

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
2 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
12 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
10 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
2 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

Bilateral anterior interosseous nerve syndrome with 6-year interval.

SAGE Open Med Case Rep 2018 17;6:2050313X18777416. Epub 2018 May 17.

Department of Orthopedics Hässleholm-Kristianstad, Hässleholm Hospital, Hässleholm, Sweden.

Flexor pollicis longus paralysis related to idiopathic anterior interosseous nerve syndrome is well known, but few reports exist on bilateral disease. A 24-year-old man with no personal or family history of neurological disease developed isolated total loss of active flexion of the right thumb's interphalangeal joint after undergoing a wrist arthroscopy. Surgical exploration 5 weeks after onset showed flexor pollicis longus tendon to be intact; anterior interosseous nerve decompression was done with no abnormalities found. Read More

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http://dx.doi.org/10.1177/2050313X18777416DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5960848PMC

Proximal row carpectomy, scaphoidectomy with midcarpal arthrodesis or midcarpal tenodesis: when and how to use.

J Hand Surg Eur Vol 2018 Jul 22;43(6):579-588. Epub 2018 May 22.

Rimini Hand Surgery and Rehabilitation Center, Rimini, Italy.

I report my personal experience over three decades in the treatment of carpal collapse due to scapholunate collapse and scaphoid nonunion. I have used the proximal carpal row resection performed through palmar approach, the scaphoidectomy and double-column midcarpal arthrodesis, and scaphoidectomy with midcarpal tenodesis. Diagnostic arthroscopy is essential for staging and surgical decision making regarding the type of treatment. Read More

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http://dx.doi.org/10.1177/1753193418775067DOI Listing

Preoperative Antibiotics in Wrist Arthroscopy.

J Hand Surg Am 2018 Nov 16;43(11):987-991.e1. Epub 2018 May 16.

TRIA Orthopaedic Center, Bloomington, MN. Electronic address:

Purpose: This study seeks to evaluate the need for preoperative antibiotics for wrist arthroscopy.

Methods: A retrospective review of 576 consecutive wrist arthroscopies was performed over a 10-year period at a single ambulatory surgery center. The chart of each included patient was reviewed for postoperative infections following the National Nosocomial Infections Surveillance criteria for diagnosis. Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.03.040DOI Listing
November 2018
1 Read

Neurologic complications in common wrist and hand surgical procedures.

Orthop Rev (Pavia) 2018 Mar 29;10(1):7355. Epub 2018 Mar 29.

Department of Anesthesiology.

Nerve dysfunction after upper extremity orthopedic surgery is a recognized complication, and may result from a variety of different causes. Hand and wrist surgery require incisions and retraction that necessarily border on small peripheral nerves, which may be difficult to identify and protect with absolute certainty. This article reviews the rates and ranges of reported nerve dysfunction with respect to common surgical interventions for the distal upper extremity, including wrist arthroplasty, wrist arthrodesis, wrist arthroscopy, distal radius open reduction and internal fixation, carpal tunnel release, and thumb carpometacarpal surgery. Read More

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http://dx.doi.org/10.4081/or.2018.7355DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5937362PMC
March 2018
7 Reads

Wrist Arthroscopy: Can We Gain Proficiency Through Knee Arthroscopy Simulation?

J Surg Educ 2018 Nov 3;75(6):1664-1672. Epub 2018 May 3.

OrthoCarolina Hand Center, Charlotte, North Carolina. Electronic address:

Objective: Wrist arthroscopy is a challenging discipline with limited training exposure during residency. The purpose of this study was to evaluate the effectiveness of virtual knee arthroscopy simulation training for gaining proficiency in wrist arthroscopy.

Design: Participants were recorded performing a cadaveric wrist arthroscopy simulation. Read More

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http://dx.doi.org/10.1016/j.jsurg.2018.04.009DOI Listing
November 2018
2 Reads

MR arthrography is slightly more accurate than conventional MRI in detecting TFCC lesions of the wrist.

Eur J Orthop Surg Traumatol 2018 Dec 26;28(8):1549-1553. Epub 2018 Apr 26.

Hand and Wrist Unit, Centre for Orthopaedic Surgery OCON, PO Box 546, 7550 AM, Hengelo, The Netherlands.

Introduction: In case of clinical suspicion of triangular fibrocartilage complex (TFCC) injury, different imaging techniques are used. The aim of this study was to determine whether MRA is superior to MRI and whether 3.0 T is better than 1. Read More

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http://dx.doi.org/10.1007/s00590-018-2215-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6244851PMC
December 2018
1 Read

An Evaluation of the Reliability of Wrist Arthroscopy in the Assessment of Tears of the Triangular Fibrocartilage Complex.

J Hand Surg Am 2018 Jun 28;43(6):545-549. Epub 2018 Mar 28.

Department of Orthopaedic Surgery, Sidney Kimmel School of Medicine, Thomas Jefferson University, Philadelphia, PA. Electronic address:

Purpose: Wrist arthroscopy is generally considered the reference standard in the diagnosis of triangular fibrocartilage complex (TFCC) injuries. There is a paucity of data examining the reliability of wrist arthroscopy as a diagnostic modality for TFCC injuries. The goal of this study was to evaluate the interobserver and intraobserver reliability of the diagnosis of TFCC pathology during wrist arthroscopy. Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.02.031DOI Listing
June 2018
5 Reads

Arthroscopic Synovectomy Combined with Autologous Fat Grafting in Early Stages of CMC Osteoarthritis of the Thumb.

J Wrist Surg 2018 Apr 20;7(2):165-171. Epub 2017 Jul 20.

Practice for Plastic and Hand Surgery, Dr. Baur-Dr. Fromberg, Murnau, Germany.

 Minimal invasive treatments such as arthroscopic techniques may be adequate to restore the anatomy and functional integrity of the thumb CMC (carpometacarpal) joint. In this paper, we reported the interposition of autologous fat tissue in combination with arthroscopic synovectomy/debridement for early stage of the thumb CMC joint osteoarthritis.  Twelve patients with a mean age of 46 years with early radiological stages of thumb CMC joint osteoarthritis were included. Read More

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http://dx.doi.org/10.1055/s-0037-1604045DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5864490PMC
April 2018
10 Reads

Treatment of Ulnar Impaction Syndrome with and without Central TFC Lesion.

J Wrist Surg 2018 Apr 26;7(2):133-140. Epub 2017 Oct 26.

Department of Plastic Surgery and Hand Surgery, Klinikum rechts der Isar, Technische Universität München, München, Germany.

 Arthroscopic debridement of the triangular fibrocartilage (TFC) is well accepted in patients with ulnar impaction syndrome with central TFC lesions. Treatment remains controversial, however, when there is no such lesion from radiocarpal view.  This study assessed the clinical outcome of arthroscopic central TFC resection and debridement and secondary ulnar shortening in patients with ulnar impaction with central TFC lesion compared with patients without TFC lesion. Read More

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http://dx.doi.org/10.1055/s-0037-1607073DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5864492PMC

Hand and Wrist Injuries: Common Problems and Solutions.

Clin Sports Med 2018 Apr;37(2):217-243

Department of Orthopedic Surgery, Mayo Clinic, 200 1st Street SW, Rochester, MN 55905, USA. Electronic address:

Injuries to the hands and wrist are common in athletes. Injuries include acute fractures, dislocations, ligamentous, and tendon injuries, as well as more chronic injuries such as sprains and strains. Complications in the treatment of sports injuries of the hand and wrist may be divided into 2 categories: incorrect or delayed diagnosis and iatrogenic injury related to treatment. Read More

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http://dx.doi.org/10.1016/j.csm.2017.12.004DOI Listing
April 2018
14 Reads

[Diagnosis and treatment of degenerative disc lesions of the wrist].

Orthopade 2018 Aug;47(8):670-676

Klinik und Poliklinik für Plastische Chirurgie und Handchirurgie, Klinikum rechts der Isar, Technische Universität München, München, Deutschland.

Background: The triangular fibrocartilage complex (TFCC) widens the radiocarpal joint and takes part in load transmission from the carpus to the forearm. It is thereby prone to degenerative changes. The painful situation that can accompany degeneration is called ulnar impaction. Read More

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http://dx.doi.org/10.1007/s00132-018-3551-6DOI Listing