1,448 results match your criteria Wrist Arthroscopy


Single Assessment Numeric Evaluation (SANE) in Hand Surgery: Does a One-Question Outcome Instrument Compare Favorably?

J Hand Surg Am 2020 May 29. Epub 2020 May 29.

Chase Hand and Upper Limb Center, Department of Orthopaedic Surgery, Stanford University School of Medicine, Redwood City, CA. Electronic address:

Purpose: Patient-reported outcome measures are increasingly used to measure patient status, impairments, and disability, but often require lengthy surveys and place a considerable burden on patients. We hypothesized that the Single Assessment Numeric Evaluation (SANE), composed of a single question, would be a valid and responsive instrument to provide a global assessment of hand function.

Methods: The SANE, Patient-Reported Outcomes Measurement Information System-Upper Extremity (PROMIS-UE), and Quick-Disabilities of the Arm, Shoulder, and Hand (QuickDASH) data are routinely collected electronically in our hand and upper-extremity center. Read More

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http://dx.doi.org/10.1016/j.jhsa.2020.03.024DOI Listing

What is the Effect of the Ulnar Plus Variance on the Outcomes of Arthroscopic Repair for the Peripheral Ulnar-side TFCC tear?

Arthroscopy 2020 May 19. Epub 2020 May 19.

Department of Orthopedic Surgery, Hallym University Sacred Heart Hospital, Pyeongchon-dong 896, Dongan-gu, Anyang-si Gyeonggi-do, 14068, South Korea.

Purpose: The purposes of this study were to compare the outcomes of arthroscopic repair for peripheral ulnar-side triangular fibrocartilage complex (TFCC) tear between patients with and without ulnar plus variance (UPV) and to identify factors associated with index surgery failure in these patients.

Methods: We retrospectively analyzed 50 consecutive patients who underwent arthroscopic repair for peripheral ulnar-side TFCC tear from June 2014 to February 2018. We selected patients who were ≥18 years and underwent arthroscopic repair for peripheral ulnar-side TFCC tear. Read More

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http://dx.doi.org/10.1016/j.arthro.2020.05.012DOI Listing

Evaluation of radiological instability signs in the distal radioulnar joint in children and adolescents with arthroscopically-verified TFCC tears.

Arch Orthop Trauma Surg 2020 May 7. Epub 2020 May 7.

Department of Pediatric Orthopaedics and Foot and Ankle Surgery, Orthopedic Hospital Speising, Medical University Vienna, Speisingerstrasse 109, 1130, Vienna, Austria.

Introduction: Recent reports in the adult literature reported the use of standardized radiographic measurement techniques to determine distal radioulnar joint (DRUJ) instability. The aim of this study was to evaluate the efficacy and accuracy of (1) the MRI-based modified radioulnar ratio technique and (2) the pisoscaphoid (PiSca) and radioulnar (RaUl) distances in true lateral radiographs in children and adolescents with arthroscopically-verified TFCC tears.

Materials And Methods: We retrospectively assessed lateral wrist radiographs and axial MRI sequences of 18 adolescent patients (22 wrists) who had arthroscopically-confirmed TFCC tears and compared them to similar imaging of a control group of 28 healthy patients (28 wrists). Read More

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http://dx.doi.org/10.1007/s00402-020-03470-yDOI Listing

Traumatic injury of the triangular fibrocartilage complex (TFCC)-a refinement to the Palmer classification by using high-resolution 3-T MRI.

Skeletal Radiol 2020 May 5. Epub 2020 May 5.

Radiology Associates, LLP, 1814 South Alameda Street, Corpus Christi, TX, 78404, USA.

Objective: The aim of this study was to investigate the MR features of the traumatic injury of the triangular fibrocartilage complex (TFCC) by using high-resolution 3-T magnetic resonance imaging (MRI) and to refine the Palmer classification system.

Materials And Methods: From November 2015 to May 2019, sixty-seven patients met the including and excluding criteria and were enrolled into this retrospective study. All subjects had high-resolution 3-T MRI scan of the wrist and eleven had indirect MR arthrography of the wrist. Read More

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http://dx.doi.org/10.1007/s00256-020-03438-4DOI Listing

Protocol for a multicenter prospective cohort study evaluating sport activity and development of femoroacetabular impingement in the adolescent hip.

BMC Musculoskelet Disord 2020 Apr 11;21(1):221. Epub 2020 Apr 11.

Department of Surgery, Division of Orthopaedic Surgery, McMaster University, 1200 Main St West, 4E15, Hamilton, ON, L8N 3Z5, Canada.

Background: Femoroacetabular impingement (FAI) is an important cause of hip pain in young and active individuals and occurs as a result of size and shape mismatch between the femoral head and acetabulum. Open physes in children can make hips more susceptible to injury, and high impact forces have been suggested to affect the developing femur. The diagnosis of FAI has recently risen, especially within adolescent populations, and there is an increasing trend towards year-round participation in sports with early specialization. Read More

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http://dx.doi.org/10.1186/s12891-020-03220-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7149893PMC

Functional Outcomes Are Similar After Early and Late Arthroscopic One-Tunnel Transosseous Repair of Triangular Fibrocartilage Complex (TFCC) Foveal Tears.

Arthroscopy 2020 Apr 8. Epub 2020 Apr 8.

Department of Orthopaedic Surgery, Korea University Anam Hospital, Seoul, South Korea. Electronic address:

Purpose: To compare outcomes at different time periods following arthroscopic triangular fibrocartilage complex (TFCC) transosseous foveal repair within 6 months, between 6 and 12 months, and more than 12 months from injury.

Methods: Consecutive patients treated with arthroscopic TFCC foveal repair using the uniform one-tunnel transosseous suture technique by a surgeon from 2014 to 2017 were retrospectively reviewed. The patients were assigned to 1 of 3 groups according to time between injury and surgery. Read More

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http://dx.doi.org/10.1016/j.arthro.2020.03.026DOI Listing

The Outcome of Distal Radius Fractures with Concomitant Injuries Is Similar to those of Isolated Distal Radius Fractures Provided that an Arthroscopically Supported Treatment Is Performed.

J Clin Med 2020 Apr 1;9(4). Epub 2020 Apr 1.

Clinic for Traumatology, Department for Handsurgery, Klinikum rechts der Isar, Technical University of Munich, 81667 Munich, Germany.

Background: Concomitant injuries of distal radius fractures (DRF) can have a fatal impact on the patients' outcome. However, wrist arthroscopy is a costly and complex procedure. It remains elusive whether patients benefit from an additional arthroscopy. Read More

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http://dx.doi.org/10.3390/jcm9040974DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7230906PMC

Lower nationwide rates of arthroscopic procedures in 2016 compared with 1997 (634925 total arthroscopic procedures): has the tide turned?

Br J Sports Med 2020 Apr 2. Epub 2020 Apr 2.

Faculty of Medicine and Health Technology; Department of Orthopaedics and Traumatology, Tampere University Hospital, Tampere University, Tampere, Pirkanmaa, Finland.

Objectives: To assess the rates and secular trends of different joint arthroscopies-shoulder, elbow, wrist, hip, knee and ankle-in Finland between 1997 and 2016.

Design: Retrospective nationwide registry study.

Participants: All adults in Finland with any arthroscopic intervention procedure code for knee, shoulder, ankle, wrist, elbow or hip arthroscopy between 1 January 1997 and 31 December 2016 were included. Read More

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http://dx.doi.org/10.1136/bjsports-2019-101844DOI Listing

Distal radioulnar joint instability: current concepts of treatment.

Arch Orthop Trauma Surg 2020 May 19;140(5):639-650. Epub 2020 Mar 19.

Department of Hand Surgery, Vulpius Klinik, Vulpiusstraße 29, 74906, Bad Rappenau, Germany.

Distal radioulnar joint (DRUJ) instability is often an underestimated or missed lesion which may entail fatal consequences. The triangular fibrocartilage complex is a biomechanically very important stabilizer of the DRUJ and guarantees unrestricted range of motion of the forearm. To detect DRUJ instability a systematic examination is of uppermost importance. Read More

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http://dx.doi.org/10.1007/s00402-020-03371-0DOI Listing

Arthroscopic assisted treatment of distal radius fractures and concomitant injuries.

Arch Orthop Trauma Surg 2020 May 19;140(5):623-638. Epub 2020 Mar 19.

Department of Trauma Surgery, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.

Wrist arthroscopy is mainly used to assist fracture reduction and fixation and to diagnose and treat concomitant injuries mainly to the scapholunate (SL), lunotriquetral (LT) ligament and the triangular fibrocartilage complex (TFCC). Arthroscopy is beneficial in improving anatomical reduction of fracture steps and gaps in intra-articular distal radius fractures (DRFs). Yet, the literature that the functional outcome correlates with the use of arthroscopy, is limited. Read More

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http://dx.doi.org/10.1007/s00402-020-03373-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7181439PMC

Quantitative Analysis of Surface Contouring with Pulsed Bipolar Radiofrequency on Thin Chondromalacic Cartilage.

Biomed Res Int 2020 27;2020:1242086. Epub 2020 Feb 27.

Experimental Trauma Surgery, Department of Trauma Surgery, University Medical Center Regensburg, Regensburg, Germany.

The purpose of this study was to evaluate the quality of surface contouring of chondromalacic cartilage by bipolar radio frequency energy using different treatment patterns in an animal model, as well as examining the impact of the treatment onto chondrocyte viability by two different methods. Our experiments were conducted on 36 fresh osteochondral sections from the tibia plateau of slaughtered 6-month-old pigs, where the thickness of the cartilage is similar to that of human wrist cartilage. An area of 1 cm was first treated with emery paper to simulate the chondromalacic cartilage. Read More

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http://dx.doi.org/10.1155/2020/1242086DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7064838PMC
February 2020

Comparative study between open and arthroscopic techniques for scaphoid excision and four-corner arthrodesis.

J Hand Surg Eur Vol 2020 Mar 10:1753193420908820. Epub 2020 Mar 10.

Department of Orthopedic Surgery, Sungkyunkwan University School of Medicine, Seoul, Korea.

This study presents our technique of arthroscopic scaphoid excision and four-corner arthrodesis and compares the clinical and radiological outcomes with those achieved with the open method. Twenty-seven patients (14 in arthroscopy group and 13 in open group) were included. Bone union was achieved in 13 of 14 patients in the arthroscopy group and in all 13 patients in the open group. Read More

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http://dx.doi.org/10.1177/1753193420908820DOI Listing

Outcomes of surgically treated distal radius fractures associated with triangular fibrocartilage complex injury.

J Hand Ther 2020 Mar 6. Epub 2020 Mar 6.

Medical Faculty, University "St.Cyril and Metodius", Department of Traumatology, University Surgery Clinic "St.Naum Ohridski", Skopje, Republic of Macedonia.

Study Design: Prospective cohort.

Introduction: Clinical studies that evaluate the correlation between associated lesions of the triangular fibrocartilage complex (TFCC) and outcome of distal radius fractures expressed with the patient-rated disability are missing. The purpose of this study was to evaluate the outcomes of distal radius fractures associated with or without an injury of the TFCC. Read More

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http://dx.doi.org/10.1016/j.jht.2017.09.012DOI Listing

Wrist Arthroscopy Scope for the Best and Plan for the Worst.

Bull Hosp Jt Dis (2013) 2020 ;78(1):81-87

Wrist arthroscopy is a useful surgical technique that has been steadily gaining popularity since the 1980s. In addition to being a valuable diagnostic tool, wrist arthroscopy can be used for an expanding array of therapeutic interventions and is an attractive, minimally invasive treatment modality for patients. However, wrist arthroscopy is not without its complications, and a detailed understanding of the relevant anatomy, instrumentation, and methodology is critical for success. Read More

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January 2020

Arthroscopic electrothermal collagen shrinkage for partial scapholunate ligament tears, isolated or with associated triangular fibrocartilage complex injuries: a prospective study.

Musculoskelet Surg 2020 Mar 2. Epub 2020 Mar 2.

Orthopaedic and Traumatology Unit, Hospital Mancha-Centro, Avenida de la Constitución s/n, CP: 13600, Alcázar de San Juan, Ciudad Real, Spain.

Background: To present the outcomes of arthroscopic electrothermal shrinkage for partial scapholunate (SL) ligament tears, isolated or with associated triangular fibrocartilage complex (TFCC) injuries.

Methods: A prospective study of 20 patients with symptomatic instability of SL ligament (14 of them also with TFCC wrist injuries) treated with arthroscopic electrothermal shrinkage was conducted using a monopolar radiofrequency probe. No patient showed radiologic signs of static dissociation (mean SL interval 2. Read More

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http://dx.doi.org/10.1007/s12306-020-00655-xDOI Listing

Wrist Arthroscopy in Athletes.

Rev Bras Ortop (Sao Paulo) 2020 Feb 3;55(1):1-7. Epub 2020 Feb 3.

Departamento de Ortopedia e Traumatologia, Hospital das Clinicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brasil.

Arthroscopy is a surgical technique whose indication for wrist injuries has grown in recent years. Athletes are subject to traumatic injury to the wrist due to training overload or the intensity of the activity during competition. The need of a quick return to sports practice makes arthroscopy a very useful minimally invasive technique in these situations. Read More

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http://dx.doi.org/10.1016/j.rbo.2017.12.022DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7048561PMC
February 2020

Dry Wrist Arthroscopy for Radial-Sided Wrist Disorders.

J Hand Surg Am 2020 Apr 29;45(4):341-353. Epub 2020 Feb 29.

Private Practice, Madrid, Spain.

The development of wrist arthroscopy has been useful in diagnosis, prognosis, and treatment of both ligament and osseous injuries. As the treatment indications and techniques become more refined, this article explores the role of dry arthroscopy to treat radial-sided disorders of the wrist. Read More

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http://dx.doi.org/10.1016/j.jhsa.2020.01.012DOI Listing

[Wrist arthroscopic treatment of Diepunch fracture of distal radius].

Zhongguo Gu Shang 2020 Jan;33(1):59-63

Department of Wrist, Sichuan Orthopaedic Hospital, Chengdu 610041, Sichuan, China.

Objective: To evaluate the effect of open reduction assisted by wrist arthroscopy in the treatment of Diepunch fracture of the distal radius.

Methods: The clinical data of 50 patients with die punch fracture of distal radius from December 2015 to May 2017 were analyzed retrospectively, including 31 males and 19 females, aged 20 to 45 (34.12±2. Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2020.01.011DOI Listing
January 2020

Surgical Techniques for the Treatment of Acute Carpal Ligament Injuries in the Athlete.

Clin Sports Med 2020 Apr 4;39(2):313-337. Epub 2020 Feb 4.

Robert A. Chase Hand and Upper Limb Center, Department of Orthopaedic Surgery, Stanford University Medical Center, 450 Broadway Street, MC 6342, Redwood City, CA 94063, USA. Electronic address:

The treatment of athletes with carpal ligament injuries provides many challenges. Our initial goals remain to make a timely and accurate diagnosis, provide treatment options, and create an environment for shared decision making. To optimize outcomes and facilitate return to play, early surgical intervention may be warranted. Read More

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http://dx.doi.org/10.1016/j.csm.2019.12.001DOI Listing

[Diagnostic accuracy of conventional X-ray imaging for assessment of trapeziometacarpal joint osteoarthritis].

Unfallchirurg 2020 Feb 25. Epub 2020 Feb 25.

Abteilung für Plastische, Rekonstruktive und Ästhetische Chirurgie, Ospedale Regionale di Lugano, Lugano, Schweiz.

Background: Osteoarthritis of the trapeziometacarpal joint is a common and painful affliction that can be diagnosed using conventional X‑ray imaging as well as arthroscopy and if necessary treated; however, the X‑ray classification often does not sufficiently demonstrate the cartilage damage found in arthroscopy.

Objective: The aim of the study was to evaluate the diagnostic accuracy of conventional X‑ray imaging compared to arthroscopy for osteoarthritis of the trapeziometacarpal joint.

Material And Methods: The preoperative conventional X‑ray images of 23 patients were presented to 10 experienced hand surgeons who were blinded to the arthroscopy results. Read More

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http://dx.doi.org/10.1007/s00113-020-00788-5DOI Listing
February 2020

Quick Arthroscopic Repair of Ulnar-Sided Triangular Fibrocartilage Complex Tears: Technical Note.

J Nippon Med Sch 2020 May 20;87(2):104-108. Epub 2020 Feb 20.

Department of Orthopedic Surgery, Nippon Medical School Hospital.

Triangular fibrocartilage complex (TFCC) tears can cause ulnar-sided wrist pain. Arthroscopy is important in treatment and diagnosis, and arthroscopic repair of TFCC tears is indicated after failure of nonsurgical treatments such as cast immobilization, splinting, and administration of nonsteroidal anti-inflammatory drugs for more than 3 months. Several arthroscopic procedures have been described, including inside-out, outside-in, and all-arthroscopic techniques. Read More

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http://dx.doi.org/10.1272/jnms.JNMS.2020_87-209DOI Listing

Comparison of MRI & direct MR arthrography with arthroscopy in diagnosing ligament injuries of wrist.

J Orthop 2020 May-Jun;19:203-207. Epub 2019 Nov 12.

Unit of Hand & Microsurgery, Department of Orthopaedics, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Karnataka, 576104, India.

Introduction: Ligament injuries around the wrist leading to chronic wrist pain are often a diagnostic dilemma.Various imaging modalities like wrist radiographs, CT and MRI have been used to improve the diagnostic accuracy. The objective of this study was to assess the value of MRI & direct magnetic resonance arthrography (MRA) of the wrist for detecting & evaluating tears of the triangular fibrocartilage complex (TFCC) & scapholunate & luno triquetral interosseous ligament (LTIL & SLIL) injuries in comparison with arthroscopy of the wrist. Read More

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http://dx.doi.org/10.1016/j.jor.2019.11.014DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7010997PMC
November 2019

Arthroscopic-assisted 6U approach for foveal reattachment of triangular fibrocartilage complex with an anchor: Clinical and radiographic outcomes at 4 years' mean follow-up.

Hand Surg Rehabil 2020 May 4;39(3):193-200. Epub 2020 Feb 4.

Hôpital Erasme, ULB, route de Lennik, 1070 Bruxelles, Belgium; Hand and foot surgery unit, 9, rue Pierre-Caille, Tournai, Belgium.

The main objective of this study was to evaluate the long-term clinical and radiological outcomes of arthroscopic-assisted foveal repair of proximal triangular fibrocartilage complex (TFCC) tears with an anchor. The secondary objective was to look for ligament damage associated with TFCC tears. Twenty-four patients who underwent foveal repair of the TFCC were evaluated retrospectively: 16 stage 2 and 8 stage 3 in the Atzei-EWAS classification. Read More

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http://dx.doi.org/10.1016/j.hansur.2020.01.001DOI Listing

Patient-Reported Outcomes following Arthroscopic Triangular Fibrocartilage Complex Repair.

J Wrist Surg 2020 Feb 26;9(1):58-62. Epub 2019 Nov 26.

Department of Trauma and Hand Surgery, Maasstad Hospital, Rotterdam, the Netherlands.

 Triangular fibrocartilage complex (TFCC) injury is a common cause of ulnar-sided wrist pain, which may lead to serious physical impairments. Arthroscopic repair has benefits such as less soft tissue damage, greater surgical accuracy, and may lead to faster recovery than open repair.  The purpose of this study was to determine the functional outcome of patients with symptomatic TFCC injuries treated with arthroscopic debridement or repair. Read More

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http://dx.doi.org/10.1055/s-0039-3400454DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7000250PMC
February 2020

Synovial fluid lubricin and hyaluronan are altered in equine osteochondral fragmentation, cartilage impact injury, and full-thickness cartilage defect models.

J Orthop Res 2020 Jan 22. Epub 2020 Jan 22.

Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, New York.

The objectives of this study were to evaluate temporal changes in lubricin, hyaluronan (HA), and HA molecular weight (MW) distributions in three distinct models of equine joint injury affecting the carpal (wrist), tarsal (ankle), and femoropatellar (knee) joints. To establish ranges for lubricin, HA, and HA MW distributions across multiple joints, we first evaluated clinically healthy, high-motion equine joints. Synovial fluid was collected from high-motion joints in horses without clinical signs of joint disease (n = 11 horses, 102 joints) and from research horses undergoing carpal osteochondral fragmentation (n = 8), talar cartilage impact injury (n = 7), and femoral trochlear ridge full-thickness cartilage injury (n = 22) prior to and following arthroscopically induced joint injury. Read More

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http://dx.doi.org/10.1002/jor.24597DOI Listing
January 2020

Hand surgery in Chile.

Authors:
Rene Jorquera A

J Hand Surg Eur Vol 2020 Mar 21;45(3):318-319. Epub 2020 Jan 21.

Hand Surgery and Microsurgery Wrist Arthroscopy, Universidad de Chile Clínica Indisa, Chile.

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http://dx.doi.org/10.1177/1753193419897666DOI Listing

Global Rating Scales for the Assessment of Arthroscopic Surgical Skills: A Systematic Review.

Arthroscopy 2020 Apr 14;36(4):1156-1173. Epub 2020 Jan 14.

Department of Trauma & Orthopaedic Surgery, Royal London Hospital, Barts Health NHS Trust, Whitechapel, London. Electronic address:

Purpose: To evaluate whether sufficient validity and reliability evidence exists to support the use of global rating scales (GRS) as evaluation tools in both formative assessment and competency assessment of arthroscopic procedures.

Methods: A search of PubMed, Embase, and Scopus was conducted for articles published between 1990 and 2018. Studies reporting measures of validity and reliability of GRS relating to arthroscopic skills were included. Read More

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http://dx.doi.org/10.1016/j.arthro.2019.09.025DOI Listing

A Comparison of Physical Therapy Protocols Between Open Latarjet Coracoid Transfer and Arthroscopic Bankart Repair.

Sports Health 2020 Mar/Apr;12(2):124-131. Epub 2020 Jan 9.

Division of Sports Medicine, Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, Illinois.

Context: Recent studies examining return to sport after traumatic shoulder instability suggest faster return-to-sport time lines after bony stabilization when compared with soft tissue stabilization. The purpose of the current study was to define variability across online Latarjet rehabilitation protocols and to compare Latarjet with Bankart repair rehabilitation time lines.

Evidence Acquisition: Online searches were utilized to identify publicly available rehabilitation protocols from Accreditation Council for Graduate Medical Education (ACGME)-accredited academic orthopaedic surgery programs. Read More

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http://dx.doi.org/10.1177/1941738119887396DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7040951PMC

Intra-Articular Osteotomy of the Distal Radius with the Use of Inexpensive In-House 3D Printed Surgical Guides and Arthroscopy: A Case Report.

JBJS Case Connect 2020 Jan-Mar;10(1):e0424

Department of Orthopedic Surgery, Akershus University Hospital, Lørenskog, Norway.

Case: An 18-year-old man complained about persistent wrist pain and functional impairment due to intra-articular malunion, 1 year after volar plating of a distal radius fracture. We designed and produced patient-specific surgical guides (PSSGs) in-house with a benchtop three-dimensional printer to perform an arthroscopy-assisted intra-articular osteotomy of the radial column without dorsal arthrotomy. The procedure was performed without complications. Read More

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http://dx.doi.org/10.2106/JBJS.CC.18.00424DOI Listing
January 2020

Artrhoscopic Resection of Volar Wrist Ganglion: Surgical Technique and Case Series.

Rev Bras Ortop (Sao Paulo) 2019 Dec 13;54(6):721-730. Epub 2019 Dec 13.

Unidade de Cirurgia de Mão, Hospital Universitario Madrid Montepríncipe, Universidad CEU San Pablo, Boadilla del Monte, Madri, Espanha.

 To describe the technique and results of the arthroscopic surgical treatment of volar ganglion cyst of the wrist.  The present study comprised 21 patients submitted to the arthroscopic treatment of volar ganglion cysts of the wrist from January 2015 to May 2017, with a full evaluation for at least 6 months. The technique was indicated for patients presenting pain and functional impairment for more than four months, with no improvement with the conservative treatment, or for those with cosmetic complaints and cyst present for more than three months. Read More

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http://dx.doi.org/10.1055/s-0039-1700811DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6923645PMC
December 2019

Evaluation of Cartilage in the Wrist using Magnetic Resonance Imaging.

Curr Rheumatol Rev 2019 Aug 19. Epub 2019 Aug 19.

Department of OrthopaedicSurgery, University of Pittsburgh, Pittsburgh, PA . United States.

Wrist pain is a common patient complaint with a myriad of clinical conditions that can explain the underlying cause. Short of wrist arthroscopy, no technique other than formal wrist arthrotomy exists for direct examination of the hyaline cartilage coating the articular surfaces of the carpal bones. Magnetic resonance imaging (MRI) has been proven accurate in evaluating joint surfaces of large joints such as the shoulder, hip and knee with articular cartilage surface thickness is in excess of 1 mm. Read More

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http://dx.doi.org/10.2174/1573397115666190819153912DOI Listing

Injury Incidence Rates and Profiles in Elite Taekwondo during Competition and Training.

Int J Sports Med 2020 Jan 20;41(1):54-58. Epub 2019 Nov 20.

Department of Orthopedics and Traumatology, Paracelsus Private Medical University Nuremberg, Nuremberg.

This study aimed to investigate exposure adjusted injury incidence rates and profiles associated with training and competition in an elite taekwondo athlete population. 82 athletes were investigated for injuries over a period of 5 years. Individual fight time exposure for training and competition was recorded. Read More

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http://dx.doi.org/10.1055/a-1021-1776DOI Listing
January 2020

Role of wrist arthroscopy in scapholunate dissociation.

Orthop Traumatol Surg Res 2020 02 16;106(1S):S89-S99. Epub 2019 Nov 16.

Institut de la Main, Clinique Bizet, 22, bis Rue Georges-Bizet, 75116 Paris, France.

Scapholunate ligament tear is most frequently encountered in the aftermath of trauma in supination and extension of the wrist. It generates chronic instability, leading to osteoarthritis. It may be associated with fracture of the distal epiphysis of the radius or of the scaphoid. Read More

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http://dx.doi.org/10.1016/j.otsr.2019.07.008DOI Listing
February 2020

Scaphoid Reconstruction.

Orthop Clin North Am 2020 Jan 17;51(1):65-76. Epub 2019 Oct 17.

Division of the Orthopedics and Traumatology Department, Santa Casa Hospital Complex, Porto Alegre, Brazil; Clinica da Mao ao Cotovelo, 569/601 Soledade Street, Porto Alegre, Rio Grande do Sul 90470-340, Brazil.

Surgical strategies for scaphoid nonunions become more complex based on time from injury to treatment. The decision-making process, however, can follow a logical sequence. Scaphoid nonunions less than 1 year after trauma and no carpal malalignment can be treated with percutaneous screw fixation under fluoroscopic and/or arthroscopic guidance. Read More

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http://dx.doi.org/10.1016/j.ocl.2019.08.010DOI Listing
January 2020

Arthroscopic debridement does not enhance surgical treatment of intra-articular distal radius fractures: a randomized controlled trial.

J Hand Surg Eur Vol 2020 May 5;45(4):327-332. Epub 2019 Nov 5.

Department of Trauma and Hand Surgery, Maasstad Hospital, Rotterdam, The Netherlands.

The aim of this study was to determine the difference in functional outcomes after open reduction and internal fixation (ORIF) with and without arthroscopic debridement in adults with displaced intra-articular distal radius fractures. In this multicentre trial, 50 patients were randomized between ORIF with or without arthroscopic debridement. The primary outcome measure was the Patient-Rated Wrist Evaluation (PRWE) score. Read More

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http://dx.doi.org/10.1177/1753193419866128DOI Listing

Safe zones in volar portals for wrist arthroscopy, evaluation of central portal : a cadaveric study.

Acta Orthop Belg 2019 Sep;85(3):330-337

The purpose of this cadaveric study is to determine safe zones utilizing volar portals for wrist arthroscopy, by quantitatively describing the neurovascular relationships of a volar radial and a volar ulnar wrist arthroscopy portals in comparison with those of a newly described volar central portal (7) , considering the advantages in visualization of volar portals for wrist arthroscopy over the standard dorsal (19) . The neurovascular structures and the tendons of nine frozen human cadaveric upper limbs were exposed, while the aforementioned volar portal sites were pointed out with pins. The horizontal distance between the portals and the closest neurovascular branch or tendon was measured with a digital caliper, followed by statistical analysis of the data. Read More

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September 2019

Comparison of Magnetic Resonance Arthrography and Wrist Arthroscopy in the Evaluation of Chronic Wrist Pain in Indian Population.

Indian J Orthop 2019 Nov-Dec;53(6):769-775

Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India.

Background: The purpose of our study was to compare magnetic resonance arthrography (MRA) as a diagnostic modality against the gold standard of wrist arthroscopy in the evaluation of chronic wrist pain.

Materials And Methods: Thirty three patients with chronic wrist pain suspected to have ligament injuries of the wrist were prospectively recruited. They underwent MRA examinations followed by wrist arthroscopy. Read More

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http://dx.doi.org/10.4103/ortho.IJOrtho_92_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6804379PMC
November 2019

Comparison of volar locking plates with external fixation and K-wires in arthroscopically assisted intra-articular distal radial fracture fixation.

J Hand Surg Eur Vol 2020 May 9;45(4):333-338. Epub 2019 Oct 9.

Riga Stradins University, Riga, Latvia.

This article presents the results of a prospective cohort study that included 63 patients with intra-articular (AO Type C) distal radial fractures who were treated using an arthroscopically assisted approach with either volar locking plates or external fixator and K-wires. Postoperative analysis was carried out using X-ray assessment, clinical data, Patient-Rated Wrist Evaluation score, Gartland and Werley score, Modern Activity Subjective Survey of 2007 score, range of motion, grip, pinch and tripod pinch assessment at 1, 3, 6 and 12 months postoperatively. Despite the statistically significant differences found in a number of parameters during the period of observation, there were no clinically relevant differences determined between the two methods. Read More

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http://dx.doi.org/10.1177/1753193419879567DOI Listing

Designing a 20 mm incision to protect the dorsal branch of the ulnar nerve during arthroscopic repair of triangular fibrocartilage complex injuries: Cadaver study and preliminary clinical results.

Hand Surg Rehabil 2019 12 4;38(6):381-385. Epub 2019 Oct 4.

Department of Hand Surgery, Huashan Hospital, Fudan University, Shanghai, China; Department of Hand and Upper Extremity Surgery, Jing'an District Center Hospital, Shanghai, China; Shanghai Clinical Medical Center for Limb Function Reconstruction, Shanghai, China; Shanghai Key Laboratory of Peripheral Nerve and Microsurgery, Shanghai, China; National Clinical Research Center for Aging and Medicine, Huashan Hospital, Fudan University, Shanghai, China; Priority Among Priorities of Shanghai Municipal Clinical Medicine Center, Shanghai, China. Electronic address:

The ulnar-sided approach for arthroscopic peripheral triangular fibrocartilage complex (TFCC) repair may be associated with injury to the dorsal branch of the ulnar nerve (DBUN). The goal of this study was to develop a small incision to help minimize DBUN injury. Ten cadaveric upper limbs were used to measure the anatomic parameters of the DBUN. Read More

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http://dx.doi.org/10.1016/j.hansur.2019.09.008DOI Listing
December 2019

Atraumatic Bucket Handle Abnormality of the Triangular Fibrocartilage Complex in an Adolescent.

J Wrist Surg 2019 Oct 11;8(5):423-425. Epub 2018 Sep 11.

Department of Orthopaedic Surgery, UZ Leuven, Lubbeek (Pellenberg), Belgium.

 Congenital abnormalities of the triangular fibrocartilage complex (TFCC) are rare and could be mistaken for a traumatic lesion. It is important to recognize these anatomical variations and to realize they do not always require treatment.  An incidental finding of an atraumatic bucket handle abnormality of the TFCC in a 15-year-old male, who was treated arthroscopically for dorsal wrist pain. Read More

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http://dx.doi.org/10.1055/s-0038-1669919DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6773613PMC
October 2019

Long-Term Outcomes of All-Arthroscopic Pre-Tied Suture Device Triangular Fibrocartilage Complex Repair.

J Wrist Surg 2019 Oct 27;8(5):403-407. Epub 2019 May 27.

Department of Orthopaedic Surgery, Stanford University Medical Center, Redwood City, California.

 A pre-tied suture device has been utilized for all-arthroscopic peripheral triangular fibrocartilage complex (TFCC) repairs with promising early clinical results.  The purpose of this study was to evaluate long-term functional outcomes of these repairs.  A retrospective review of patients undergoing arthroscopic TFCC repair was performed. Read More

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http://dx.doi.org/10.1055/s-0039-1688949DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6773569PMC
October 2019

[Wrist arthroscopy assisted open reduction and bone graft through bone window internal fixation for the treatment of distal radius Die-punch fractures].

Zhongguo Gu Shang 2019 Aug;32(8):731-735

Department of Wrist, Sichuan Provincial Orthopaedics Hospital, Chengdu, 610041, Sichuan, China.

Objective: To explore clinical effect of wrist arthroscopy assisted open reduction and bone graft through bone window internal fixation in treating distal radius Die-punch fractures.

Methods: From March 2016 to March 2017, 12 patients with distal radius Die-punch fractures were treated by wrist arthroscopy assisted open reduction and bone graft through bone window internal fixation, including 8 males and 4 females aged from 20 to 42 years old. Preopeative X-ray and CT were used to diagnosed as compress and collapse Die-punch fractures. Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2019.08.011DOI Listing
August 2019
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Contribution of arthroscopy to the management of intra-articular distal radius fractures: Knowledge update based on a systematic 10-year literature review.

Orthop Traumatol Surg Res 2019 12 13;105(8):1617-1625. Epub 2019 Sep 13.

56, rue Boissonade, 75014 Paris cedex, France.

The objective of this study was to review current data on the contribution of wrist arthroscopy to the management of intra-articular distal radius fractures (IADRFs). The literature published over the last 10 years was reviewed by searching databases with the key indexing terms 'distal radius fracture', 'articular', and 'wrist arthroscopy'. The information in the 21 articles thus retrieved was used to answer the following questions: (i) Can arthroscopy improve the reduction of IADRFs? (ii) How does arthroscopy contribute to the diagnosis and treatment of concomitant ligament injuries? and (iii) Does arthroscopy help to improve the functional scores? The contribution of arthroscopy to IADRF reduction remains controversial. Read More

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http://dx.doi.org/10.1016/j.otsr.2019.06.016DOI Listing
December 2019
2 Reads

Early Results of Surgical Treatment of Triangular Fibrocartilage Complex Tears in Children and Adolescents.

J Hand Surg Am 2020 May 11;45(5):449.e1-449.e9. Epub 2019 Sep 11.

Department of Orthopaedic Surgery, Boston Children's Hospital, Boston, MA. Electronic address:

Purpose: To investigate the clinical results and patient-reported outcomes following surgical treatment for triangular fibrocartilage complex (TFCC) tears in the pediatric and adolescent population.

Methods: We reviewed 149 patients with 153 arthroscopy-confirmed TFCC tears. Mean age at surgery was 15. Read More

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http://dx.doi.org/10.1016/j.jhsa.2019.06.019DOI Listing
May 2020
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Reply: Gender Disparities in Preoperative Resource Use for Wrist Arthroscopy.

Plast Reconstr Surg 2019 09;144(3):514e-515e

Section of Plastic Surgery, Michigan Medicine, Ann Arbor, Mich.

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http://dx.doi.org/10.1097/PRS.0000000000005968DOI Listing
September 2019
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Gender Disparities in Preoperative Resource Use for Wrist Arthroscopy.

Plast Reconstr Surg 2019 09;144(3):513e-514e

Division of Plastic Surgery Division of Plastic Surgery, Mayo Clinic Department of Psychiatry, Mayo Clinic Graduate School of Biomedical Science Department of Health Sciences Research, Division of Epidemiology, Mayo Clinic, Rochester, Minn.

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http://dx.doi.org/10.1097/PRS.0000000000005967DOI Listing
September 2019
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2.993 Impact Factor

Implementing Prescribing Guidelines for Upper Extremity Orthopedic Procedures: A Prospective Analysis of Postoperative Opioid Consumption and Satisfaction.

Hand (N Y) 2019 Aug 23:1558944719867122. Epub 2019 Aug 23.

1 Thomas Jefferson University, Philadelphia, PA, USA.

A lack of established opioid-prescribing guidelines has prompted recent studies to propose preliminary guidelines to mitigate inadvertent overprescribing, diversion, and abuse. The purpose of our study was to assess the efficacy of a specific set of opioid-prescribing guidelines by prospective evaluation of patient consumption and satisfaction. During a consecutive period, all patients undergoing outpatient upper extremity surgical procedures were postoperatively prescribed opioids based on published guidelines that were specific to the anatomical location and procedure being performed. Read More

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http://dx.doi.org/10.1177/1558944719867122DOI Listing
August 2019
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Editorial Commentary: Outcomes of Arthroscopic Triangular Fibrocartilage Complex Repair: Can We Predict Who Will Benefit or Not?

Authors:
Young Hak Roh

Arthroscopy 2019 08;35(8):2331-2332

Ewha Womans University Medical Center, Ewha Womans University College of Medicine.

The arthroscopic repair of avulsed triangular fibrocartilage complex generally demonstrates a satisfactory outcome after ruling out additional combined pathologies for ulnar-sided wrist pain. Previous studies have reported that 10% to 20% of patients complain of dissatisfaction with this surgical treatment, suggesting that it is not effective for all patients. Several prognostic factors for poor outcomes such as female gender, chronicity, baseline functional state, and reduced pronator quadratus muscle mass have been proposed. Read More

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http://dx.doi.org/10.1016/j.arthro.2019.04.022DOI Listing
August 2019
2 Reads