1,661 results match your criteria Wrist Arthroscopy


Arthroscopic Treatment of Intraosseous Ganglion Cysts of the Carpus.

Front Surg 2022 7;9:798432. Epub 2022 Jun 7.

Department of Hand Surgery, Ningbo No.6 Hospital, Ningbo, China.

Objective: To investigate the application and the clinical efficacy of wrist arthroscopy in the treatment of carpal intraosseous ganglion cysts (IGCs).

Methods: A retrospective case study method was adopted to analyze the clinical data of 28 patients with carpal IGCs admitted to the Sixth Hospital of Ningbo from April 2012 to January 2019. A hypodensity in the bone was shown by X-ray before the operation, with hypodensity and cystic change in the bone being confirmed by computed tomography and magnetic resonance imaging. Read More

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[Wrist arthroscopy assisted open reduction and volar ligament reconstruction through osseous internal fixation for the treatment of distal radius Fernandez type Ⅳ fractures].

Zhongguo Gu Shang 2022 Jun;35(6):566-71

Sichuan Province Orthopaedics Hospital, Chengdu 610041, Sichuan, China.

Objective: To explore clinical effect of treatment for distal radius Fernandez type Ⅳ fractures by wrist arthroscopy assisted open reduction and volar ligament reconstruction through osseous, internal fixation.

Methods: From January 2018 to December 2019, 11 patients distal radius Fernandez type Ⅳ fractures treated with wrist arthroscopy assisted open reduction and volar ligament reconstruction through osseous, internal fixation, including 8 males and 3 females, aged from 23 to 42 years old. The fracture were all calssified to type Ⅳ according to Fernandez classification. Read More

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Distal radioulnar joint kinematics before surgery and 12 months following open foveal reinsertion of the triangular fibrocartilage complex: comparison with the contralateral non-injured joint.

Acta Orthop 2022 Jun 21;93:574-582. Epub 2022 Jun 21.

Department of Clinical Medicine, Aarhus University; AutoRSA Research Group, Orthopaedic Research Unit, Aarhus University Hospital; Department of Orthopaedic Surgery, Aarhus University, Denmark.

Background And Purpose: Foveal triangular fibrocartilage complex (TFCC) lesion may cause distal radioulnar joint (DRUJ) instability. Dynamic radiostereometry (dRSA) has been validated for objective measurement of DRUJ kinematics. We evaluated DRUJ kinematics by dRSA before surgery and 12 months following open foveal reinsertion of the TFCC in comparison with contralateral non-injured DRUJs. Read More

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An algorithmic diagnostic approach to scapholunate ligament injuries based on comparison of X-ray examinations and arthroscopy in 414 patients.

J Plast Reconstr Aesthet Surg 2022 May 4. Epub 2022 May 4.

Department of Hand, Plastic, Reconstructive and Burn Surgery, BG Trauma Center, Eberhard Karls University Tuebingen, Schnarrenbergstr. 95, 72076 Tuebingen, Germany.

Conventional X-ray imaging is usually the first diagnostic assessment after clinical examination in case of suspected scapholunate interosseous ligament (SLIL) injury. Nevertheless, there is no consensus on the norms of the scapholunate distance (SLD) or carpal angles. Therefore, we aimed to determine the utility of static and dynamic radiographs in the diagnostic of an SLIL injury in comparison with the reference standard arthroscopy. Read More

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Dry Arthroscopy of the Wrist With a Single-use, 1.9 mm Chip-on-tip System in Wide-awake Local Anesthesia No Tourniquet.

Tech Hand Up Extrem Surg 2022 May 4. Epub 2022 May 4.

Department of Hand Surgery, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.

We retrospectively reviewed our 34 first wrist dry arthroscopy cases using a single-use, 1.9 mm chip-on-tip system in wide-awake local anesthesia no tourniquet (WALANT). Thirteen patients were acute injuries; all acute patients underwent a magnetic resonance imaging (MRI) before arthroscopy. Read More

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Arthroscopic Dorsal Ligamentocapsulodesis in the Treatment of Isolated Lunotriquetral Interosseous Ligamentous Injury: A Retrospective Case Series of 22 Patients.

J Hand Surg Asian Pac Vol 2022 May 27:1-11. Epub 2022 May 27.

Department of Orthopedics and Traumatology, Beykent University, İstanbul, Turkey.

The literature is scarce regarding isolated tears of lunotriquetral interosseous ligament (LTIL). The purpose of this study was to present mid-term clinical and functional results of arthroscopic dorsal ligamentocapsulodesis in the treatment of isolated LTIL tears. Twenty-two patients (8 females, 14 males; mean age: 31 years; age range: 18-42) with isolated LTIL tears verified by wrist arthroscopy were retrospectively reviewed and included in the study. Read More

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Use of the Triquetrum-Hamate Portal in Four-Corner Wrist Fusion: A Useful Technical Trick.

Rev Bras Ortop (Sao Paulo) 2022 Apr 27;57(2):348-350. Epub 2022 May 27.

Departamento de Ortopedia e Traumatologia, Serviço de Cirurgia da Mão e Microcirurgia, Santa Casa de Misericórdia, São Paulo, Brasil.

Arthroscopy-assisted partial wrist-fusion techniques are becoming more popular nowadays. It became clearer that avoiding the violation of important ligament and tendinous structures - which is impossible when using the classic open techniques - enables a more biological approach, which is essential for faster healing and improvement in function. We describe the use of the triquetrum-hamate (TH) portal, which is seldomly applied in routine arthroscopic techniques for hand and wrist surgery, as an accessory portal to better perform anterior midcarpal debridement in four-corner fusion. Read More

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Arthroscopic Midcarpal Tendon Interposition: A New Technique for Capitolunate Constraints.

Arthrosc Tech 2022 May 22;11(5):e735-e739. Epub 2022 Apr 22.

International Wrist Center, Clinique Bizet, Paris, France.

Conflicts of the capitolunate, causing midcarpal pain from friction can be isolated (e.g., avascular necrosis of the proximal pole of the capitate [AVNC], palmar midcarpal instability [PMCI]) or form part of a framework of more complex osteoarthritis phenomena (e. Read More

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Thermal Debridement in the Management of Low Grade Scapholunate Ligament Tears.

Bull Hosp Jt Dis (2013) 2022 Jun;80(2):150-154

Low grade scapholunate interosseous ligament (SLIL) tears are often managed with mechanical or thermal arthroscopic debridement, although this remains controversial. This study aimed to assess the short-term outcomes of thermal debride- ment of low-grade SLIL tears. Patients with low grade SLIL tears who underwent arthroscopic thermal debridement between 2010 and 2017 were identified and divided into two groups: isolated thermal debridement and concomitant pro- cedures. Read More

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Gel-Based Autologous Chondrocyte Implantation in a Patient with Noncontained Osteochondral Knee Defect at 9-Year Follow-Up.

Case Rep Orthop 2022 16;2022:6946860. Epub 2022 May 16.

Department of Orthopedics, Civil Hospital, Bhavnagar, Gujarat, India.

Osteochondritis dissecans (OCD) is a disorder of the subchondral bone affecting the adjacent articular cartilage that may lead to cartilage and bone fragment detachment. It commonly occurs in the knee joint, elbow, wrist, and ankle. Although several surgical concepts have been described to treat OCD (fragment fixation, microfracture, autologous chondrocyte implantation (ACI), and mosaicplasty), no gold standard treatment has been accepted for managing OCD. Read More

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Wrist arthroscopy for diagnosis and treatment of acute and chronic conditions.

SICOT J 2022 19;8:17. Epub 2022 May 19.

Hand Surgery Unit, Department of Orthopaedic Surgery, Tel Aviv Medical Center, 6 Weitzman Street, Tel Aviv 6423906, Israel, affiliated with the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Wrist arthroscopy is a constantly evolving procedure. Allowing direct visualization and dynamic testing of intra-articular structures led to a novel approach toward traumatic and degenerative lesions based on most of the classifications routinely used in wrist surgery. The development of specific instrumentation, combined with a novel understanding of the local anatomy, progressively allowed wrist surgeons to describe more ambitious and complex surgeries. Read More

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Foveal Triangular Fibrocartilage Complex Tears: Recognition of a Combined Tear Pattern.

J Hand Surg Am 2022 May 9. Epub 2022 May 9.

Department of Orthopaedic Surgery, Washington University School of Medicine, St Louis, MO. Electronic address:

Purpose: Triangular fibrocartilage complex (TFCC) injuries are categorized most commonly by the Palmer and the Atzei and Luchetti classifications. Combined tears are reported less frequently, and the classification of these tears is unclear. In this study, we present a series of patients with combined central disc and foveal TFCC tears that do not fit into either of these classifications. Read More

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Bilateral Ulnar Deviation Supination Stress Test to Assess Dynamic Scapholunate Instability.

J Hand Surg Am 2022 May 6. Epub 2022 May 6.

Institut Kaplan, Barcelona, Spain.

Purpose: We describe a new radiologic test to assess the integrity of the scapholunate ligament in dynamic scapholunate dysfunction.

Methods: A bilateral forearm-holding device was designed to perform a comparative radiographic assessment of the scapholunate joint gap during resisted isometric contraction of the extensor carpi ulnaris muscle with full supination of the forearm. The concept is based on the known scaphoid pronation effect of this muscle. Read More

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Carpal tunnel syndrome associated with chronic bursitis: A case report.

J Int Med Res 2022 May;50(5):3000605221097376

Department of Orthopaedics, Taizhou People's Hospital, Taizhou, Jiangsu Province, China.

This current report presents a rare case of carpal tunnel syndrome with chronic bursitis that was treated successfully by open surgery. A 53-year-old female patient that had begun to experience swelling, pain and limited flexion activity of the left wrist 1 year previously presented because of a deterioration in her condition and numbness of the thumb, index finger and middle finger in the previous 2 months without any treatment. The diagnosis of bursitis should be based on clinical symptoms and signs, combined with colour ultrasonography, magnetic resonance imaging, arthroscopy and arthrography. Read More

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Editorial Commentary: Arthroscopic Capsular Repair of Wrist Triangular Fibrocartilage Complex Tears: Beware That Apparent Isolated Atzei Class 1 (Isolated Distal Component) Tears May Include a Proximal Component.

Arthroscopy 2022 05;38(5):1463-1465

Korea University.

Accumulating knowledge about the anatomy of the triangular fibrocartilage complex (TFCC) and its function has revealed that the foveal insertion of the TFCC plays a key role in distal radioulnar joint stability rather than the superficial fibers that insert into the ulnar styloid. Recently, the interest in torn peripheral TFCC repair has been shifting from capsular repair for Atzei class 1 to foveal repair for Atzei class 2 or 3. Most acute Atzei class 1 tears spontaneously heal without surgical repair; in contrast, in cases of sustained pain and distal radioulnar joint instability even after successful Atzei class 1 repair, the unrecognized proximal component TFCC tear concomitant with a distal component TFCC tear may exist and appropriate treatment for the proximal component TFCC tear should be combined. Read More

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Sauvé-Kapandji and Darrach Salvage Procedure Rates and Perioperative Parameters for Distal Radioulnar Joint Arthritis and Instability.

Hand (N Y) 2022 May 2:15589447221092055. Epub 2022 May 2.

Medical University of South Carolina, Charleston, USA.

Background: Distal radioulnar joint (DRUJ) instability and arthritis are often painful and functionally limiting pathologies. Two common salvage procedures for DRUJ dysfunction are the Darrach and Sauvé-Kapandji (S-K) procedures. This study aims to provide an analysis of national Darrach and S-K procedure utilization rates and patient demographics. Read More

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Repair of the dorsal capsuloligamentous scapholunate septum during arthroscopic resection of painful dorsal wrist ganglion cyst: Comparative analysis of two techniques.

Hand Surg Rehabil 2022 Apr 28. Epub 2022 Apr 28.

International Wrist Center, Clinique Bizet, 23 Rue Georges Bizet, 75116 Paris, France.

We compared arthroscopic cyst resection (ACR) of dorsal ganglia of the wrist, either associated to reconstruction of the dorsal capsuloligamentous scapholunate septum (ACR-DCSS) in 66 cases in which the ganglia were painful on exertion, or isolated ACR in 15 pain-free cases. A single-center retrospective study analyzed data for the period April 2013 to May 2021. The main aim was to compare pre- and post-operative functional results (pain at rest (on a numerical rating scale: NRS), pain under effort (NRS), range of motion (°), grip strength (kg)) and recurrence rate between the two techniques. Read More

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Surveying the Use and Perceptions of Wrist Arthroscopy Among Upper Extremity Surgeons.

Orthopedics 2022 Apr 29:1-7. Epub 2022 Apr 29.

This study describes current trends in the skill acquisition and practice patterns for wrist arthroscopy among upper extremity surgeons. A survey was sent to the membership of the American Association for Hand Surgery (AAHS). A total of 104 responses were available for analysis. Read More

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History of Wrist Arthroscopy.

J Wrist Surg 2022 Apr 25;11(2):96-119. Epub 2022 Apr 25.

Department of Orthopaedic & Traumatology, Prince of Wales Hospital, Chinese University of Hong Kong, Hong Kong SAR.

Wrist arthroscopy has a rich history, drawing on contributions from around the world. Its foundation was laid in Japan with Kenji Takagi and Masaki Watanabe, who developed the arthroscope and the techniques for arthroscopy. Across several decades they advanced the optic and lighting technology, allowing the miniaturization which made wrist arthroscopy technologically feasible. Read More

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Synovial Chondromatosis of the Midcarpal Joint: A Case Report and Brief Review of Literature.

J Wrist Surg 2022 Apr 24;11(2):177-180. Epub 2021 Mar 24.

Department of Orthopaedic Surgery, UZ Leuven, Leuven, Belgium.

 Synovial chondromatosis is a rare benign proliferative disorder of synovium characterized by the formation of cartilaginous bodies in a joint. The condition typically affects one single large joint. The development of synovial chondromatosis in the joints of hand and wrist is extremely rare. Read More

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Magnetic Resonance Arthrography of the Wrist: The Impact on Operative Management of Wrist Injuries.

J Wrist Surg 2022 Apr 5;11(2):120-126. Epub 2021 Oct 5.

Department of Plastic Surgery, University of Virginia, Charlottesville, Virginia.

 There is no consensus on the utility of arthrography in the evaluation of wrist injuries. This study evaluates ordering trends of different types of magnetic resonance imaging (MRI) of the wrist and compares rates of surgery following these imaging modalities.  A national claims-based database was used to identify patients who underwent MRI within 90 days of a first-instance diagnosis of wrist injury from 2010 to 2018. Read More

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Four-Corner Arthrodesis: Comparative Analysis of Open Technique Versus Percutaneous Technique with Arthroscopic Assistance.

J Wrist Surg 2022 Apr 1;11(2):127-133. Epub 2021 Oct 1.

Department of Hand Surgery, Hospital Mutual de Seguridad, Santiago, Chile.

 Four-corner arthrodesis is a salvage technique for patients with carpal advanced osteoarthritis. Nowadays, percutaneous techniques with arthroscopic assistance have been described, achieving favorable results with minimally invasive techniques advantages over open surgery.  To compare functional and radiological results in patients with SLAC or SNAC wrists operated with open surgical technique versus percutaneous surgery with arthroscopic assistance. Read More

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History of Wrist Arthroscopy.

J Wrist Surg 2022 Apr 25;11(2):95. Epub 2022 Apr 25.

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

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Hamatolunate impingement syndrome in golfers: results of arthroscopic burring of the apex of the hamate.

Hand Surg Rehabil 2022 Apr 22. Epub 2022 Apr 22.

Clinique du Sport, Institut Main Épaule et Sport, 36 Boulevard Saint-Marcel, 75005 Paris, France.

Hamatolunate impingement syndrome is an uncommon cause of ulnar-sided wrist pain in the general population. Often misdiagnosed and untreated by non-specialized physicians, it is an important source of chronic ulnar wrist pain in golfers. The purpose of this retrospective study was to report results of arthroscopic burring of the apex of the hamate for hamatolunate impingement, whether isolated or not, in golf players, with a minimum of six months follow-up. Read More

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Isolated scaphoid dislocation: A case report and review of literature.

World J Clin Cases 2022 Mar;10(8):2559-2568

Department of Orthopedics, The First Affiliated Hospital of Dalian Medical University, Dalian 116011, Liaoning Province, China.

Background: Isolated dislocations of the scaphoid are extremely rare types of injuries, commonly associated with severe ligament disruptions, and are occasionally misdiagnosed. Treatment options for dislocations of the scaphoid mainly include closed reduction, with or without internal fixation, and open reduction with ligament repair.

Case Summary: A 59-year-old male worker sustained a twisting trauma of his right wrist, caused by a moving belt while he was operating a machine. Read More

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Arthroscopic Treatment of Bucket-Handle Triangular Fibrocartilage Complex Injury.

J Hand Surg Glob Online 2021 Nov 11;3(6):352-355. Epub 2021 Aug 11.

Instituto Vita, São Paulo, Brazil.

Bucket-handle injury to the triangular fibrocartilage complex is a rare and poorly described condition in the literature that is not included in the Palmer classification. A young man presented with right wrist torsional trauma while playing sports. He progressed with local pain and limited range of motion with a supination block. Read More

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November 2021

Monteggia Fracture-Dislocation with Associated TFCC Injury and DRUJ Subluxation - A Very Rare Case Report.

J Orthop Case Rep 2021 Sep;11(9):82-85

Department of Orthopedics, MIOT International, Chennai, Tamil Nadu, India.

Introduction: Monteggia fracture-dislocation is defined as a proximal third ulna fracture with radiocapitellar joint dislocation. The term "Monteggia equivalent or variant" describes various injuries with similar radiographic patterns and injury biomechanics. Several isolated cases of unusual injuries associated with Monteggia fractures have been reported. Read More

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September 2021

Open Foveal Repair of the Triangular Fibrocartilage Complex Tears Associated with Symptomatic Ulnar Styloid Non-union.

J Hand Surg Asian Pac Vol 2022 Apr 31;27(2):248-255. Epub 2022 Mar 31.

Department of Orthopedic Surgery, Seoul National University College of Medicine, Seoul, Republic of Korea.

Symptomatic ulnar styloid non-union can be treated by excision of the ulnar styloid fragment. For combined triangular fibrocartilage complex (TFCC) tears, several repair techniques such as arthroscopic repair, open repair to the fracture site or reconstruction using a tendon graft have been introduced. This study reports the technique and outcomes of open foveal repair of the TFCC with excision of the ulnar styloid fragment in patients with symptomatic ulnar styloid non-union and distal radioulnar joint (DRUJ) instability. Read More

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[Arthroscopic reconstruction of scaphoid nonunions].

Oper Orthop Traumatol 2022 Apr 8. Epub 2022 Apr 8.

Aestheticum, München, Deutschland.

Objective: Minimally invasive arthroscopically assisted reconstruction of scaphoid nonunions.

Indications: Delayed union or nonunion of the scaphoid with sclerosis and with indication for bone transplantation. Limited arthritic changes at the radial styloid. Read More

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Editorial Commentary: Symptomatic Distal Radioulnar Joint Instability After Distal Radius Fracture Fixation: Improved Outcomes With Arthroscopic Management Are Still Possible After a Trial of Nonoperative Treatment.

Authors:
Julia A V Nuelle

Arthroscopy 2022 04;38(4):1154-1155

The literature to guide clinical-decision making for the treatment of symptomatic distal radioulnar joint instability in the setting of distal radius fracture is mixed, with some advocating for surgical treatment at the time of fracture fixation and others reporting acceptable clinical outcomes with conservative management. Given this, it can be challenging to determine which treatment strategy to employ for each individual patient. For injuries that are the result of high-energy trauma or when there is persistent instability lasting 6 months or longer after fracture fixation, surgical intervention may be needed. Read More

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