No abstract

Osteoarthritis of distal radioulnar joint (DRUJ) leads to chronic wrist pain, weakness of grip strength, and limitation of motion, all of which affect the quality of life of the patient. Over the years, several procedures have been used for the treatment of this condition; however, this condition still remains a therapeutic challenge for the hand surgeons. Many procedures such as Darrach procedure, Bower procedure, Sauvé-Kapandji procedure, and ulnar head replacement have been used. Despite many advances in wrist arthroscopy, arthroscopy has not been used for the treatment of arthritis of the DRUJ. We describe a novel technique of arthroscopically assisted Sauvé-Kapandji procedure for the arthritis of the DRUJ. The advantages of this technique are its less invasive nature, preservation of the extensor retinaculum, more anatomical position of the DRUJ, faster rehabilitation, and a better cosmesis.

No abstract

No abstract

WRIST FRACTURES TREATMENT WITH ASSISTED ARTHROSCOPY Joint fractures of the 4th distal radius that are displaced of 2 or more millimetres, bring to arthritis that could be evident already after 5 years from the fracture itself. For this reason we try to reduce this displacement and arthroscopy is a good way to do it. Arthroscopy helps to make a more anatomic reduction and helps to point out pathologies that, otherwise, would be unknown, such as the lesion of inter-osseous ligaments or of the TFCC ligament. Now, many works point out how fractures treated with arthroscopy have a better X-ray result, a better reduction, a stronger grip and a better motility than those cases treated with surgery and without arthroscopy. The arthroscopy gives us the chance to analyze better the type of fracture and to chose the best surgical approach and the best reduction of the fracture. Fig. 1 -Lo spostamento è maggiore di 2 mm, e quindi va ridotto per evitare un'artrosi precoceIl ricorso all'artroscopia ha delle regole ben precise,come spiegato nell'articolo,ma, attualmente, non è patrimonio generale dell'ortopedico e non è pensabile che ogni frattura che possa trovarvi indicazione,venga inviata all'artroscopista di riferimento.Pertanto la diffusione della tecnica viene consigliata,ma dove vi siano impossibilità pratiche di applicazione,vanno preferite tecniche sostitutive,quali la correzione percutanea o a cielo aperto.