A Modified Surgical Technique for Minimally Invasive Arthroscopic Total Wrist Fusion

Nazerani, Shahram; Nazerani, Tina; Molayem, A; Keramati, Mohammad Reza

doi:10.1055/s-0038-1669918

Cited by 7 publications

(6 citation statements)

References 8 publications

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“…The RSN usually bifurcates around 4.2 cm proximal to Lister tubercle, and the dorsal branch bifurcates again at about the level of Lister tubercle. 7,9,17 To be the most clinically relevant, we evaluated distances from portals to the closest RSN branch. For the 1,2 portal, this was either the most radial or the middle branch of the SBRN.…”

Section: Discussionmentioning

confidence: 99%

Wrist Arthroscopy Using the 2R Portal: Is It Safer Than the 1,2 Portal?

Hinchcliff

Munaretto

Dutton

et al. 2022

Hand (New York, N,Y.)

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Backgroud: The purpose of this study was to compare the 1,2 with a novel 2R portal in terms of proximity to critical structures. Methods: Wrist arthroscopy was performed on 8 fresh frozen cadavers via the 1,2 and 2R portals. External anatomy was then dissected under loupe magnification. The closest distance between the portals and surrounding anatomical structures was measured in millimeters using digital calipers. Results: The 1,2 portal was significantly closer to radial artery and first extensor compartment tendons than the 2R portal. The radial artery was on average 1.32 mm from the 1-2 portal and 14.25 mm from the 2R portal. The 2R portal was significantly closer to the second and third extensor compartment tendons. The closest branch of the superficial branch of the radial nerve (SBRN) was on average 2.04 mm from the 1-2 portal and 7.59 mm from the 2R portal, but this was not statistically significant. Conclusions: We advocate using the 2R portal preferentially to the 1,2 portal when treating radial sided wrist pathology to decrease the risk of iatrogenic radial artery and SBRN injury.

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Section: Discussionmentioning

confidence: 99%

Wrist Arthroscopy Using the 2R Portal: Is It Safer Than the 1,2 Portal?

Hinchcliff

Munaretto

Dutton

et al. 2022

Hand (New York, N,Y.)

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“…For carpal bone cyst or necrosis, wrist ganglion, wrist arthritis, and disorders of small joint of the hand the use of wrist arthroscopy is also becoming more and more popular 4,19,21 .…”

Section: Discussionmentioning

confidence: 99%

“…More complex conditions, such as perilunate dislocations, could be treated in a minimally invasive manner by arthroscopic-assisted procedures as well 20 . Another example is the quite aggressive open partial or total wrist arthrodesis procedures, which now could also be performed arthroscopically 9,21 . Thirdly, the use of wrist arthroscopy could aid the diagnosis of many complex wrist conditions 8 .…”

Section: Introductionmentioning

confidence: 99%

Clinical and Epidemiological Features Among Patients with Wrist Arthroscopy Surgery: A Hospital‐based Study in China

Yin

Liu

Zhu

et al. 2020

Orthopaedic Surgery

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Propose To analyze the clinical and epidemiological features of patients who underwent wrist arthroscopy procedures. Methods This is a cross‐sectional epidemiological study. The study included a cohort of patients who underwent wrist arthroscopy procedures in a national orthopaedic referral center from 1 February, 2014 to 1 February, 2019. The medical records, diagnosis, and every wrist arthroscopy procedure of all the patients were collected and reviewed. The epidemiological features, detail of the diagnoses, and the procedures of all the patients were systemically analyzed. All the patients were divided into two groups: trauma and non‐trauma conditions. The complexity of the wrist arthroscopy procedure was classified into simple procedures (exploration or debridement) and complex procedures (repair or reconstruction). χ2 test was used to compare proportions between the procedures of different complexity and the two groups of patients. Results A total of 533 patients (332 males and 201 females) were included in this study. More than half (56%) of the patients were in the age group 21–40 and nearly two thirds (62%) of all the 533 patients were male. The diagnoses of all the patients could be classified into eight categories: (i) TFCC injury; (ii) ulnar impactions syndrome; (iii) carpal trauma (carpal bone fractures and/or carpal ligament injures); (iv) distal radius fractures; (v) carpal bone cyst or necrosis; (vi) ganglion cyst; (vii) wrist arthritis; and (viii) disorders of small joint of the hand. The most common conditions treated with wrist arthroscopy were TFCC injury (172 cases), followed by carpal trauma (125 cases) and ulnar impaction syndrome (84 cases). The simple arthroscopic procedures (exploration or debridement) account for 53% of all the procedures while complex reparative or reconstructive procedures account for 47%. There was a significant difference in the proportion between simple procedures and complex procedures in both trauma and non‐traumatic patients. Repair or reconstruction procedures were more frequently performed for wrist trauma patients, whereas exploration or debridement procedures were more frequently performed for non‐trauma patients. Conclusions The largest group of patients who underwent wrist arthroscopy surgery are those who complained of ulnar‐sided wrist pain and the commonly conducted wrist arthroscopy procedures have evolved from simple exploration/debridement to the more complex repair or reconstruction procedures in China.

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“…72 While the standard procedure is performed openly, it can also be performed through arthroscopy with less damage to the extensor compartments and a better esthetic outcome. According to the technique by Nazerani et al, 73 the cartilage can be debrided through the radiocarpal and midcarpal portals, and the joints can be fixed using four self-tapping cannulated screws percutaneously under fluoroscopic control.…”

Section: Wrist Arthrodesismentioning

confidence: 99%

Artrodesis de muñeca

Andreu,

García,

Herráez

et al. 2024

Revista Iberoamericana de Cirugía de la Mano

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ResumenLas artrodesis de muñeca, tanto totales como parciales, son opciones terapéuticas para el tratamiento de las artropatías postraumáticas, degenerativas o reumáticas. El objetivo de estas cirugías es eliminar el dolor y estabilizar la muñeca con el detrimento de pérdida de movilidad, permitiendo a los pacientes retomar sus actividades diarias sin dolor. Las artrodesis parciales tienen como objetivo conservar cierta movilidad al fusionar solo ciertas articulaciones dejando móviles solo las articulaciones no patológicas, mientras que las artrodesis totales involucran la fusión total de la muñeca, ofreciendo soluciones definitivas para el dolor intenso e inestabilidad.La realización de estas técnicas mediante cirugía artroscópica ofrece resultados similares a los de la cirugía abierta, con el beneficio adicional de minimizar las complicaciones, reducir el tiempo de recuperación y mejorar el resultado estético postoperatorio.

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A Modified Surgical Technique for Minimally Invasive Arthroscopic Total Wrist Fusion

Cited by 7 publications

References 8 publications

Wrist Arthroscopy Using the 2R Portal: Is It Safer Than the 1,2 Portal?

Wrist Arthroscopy Using the 2R Portal: Is It Safer Than the 1,2 Portal?

Clinical and Epidemiological Features Among Patients with Wrist Arthroscopy Surgery: A Hospital‐based Study in China

Artrodesis de muñeca

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