Anatomie vasculaire osseuse à la main et au poignet

Fontaine, C.; Wavreille, G.; Aumar, Aurélien; Bry, R.; Demondion, Xavier

doi:10.1016/j.main.2010.09.019

Chirurgie de la Main

2010

DOI: 10.1016/j.main.2010.09.019

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Anatomie vasculaire osseuse à la main et au poignet

C. Fontaine

G. Wavreille

Aurélien Aumar

et al.

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Cited by 9 publications

(1 citation statement)

References 31 publications

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“…6,7 Open treatment has been associated with wrist stiffness, persistent pain, 8 and vascular disorders of the lunate. 7,9 Wrist arthroscopy techniques have allowed enhancement of ILBG curettage and grafting, overcoming the complications of the open approach. 7,10,11 The goal of this study is to describe a minimally invasive technique that consists of arthroscopically passing through the proximal, nonvascularized portion of the scapholunate ligament.…”

mentioning

confidence: 99%

Arthroscopic Bone Graft for Intraosseous Lunate Bone Ganglion

Prénaud

Quérel

Mathoulin

et al. 2021

Arthroscopy Techniques

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mentioning

confidence: 99%

Arthroscopic Bone Graft for Intraosseous Lunate Bone Ganglion

Prénaud

Quérel

Mathoulin

et al. 2021

Arthroscopy Techniques

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Three-dimensional topography of scapular nutrient foramina

et al. 2020

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The aim of this study is to describe the number and location of the nutrient foramina in human scapulae which can minimize blood loss during surgery. Methods 30 cadaveric scapulae were macerated to denude the skeletal tissue. The nutrient foramina of 0.51 mm and larger were identified and labeled by adhering glass beads. CT scans of these scapulae were segmented resulting in a surface model of each scapula and the location of the labeled nutrient foramina. All scapulae were scaled to the same size projecting the nutrient foramina onto one representative scapular model. Results Average number of nutrient foramina per scapula was 5.3 (0-10). The most common location was in the supraspinous fossa (29.7%). On the costal surface of the scapula, most nutrient foramina were found directly inferior to the suprascapular notch. On the posterior surface, the nutrient foramina were identified under the spine of the scapula in a somewhat similar fashion as those on the costal surface. Nutrient foramina were least present in the peri-glenoid area. Conclusion Ninety percent of scapulae have more than one nutrient foramen. They are located in specific areas, on both the posterior and costal surface.

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Arthroscopic Treatment of Intraosseous Ganglion Cyst of the Lunate Bone

Cerlier

Levadoux

2015

Arthroscopy Techniques

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Intraosseous ganglion cysts are rare causes of wrist pain. Surgical treatment of this pathologic condition yields good results and a low recurrence rate. The main complications are joint stiffness and vascular disturbances of the lunate bone. Wrist arthroscopy is a surgical technique that reduces the intra-articular operative area and therefore minimizes postoperative stiffness. This article describes an arthroscopic technique used for lunate intraosseous cyst resection associated with an autologous bone graft in a series of cases to prevent joint stiffness while respecting the scapholunate ligament. This study was based on a series of 4 patients, all of whom had wrist pain because of intraosseous ganglion cysts. Arthrosynovial cyst resection, ganglion curettage, and bone grafting were performed arthroscopically. Pain had totally disappeared within 2 months after the operation in 100% of patients. The average hand grip strength was estimated at 100% compared with the opposite side, and articular ranges of motion were the same on both sides in 100% of cases. No complications were reported after surgery. On the basis of these results, arthroscopic treatment of intraosseous synovial ganglion cysts seems to be more efficient and helpful in overcoming the limitations of classic open surgery in terms of complications.W rist intraosseous ganglion cysts are rare tumors in adults, and they are asymptomatic and idiopathic most of the time; however, but they represent one of the few causes of wrist pain.1 Classic cases include lytic bone tumors found through radiologic diagnosis, with a scapholunate ligament origin. Diagnoses of symptomatic cystic lesions of the lunate bone (Kienböck disease, trauma, scaphoid pseudarthrosis) must be eliminated before stating that the wrist pain is due to an intraosseous bone ganglion cyst.Surgical treatment of this pathologic condition yields good results and a low recurrence rate. Wrist arthroscopy is a recent, up-and-coming surgical technique, usually performed with the patient under local or regional anesthesia and performed either with saline irrigation or as a dry procedure. The wrist arthroscopy setup includes a small fiberoptic camera with a diameter of 2.4 or 2.7 mm, a shaver without a suction pump and with or without an electrocautery, and basic arthroscopy instruments (palpation rod, basket forceps). There are more and more wrist arthroscopy indications, including scapholunate ligament repair, treatment of fractures of the distal radius, intercarpal arthrodesis, and intra-articular cyst resection, but the use of wrist arthroscopy in such cases needs to be qualified. The main advantage of this technique is that it reduces the intra-articular operative area and therefore minimizes postoperative joint stiffness. However, it is a difficult technique with a significant learning process.This article describes an arthroscopic technique used for lunate intraosseous cyst resection associated with an autologous bone graft in a series of cases to prevent joint stiffness while res...

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Anatomie vasculaire osseuse à la main et au poignet

Cited by 9 publications

References 31 publications

Arthroscopic Bone Graft for Intraosseous Lunate Bone Ganglion

Arthroscopic Bone Graft for Intraosseous Lunate Bone Ganglion

Three-dimensional topography of scapular nutrient foramina

Arthroscopic Treatment of Intraosseous Ganglion Cyst of the Lunate Bone

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