Bare bones: Fundamentals of diagnostic wrist arthroscopy

Hoyle, Antonia; Talwalkar, Sumedh; Murali, S. R.

doi:10.1016/j.jcot.2021.101478

Cited by 2 publications

(1 citation statement)

References 18 publications

(21 reference statements)

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“…Unter Visualisierung der dorsalen Kapsel wird zwischen dem 4. und 5. Strecksehnenfach, etwa auf der Höhe des lunotriquetralen Bandes, der Zugang 4/5 angelegt 8 . Unter Wechsel der Zugänge 3/4 und 4/5 können nun mit einem Tasthaken unter Sicht die Knorpelbeschaffenheit, sowie der TFCC und die interkarpalen Bänder auf Defekte untersucht werden.…”

Section: Zugänge Und Diagnostikunclassified

Möglichkeiten und Grenzen der Arthroskopie des rheumatischen Handgelenkes

Gaulke

2023

Aktuelle Rheumatologie

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ZusammenfassungDie arthroskopische Synovialektomie am Knie-, Schulter-, Ellenbogen- und oberen Sprunggelenk hat in der operativen Therapie entzündlich-rheumatischer Erkrankungen trotz verbesserter medikamentöser Therapie weiterhin eine überragende Bedeutung in Bezug auf den Gelenkserhalt bei therapieresistenter Synovialitis. Das Handgelenk und distale Radioulnargelenk bilden zusammen 3 Gelenkräume, welche bei der Arthroskopie zu adressieren sind. Arthroskopisch kontrollierte perkutane Teilversteifung am Handgelenk haben den Vorteil geringerer periartikulärer Vernarbung. Eine Immobilisation ist nach der Schraubenarthrodese im Gegensatz zur offenen Plattenarthrodese obligat. Die totale Synovialektomie sowie arthroskopische Teilarthrodesen sind technisch sehr anspruchsvoll und sollten daher erfahrenen Handgelenkarthroskopeuren vorbehalten bleiben.

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Section: Zugänge Und Diagnostikunclassified

Möglichkeiten und Grenzen der Arthroskopie des rheumatischen Handgelenkes

Gaulke

2023

Aktuelle Rheumatologie

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Needle Arthroscopy Versus Conventional Arthroscopy in the Evaluation of Carpal Pathology: A Comparative Study

Moses,

Lorentz,

Azad

et al. 2024

Hand (New York, N,Y.)

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Background: The needle scope is a less invasive intervention to evaluate carpal pathology. We hypothesize that there is no difference in the evaluation and diagnostic capability of the needle scope versus the conventional wrist arthroscope. Methods: Twenty patients indicated for wrist arthroscopy were prospectively enrolled. Prior to insertion of the 2.7-mm arthroscope, the needle scope evaluated for synovitis; cartilage damage (location and modified Outerbridge classification); integrity of the volar, scapholunate (SL), and lunotriquetral ligaments; and the triangular fibrocartilage complex (TFCC). Following needle scope evaluation, the surgeon completed a survey regarding the visualization and diagnosis. The 2.7-mm arthroscope was then inserted, and the surgeon completed the second portion of the survey. Statistical analysis was then completed to determine statistical significance. Results: Twelve patients were female (60%), and the mean age was 39.8 years (±11.8 years). Eleven patients underwent arthroscopy for TFCC pathology, 4 patients for SL tearing, and 5 patients for extensive synovitis. There was no difference between the needle scope and wrist arthroscopy diagnosis. There was no difference between radiocarpal and midcarpal visualization. Surgeon-rated ease of use and diagnostic confidence were the same between two groups. The needle scope was better able to visualize the scapho-trapezium-trapezoid and carpometacarpal joints; however, the image was of marginally decreased quality. Conclusion: In this study, there was no difference between radiocarpal or midcarpal visualization and surgeon-rated ease of use, while diagnostic confidence was the same between two groups. Level of Evidence: II (prospective cohort study)—Diagnostic

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Bare bones: Fundamentals of diagnostic wrist arthroscopy

Cited by 2 publications

References 18 publications

Möglichkeiten und Grenzen der Arthroskopie des rheumatischen Handgelenkes

Möglichkeiten und Grenzen der Arthroskopie des rheumatischen Handgelenkes

Needle Arthroscopy Versus Conventional Arthroscopy in the Evaluation of Carpal Pathology: A Comparative Study

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