Dry Wrist Arthroscopy

Jones, Christopher M.; Grasu, Beatrice L.; Murphy, Michael S.

doi:10.1016/j.jhsa.2014.08.042

Cited by 12 publications

(5 citation statements)

References 9 publications

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“…Risks include incomplete cyst excision, extensor tendon injury, scapholunate ligament injury, infection, stiffness, and a theoretical synovial-cutaneous fistula (Table 3). 4,5 To date no case series have been published Figures 1-3, in which the ganglion was denoted by black arrows. In addition, note the absence of generalized swelling about the wrist due to lack of fluid extravasation.…”

Section: Figmentioning

confidence: 99%

“…3 Recently dry wrist arthroscopic techniques have been described. 4,5 This technique may be employed to remove ganglions. Dry wrist arthroscopy has several advantages over standard the "wet" technique due to avoidance of fluid extravasation and associated swelling: (1) easier visualization and palpation of the ganglion during surgical removal allowing for more accurate confirmation of complete removal, (2) easier conversion to open surgery if arthroscopic removal fails, (3) faster rehabilitation and return of motion, and (4) stitchless closure (steri strips are adequate) allowing for reduced scarring and improved cosmesis.…”

mentioning

confidence: 99%

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Dry Arthroscopic Excision of Dorsal Wrist Ganglion

Gray

Zuhlke

Eizember

et al. 2017

Arthroscopy Techniques

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Ganglions are common soft tissue masses of the hand. High recurrence rates are associated with nonsurgical treatment; thus, excision is often indicated. Arthroscopic excision and open excision have similar recurrence rates; however, the latter is associated with prolonged healing time and increased scarring. Recently, dry wrist arthroscopic techniques have been used. This technique allows easier confirmation of complete ganglion removal, easier conversion to open surgery, earlier return of motion, and stitch-less closure when compared with traditional "wet" arthroscopic excision. 3 Recently dry wrist arthroscopic techniques have been described. 4,5 This technique may be employed to remove ganglions. Dry wrist arthroscopy has several advantages over standard the "wet" technique due to avoidance of fluid extravasation and associated swelling: (1) easier visualization and palpation of the ganglion during surgical removal allowing for more accurate confirmation of complete removal, (2) easier conversion to open surgery if arthroscopic removal fails, (3) faster rehabilitation and return of motion, and (4) stitchless closure (steri strips are adequate) allowing for reduced scarring and improved cosmesis.We present our technique for dry arthroscopic wrist ganglionectomy.

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Section: Figmentioning

confidence: 99%

mentioning

confidence: 99%

Dry Arthroscopic Excision of Dorsal Wrist Ganglion

Gray

Zuhlke

Eizember

et al. 2017

Arthroscopy Techniques

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“…The constant evolving wrist arthroscopy, especially with the continuous development of more efficient and smaller equipment, is an essential diagnostic and therapeutic tool 1 , applying to a wide spectrum of wrist disorders. Arthroscopy is now performed to repair lesions of the triangular fibrocartilage complex (TFCC), assist to anatomic reduct intra-articular distal radius and scaphoid fractures, assist in treatment of scapholunate advanced collapse (SLAC) or scaphoid nonunion advanced collapse (SNAC), treatment of dorsal-wrist ganglion cysts and interosseous ligament disruptions, facilitate bone excisions such as radial styloidectomy and distal ulnar excision (wafer procedure), proximal row carpectomy such as in aseptic necrosis of carpal bones, debridement of chondral lesions, septic wrist irrigation and debridement, removal of loose bodies and diagnosis in unexplained mechanical wrist pain 2,3,4,5 .…”

Section: Introductionmentioning

confidence: 99%

Safe zones in dorsal portals for wrist arthroscopy: a cadaveric study

ANTONOGLOU,

PAPATHANAKOS,

VRETTAKOS

et al. 2024

Acta Orthop Belg

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The standard dorsal portals are the most commonly used in wrist arthroscopy. This cadaveric study aims to determine safe zones, by quantitatively describing the neurovascular relationships of the dorsal wrist arthroscopy portals: 1-2, 3-4, midcarpal radial, midcarpal ulnar, 4-5, 6-radial and 6-ulnar. The neurovascular structures of twenty-one fresh frozen human cadaveric upper limbs were exposed, while the aforementioned portals were established with needles through portal sites. The minimum distance between portals and: dorsal carpal branch of radial artery, superficial branch of radial nerve, posterior interosseous nerve and dorsal branch of ulnar nerve, were measured accordingly with a digital caliper, followed by statistical analysis of the data. The median and interquartile range for each portal to structures at risk were determined and a safe zone around each portal was established. Free of any neurovascular structure safe zones surrounding 1-2, 3-4, midcarpal radial, midcarpal ulnar, 4-5, 6-radial and 6-ulnar portals were found at 0.46mm, 2.33mm, 10.73mm, 11.01mm, 10.38mm, 5.95mm and 0.64mm respectively. Results of statistical analysis from comparisons between 1-2, 3-4 and midcarpal radial portals, indicated that 1-2 was the least safe. The same analysis among 3-4, midcarpal radial, midcarpal ulnar and 4-5 portals indicated that midcarpal portals were safer, while 3-4 was the least safe. Results among midcarpal ulnar, 4-5, 6-radial and 6-ulnar portals indicated that 6-radial and specifically 6-ulnar were the least safe. This study provides a safe approach to the dorsal aspect of the wrist, enhancing established measurements and further examining safety of the posterior interosseous nerve.

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“…The constantly evolving wrist arthroscopy is applied to diagnose and treat almost all the spectrum of wrist pathologies [1][2]. The development of smaller and more efficient equipment made wrist arthroscopy a valuable tool for repairing ligamentous injuries and triangular fibrocartilage complex lesions [3].…”

Section: Introductionmentioning

confidence: 99%

The Risk of Injury in Wrist Arthroscopy Portals: A Cadaveric Study

Antonoglou,

Vrettakos,

Varvarousis

et al. 2023

Cureus

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During wrist arthroscopy, the wrist joint can be visualized from almost every perspective through a combination of standard dorsal and volar arthroscopic portals. This cadaveric study aims to compare all wrist portals described in terms of their safety in order to rank them according to the distance from the nearest structure at risk for arthroscopic wrist procedures. Twenty-nine cadaveric formalin-embellished upper limbs were examined. Needles were inserted at dorsal and volar portal sites to perform the measurements. During the subsequent dissection, distances were measured as the shortest possible distance from the nearest structure at risk for each portal. Safe zones were determined for all portals, and the safety classification of arthroscopic wrist portals was proposed, ranking them from the safest to the most perilous. Applying the proposed safety classification to arthroscopic practice, wrist arthroscopy can be performed with a lower risk of iatrogenic complications arising from the implementation of the wrist portals.

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Dry Wrist Arthroscopy

Cited by 12 publications

References 9 publications

Dry Arthroscopic Excision of Dorsal Wrist Ganglion

Dry Arthroscopic Excision of Dorsal Wrist Ganglion

Safe zones in dorsal portals for wrist arthroscopy: a cadaveric study

The Risk of Injury in Wrist Arthroscopy Portals: A Cadaveric Study

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