Generalidades, portales y anatomía artroscópica

García, Francisco J. Lucas; Baixauli, Vicente Carratalá; Alepuz, Eduardo Sánchez; Ferrandiz, Rafael Calero

doi:10.1016/s2386-3129(14)70003-9

Cited by 7 publications

(3 citation statements)

References 33 publications

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“…The MTH portal is a safe portal, as it is located at a sufficient distance from the tendinous and nerve structures that could potentially be injured at the midcarpal level. Although most wrist arthroscopy techniques can be performed through classic dorsal portals, 1 having a second working portal at the midcarpal level is very useful in some cases. Access to the midcarpal joint at the volar level requires an approach with dissection and protection of the major neurovascular structures.…”

Section: Discussionmentioning

confidence: 99%

“…Most arthroscopic techniques can be performed properly using the classic dorsal wrist arthroscopic portals. 1 Advances in wrist arthroscopy and the emergence of new surgical techniques and implants have created the need to design new portals to facilitate the implementation of these techniques. 2 The development of surgical techniques to repair acute and chronic lesions of the intercarpal scapholunate ligament (SLL) and lunotriquetral ligament (LTL) prompted us to design a new dorsal portal at the midcarpal level and ulnar to the midcarpal ulnar portal that would facilitate the placement of implants and provide us with a third working portal in the midcarpal joint, avoiding damage to major structures.…”

Section: Surgical Technique Creation Of the Medial Triquetrohamate Po...mentioning

confidence: 99%

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The Medial Triquetrohamate Portal: A New Portal in Wrist Arthroscopy. Anatomical Study

et al. 2023

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Introduction Continuing advances in wrist arthroscopy and better understanding of carpal conditions have created the need to design new wrist access portals that facilitate the implementation of new surgical techniques. The aim of this study was to define and verify the safety of the medial triquetrohamate (MTH) portal. Description of the technique The MTH portal is located about 5-10 mm ulnar and 2-3 mm distal to the midcarpal ulnar portal, ulnar to the extensor digitorum communis (EDC) tendon of the fourth and fifth fingers, and radial to the extensor digiti quinti (minimi) (EDQ) tendon. Methods An anatomical study was performed on 15 upper limb specimens from 15 human cadavers. Iatrogenic injuries to potentially at-risk neurovascular and tendinous structures were assessed, and the distance from the portal to these structures was measured. Results There were no iatrogenic injuries to the structures at risk. Mean distances from the MTH portal to the EDC tendon of the fourth and fifth fingers and to the EDQ tendon were 4.67 ± 0.35 mm and 7.27 ± 0.18 mm, respectively. No differences were observed between the left and right wrists. The distance from the MTH portal to the dorsal sensory branch of the ulnar nerve was 15.07 ± 0.44 mm. The structure with the highest risk of injury was the EDC tendon of the fourth and fifth fingers, with a distance of less than 5 mm. Conclusions The MTH portal is safe, reproducible and facilitates the implementation of various techniques related to midcarpal pathology.

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Section: Discussionmentioning

confidence: 99%

Section: Surgical Technique Creation Of the Medial Triquetrohamate Po...mentioning

confidence: 99%

The Medial Triquetrohamate Portal: A New Portal in Wrist Arthroscopy. Anatomical Study

et al. 2023

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“…1 Provisional fixation was verified by fluoroscopy and arthroscopy, using 6R portal. 12 For definitive fixation of dorsal fragments, in two of the cases, an all-polyethylene suture suspension system (Microlink, Conmed, NY) associated with a metal button of 10 Â 1 mm in diameter (Tendofil, Braun, Germany) was used. The guide positioner of the system was placed on the dorsal and volar cortical of radius with the intended orientation.…”

Section: Surgical Techniquementioning

confidence: 99%

Minimally Invasive Fixation with Dorsal Suspension Button and Volar Plate in Distal Radius Fractures with Dorsal Die Punch Fragments: A Preliminary Study

Miró¹,

Bensi²,

Rodríguez³

et al. 2022

J Wrist Surg

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Objective The objective of the study is to analyze the clinical and radiological results obtained using a minimally invasive fixation technique with a volar locking plate and a suspension system with a dorsal button in distal articular radius fractures with dorsal comminution. Materials and Methods Six patients with distal radius fractures, between 19 and 68 years of age, were included in the study. Mean follow-up was of 15 weeks. Range of motion (ROM) in flexion, extension, radial deviation, ulnar deviation, pronation, supination, the strength in kilograms, and values on the Visual Analog Scale (VAS), Disabilities of Arm, Shoulder and Hand (DASH), and Mayo Wrist Score (MWS) scales were evaluated at 4, 8, and 12 weeks postoperative. Correction of anteroposterior diameter of the radius and concordance between postoperative anteroposterior diameter and the contralateral wrist diameter were evaluated radiologically. Results The following mean values were obtained at 12 weeks postoperative: ROM in flexion: 40.5°, ROM in extension: 49.5°, ROM in radial deviation: 24.5°, ROM in ulnar deviation: 15°, ROM in pronation: 87°, ROM in supination: 89°, strength: 37.5 kg, pain in VAS scale: 2 points, DASH: 54.5 points, and MWS: 67.5 points. At 12 weeks postoperative, the mean correction of anteroposterior diameter was 0.49 mm. The anteroposterior diameter and that of the contralateral wrist were strongly correlated. Conclusion Fixation with the volar locking plate and dorsal suspension button could be considered an alternative to dorsal plate fixation for treatment of distal radius fractures with comminution or associated dorsal die punch fragments.

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¿Está exenta de complicaciones la artroscopia del miembro superior?

Alepuz¹

2015

Revista Española de Artroscopia y Cirugía Articular

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Generalidades, portales y anatomía artroscópica

Cited by 7 publications

References 33 publications

The Medial Triquetrohamate Portal: A New Portal in Wrist Arthroscopy. Anatomical Study

The Medial Triquetrohamate Portal: A New Portal in Wrist Arthroscopy. Anatomical Study

Minimally Invasive Fixation with Dorsal Suspension Button and Volar Plate in Distal Radius Fractures with Dorsal Die Punch Fragments: A Preliminary Study

¿Está exenta de complicaciones la artroscopia del miembro superior?

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