Visualization of the extensor carpi ulnaris and its subsheath using standard wrist arthroscopy

Torres, Elisa de Torres-de; Hernández, Montserrat Ocampos; Corella, Fernando

doi:10.1177/1753193420948404

Cited by 4 publications

(6 citation statements)

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“…De Torres et al described a safe and feasible way to visualize the ECU tendon and the inside aspect of SECW through ECU-specific arthroscopic portals, proposing that during a wrist arthroscopy that aims to investigate ulnarsided pain, an important step to take is the assessment of ECU, as well as the deep sheath and the extensor retinaculum of the sixth compartment. 21 As our series have shown, most patients with tenosynovitis of the ECU carry some rheumatic pathology, such as rheumatoid arthritis and lupus. In these patients, inflammatory pannus formation occurs within the SECW, which can compress and invade the ECU tendon and may even evolve to its rupture if left untreated.…”

Section: Discussionmentioning

confidence: 74%

“…De Torres et al describió una forma segura y factible de visualizar el tendón ECU y el aspecto interno de SCEM a través de portales artroscópicos específicos de ECU, proponiendo que durante una artroscopia de muñeca que tiene como objetivo investigar el dolor en el lado cubital, un paso importante a seguir es la evaluación de ECU, así como la vaina profunda y el retináculo extensor del sexto compartimento. 21 Como ha demostrado nuestra serie, la mayoría de los pacientes con tenosinovitis de la ECU son portadores de alguna patología reumática, como artritis reumatoide y Fig. 3 Tratamiento inicial con técnica de artroscopia clásica (A).…”

Section: Discussionunclassified

Section: Discussionmentioning

confidence: 99%

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Artroscopia y Tenoscopia en el Tratamiento de la Tenosinovitis del Sexto Compartimento: Descripción Técnica y Serie de Pacientes

Oliveira

Brunelli

Aita

et al. 2023

Revista Iberoamericana de Cirugía de la Mano

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ResumenDenominamos tenoscopia al procedimiento en el que se realiza un abordaje endoscópico de las vainas tendinosas. Ya se ha descrito para el tratamiento de trastornos de tobillo, codo, hombro, muñeca y mano. Hemos tratado con tenoscopia una serie de ocho muñecas en seis pacientes con procesos inflamatorios crónicos del sexto compartimento extensor de la muñeca sin mejoría con tratamiento conservador inicial. El procedimiento comienza con una artroscopia de los espacios radiocarpiano y mediocarpiano para descartar otras causas intraarticulares de dolor en el lado cubital de la muñeca. Luego, a través del portal 6R, se reseca la cápsula y la porción profunda de la vaina del extensor carpi ulnaris, accediendo a la cara interna del sexto compartimiento. Con la vista completa del sexto compartimento interno, se crea un portal específico para el extensor carpi ulnaris ubicado dos centímetros proximal a la articulación. Luego se realiza una sinovectomía amplia del compartimiento con rasuradora, tanto proximal como distal a la articulación. La rama sensible dorsal del nervio cubital permanece segura durante todo el procedimiento. Hemos realizado tenoscopia del sexto compartimento extensor en ocho muñecas de seis pacientes en los que había fracasado el tratamiento conservador y hemos obtenido una gran mejoría de los síntomas con el procedimiento, sin complicaciones graves ni recidiva de la lesión. La tenoscopia del extensor carpi ulnaris permite la sinovectomía del sexto compartimento extensor, conservando el retináculo extensor. Con un enfoque mínimamente invasivo, este procedimiento causa menos daño local a los tejidos blandos, con menos formación de tejido cicatricial en comparación con los procedimientos abiertos clásicos. Al utilizar una visión clara del compartimento a través de la tenoscopia, se reduce el riesgo de adherencias y lesiones en los tendones extensores cubitales.

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Section: Discussionmentioning

confidence: 74%

Section: Discussionunclassified

Section: Discussionmentioning

confidence: 99%

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Artroscopia y Tenoscopia en el Tratamiento de la Tenosinovitis del Sexto Compartimento: Descripción Técnica y Serie de Pacientes

Oliveira

Brunelli

Aita

et al. 2023

Revista Iberoamericana de Cirugía de la Mano

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“…Given that there has been some concerns with MRI diagnostic properties for the study of ulnar-side wrist pain conditions, surgeons might consider routine concurrent arthroscopic assessment to identify and manage commonly associated pathology at the time of surgery. [17][18][19] Operative Management of Extensor Carpi Ulnaris Instability Lari et al…”

Section: Discussionmentioning

confidence: 99%

Operative Management of Extensor Carpi Ulnaris Instability: A Systematic Review

Lari¹,

Burhamah

Alherz

et al. 2023

J Wrist Surg

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Background Posttraumatic extensor carpi ulnaris (ECU) instability is an increasingly recognized cause of ulnar-sided wrist pain that occurs when the ECU subsheath is disrupted. Purpose The purpose of this systematic review was to assess outcomes of operatively treated posttraumatic ECU instability. Methods A systematic search of Medline, Embase, Web of Science, and CINAHL (Cumulative Index to Nursing and Allied Health Literature) databases was performed using “extensor carpi ulnaris” as the keyword. Studies were systematically screened and data extracted independently by two reviewers. Results Eight retrospective studies met the inclusion criteria with a total of 97 wrists. The mean age was 32 years (13–61). Patients underwent either primary repair (40%) using sutures and anchors, or reconstruction (60%) using extensor retinaculum flaps. One study performed deepening of the osseous ulnar groove. Two studies compared preoperative and postoperative values. They both reported a significant improvement in pain scores, functional scoring instruments, satisfaction, and grip strength. The rest of the studies reported similarly favorable outcomes across the same outcomes. Concomitant pathologies were identified in 66% of the study population. Complications occurred in 9% of the sample size, including ECU tendinitis, ulnar sensory nerve irritation, and reintervention for concomitant pathology. None of the studies reported recurrence or reruptures. However, five patients (6.7%) did not return to their previous activity level. Conclusion Patients can expect favorable outcomes with a potentially low complication rate. Nevertheless, the heterogeneity of the sample population, operative techniques, and outcome measures warrant further standardized studies. Level of Evidence IV.

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Description of Specific Portals for Extensor Carpi Ulnaris Tenoscopy: Anatomical Safety Study

de Torres-de Torres,

Corella,

Kaempf de Oliveira

et al. 2024

The Journal of Hand Surgery

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Visualization of the extensor carpi ulnaris and its subsheath using standard wrist arthroscopy

Cited by 4 publications

References 4 publications

Artroscopia y Tenoscopia en el Tratamiento de la Tenosinovitis del Sexto Compartimento: Descripción Técnica y Serie de Pacientes

Artroscopia y Tenoscopia en el Tratamiento de la Tenosinovitis del Sexto Compartimento: Descripción Técnica y Serie de Pacientes

Operative Management of Extensor Carpi Ulnaris Instability: A Systematic Review

Description of Specific Portals for Extensor Carpi Ulnaris Tenoscopy: Anatomical Safety Study

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