Wrist arthroscopy in children and adolescents: a single surgeon experience of thirty-four cases

Abstract

Wrist arthroscopy has been shown to be a safe procedure to detect and treat paediatric wrist disorders. Nevertheless, we believe that this procedure should only be carried out by well-trained, experienced hand surgeons.

Efficacy of Magnetic Resonance Imaging and Clinical Tests in Diagnostics of Wrist Ligament Injuries: A Systematic Review

“…27 Arthroscopy has the benefit of providing the surgeon with a tool for therapeutic intervention. It does, however, suffer from the limitationdunlike MRIdof being a surgical procedure, with small associated risks of complicationsd4.7% in all 28 dand the need for regional or general anesthesia.…”

Clinical experience with arthroscopically-assisted repair of peripheral triangular fibrocartilage complex tears in adolescents—technique and results

“…However, only four of 29 cases in this report were treated by arthroscopic means as opposed to open repair performed in the rest of the cohort [6]. Generally, wrist arthroscopy in children and adolescents has been found to be safe and reliable, with no arthroscopy-related complications reported in a recent study [7]. However, given the fact that many physiological influences exist during puberty, which may contribute to the development of (chronic) wrist pain during teenage years, we sought to determine if the above-mentioned arthroscopicallyassisted TFCC repair procedure shows comparable results to the adult literature.…”

“…Wrist arthroscopy was performed in a standardized manner as previously reported [7]. Briefly, the forearm was fixed in an elevated position using the BChinese hand^-device (Maquet; Rastatt, Germany), extended with 2-3 kg bags and, after instillation of approximately 6 ml saline solution into the radiocarpal joint, standard 3/4 and 6R ports were installed.…”

Outcomes after Arthroscopic Debridement of the Triangular Fibrocartilage Complex in Adolescents

“…The wrist arthroscopy was performed in a standardized manner with the patient in the supine position. 17 The forearm was positioned over an arm table, fixed in an elevated position using a wrist traction device (Maquet; Rastatt, Germany), and extended using 2 to 3 kg bags. Standard 3/4 and 6R ports were installed.…”

“…To date, only a few reports in the literature mentioned arthroscopic wrist surgery in children, and even fewer studies investigated results after TFCC surgery in this age group. 2,[17][18][19] Farr et al, for example, reported good short-term clinical outcomes after TFCC repair. They showed significant pain reduction and improvement in both Modified Mayo Wrist Scores (MMWS) and physiologic grip strength when compared with the contralateral side in 12 adolescents.…”