BOOK
Hand and Wrist Arthroscopy, An Issue of Hand Clinics, E-Book
Pak-Cheong Ho | Clara Wing-yee Wong
(2017)
Additional Information
Book Details
Abstract
This issue of Hand Clinics, edited by Drs. Clara Wong and Pak-Cheong Ho, will cover Hand and Wrist Arthroscopy. Topics discussed in the volume include, but are not limited to: Diagnostic Wrist Arthroscopy; Arthroscopic Management of Perilunate Injuries; Arthroscopic SL Ligament Reconstruction; Arthroscopic Management of TFCC Foveal Injury; TFCC Repair; Arthroscopy in Kienbock's Disease; Arthroscopic Synovectomy in Rheumatoid Arthritis; Arthroscopic Limited Carpal Fusion; Arthroscopic Management of STTJ Arthritis; Role of Finger Joint Arthroscopy; and Complication of Wrist and Hand Arthroscopy, among others.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Hand and WristArthroscopy\r | i | ||
| Copyright\r | ii | ||
| Contributors | iii | ||
| CONSULTING EDITOR | iii | ||
| EDITORS | iii | ||
| AUTHORS | iii | ||
| Contents | vii | ||
| Preface: Evolution and Inspiration from Hand and Wrist Arthroscopy | vii | ||
| Diagnostic Wrist Arthroscopy | vii | ||
| Wrist Arthroscopy Under Portal Site Local Anesthesia Without Tourniquet and Sedation | vii | ||
| Chronologic and Geographic Trends of Triangular Fibrocartilage Complex Repair | vii | ||
| Arthroscopic Management of Triangular Fibrocartilage Complex Peripheral Injury | vii | ||
| Arthroscopic Management of Triangular Fibrocartilage Complex Foveal Injury | viii | ||
| Arthroscopic-Assisted Triangular Fibrocartilage Complex Reconstruction | viii | ||
| Arthroscopic Management of Ulnocarpal Impaction Syndrome and Ulnar Styloid Impaction Syndrome | viii | ||
| Arthroscopic Evaluation of Associated Soft Tissue Injuries in Distal Radius Fractures | viii | ||
| Arthroscopic-Assisted Reduction of Intra-articular Distal Radius Fracture | viii | ||
| Arthroscopic Management of Intra-articular Malunion in Fractures of the Distal Radius | ix | ||
| Scaphoid Union: The Role of Wrist Arthroscopy | ix | ||
| Arthroscopic Scapholunate Ligament Reconstruction, Volar and Dorsal Reconstruction | ix | ||
| Arthroscopic Management of Perilunate Injuries | ix | ||
| Midcarpal Instability: The Role of Wrist Arthroscopy | x | ||
| The Role of Wrist Arthroscopy in Kienbock Disease | x | ||
| Arthroscopic-Assisted Partial Wrist Arthrodesis | x | ||
| Arthroscopic Transplantation of Osteochondral Autograft for Treatment of Cartilage Defects in the Wrist | x | ||
| Arthroscopic Management of Dorsal and Volar Wrist Ganglion | xi | ||
| Arthroscopic Synovectomy of Wrist in Rheumatoid Arthritis | xi | ||
| Arthroscopic Management of Bennett Fracture | xi | ||
| Arthroscopic Management of Thumb Carpometacarpal Joint Arthritis | xi | ||
| Arthroscopic Management of Scaphoid-Trapezium-Trapezoid Joint Arthritis | xi | ||
| Progress and Role of Finger Joint Arthroscopy | xii | ||
| Complications of Wrist and Hand Arthroscopy | xii | ||
| HAND CLINICS\r | xiii | ||
| FORTHCOMING ISSUES | xiii | ||
| February 2018 | xiii | ||
| May 2018 | xiii | ||
| August 2018 | xiii | ||
| RECENT ISSUES | xiii | ||
| August 2017 | xiii | ||
| May 2017 | xiii | ||
| February 2017 | xiii | ||
| Preface:\rEvolution and Inspiration from Hand and Wrist Arthroscopy | xv | ||
| Diagnostic Wrist Arthroscopy | 571 | ||
| Key points | 571 | ||
| INTRODUCTION | 571 | ||
| CLINICALLY RELEVANT ANATOMY | 572 | ||
| WRIST ARTHROSCOPY TECHNIQUE | 572 | ||
| DORSAL PORTALS: 3-4 PORTAL | 572 | ||
| 4-5, 6U, AND 6R PORTALS | 573 | ||
| SYSTEMATIC DORSAL RADIOCARPAL EVALUATION | 573 | ||
| MIDCARPAL EVALUATION | 573 | ||
| ADVANCED ARTHROSCOPIC TECHNIQUES | 577 | ||
| Volar Radial, Ulnar, and Midcarpal Portals | 577 | ||
| Distal Radioulnar Joint Arthroscopy | 578 | ||
| SUMMARY | 583 | ||
| ACKNOWLEDGMENTS | 583 | ||
| REFERENCES | 583 | ||
| Wrist Arthroscopy Under Portal Site Local Anesthesia Without Tourniquet and Sedation | 585 | ||
| Key points | 585 | ||
| INTRODUCTION | 585 | ||
| INDICATIONS AND CONTRAINDICATIONS | 585 | ||
| TECHNIQUE OF WRIST ARTHROSCOPY UNDER PORTAL SITE LOCAL ANESTHESIA | 586 | ||
| TECHNICAL TIPS | 588 | ||
| ADVANTAGES OF PORTAL SITE LOCAL ANESTHESIA | 589 | ||
| PAIN CONTROL EFFICIENCY AND CLINICAL OUTCOME | 589 | ||
| POTENTIAL RISKS | 590 | ||
| SUMMARY | 590 | ||
| REFERENCES | 591 | ||
| Chronologic and Geographic Trends of Triangular Fibrocartilage Complex Repair | 593 | ||
| Key points | 593 | ||
| INTRODUCTION | 593 | ||
| CLASSIFICATION | 594 | ||
| LITERATURE REVIEW | 595 | ||
| REPAIR OF THE ULNAR SIDE (PALMER 1B) | 595 | ||
| Trends in Chronologic Order | 595 | ||
| Trends by Geographic Area | 599 | ||
| REPAIR ON RADIAL SIDE (PALMER 1D) | 601 | ||
| Trends in Chronologic Order | 601 | ||
| Trends by Geographic Area | 602 | ||
| REPAIR IN OTHER AREAS | 603 | ||
| SUMMARY | 603 | ||
| REFERENCES | 603 | ||
| Arthroscopic Management of Triangular Fibrocartilage Complex Peripheral Injury | 607 | ||
| Key points | 607 | ||
| INTRODUCTION | 607 | ||
| CLASSIFICATION OF PALMER TYPE I-B TRIANGULAR FIBROCARTILAGE COMPLEX INJURIES | 608 | ||
| SYMPTOMS AND FINDINGS | 608 | ||
| SURGICAL TECHNIQUES | 609 | ||
| ARTHROSCOPIC REPAIR | 610 | ||
| POSTOPERATIVE CARE | 614 | ||
| COMPLICATIONS AND MANAGEMENT | 616 | ||
| OUTCOMES | 616 | ||
| SUMMARY | 617 | ||
| REFERENCES | 617 | ||
| Arthroscopic Management of Triangular Fibrocartilage Complex Foveal Injury | 619 | ||
| Key points | 619 | ||
| INTRODUCTION: NATURE OF THE PROBLEM | 619 | ||
| INDICATIONS | 619 | ||
| CONTRAINDICATIONS | 619 | ||
| SURGICAL TECHNIQUE/PROCEDURE | 620 | ||
| Preoperative Planning | 620 | ||
| Preparation and Patient Positioning | 620 | ||
| SURGICAL APPROACH | 620 | ||
| Diagnosis from Radiocarpal Joint and Distal Radioulnar Joint | 620 | ||
| Trampoline test, hook test, and floating sign from radiocarpal joint | 620 | ||
| Foveal Debridement | 621 | ||
| Inside-Out Technique | 621 | ||
| COMPLICATIONS | 622 | ||
| POSTOPERATIVE CARE | 622 | ||
| OUTCOMES | 623 | ||
| SUMMARY | 623 | ||
| REFERENCES | 623 | ||
| Arthroscopic-Assisted Triangular Fibrocartilage Complex Reconstruction | 625 | ||
| Key points | 625 | ||
| RELEVANT ANATOMY AND BIOMECHANICS OF THE TRIANGULAR FIBROCARTILAGE COMPLEX | 625 | ||
| EPIDEMIOLOGY AND PATHOMECHANISM OF TRIANGULAR FIBROCARTILAGE COMPLEX INJURY | 626 | ||
| CLINICAL ASSESSMENT OF TRIANGULAR FIBROCARTILAGE COMPLEX TEAR | 626 | ||
| MANAGEMENT AND INDICATION OF TRIANGULAR FIBROCARTILAGE COMPLEX RECONSTRUCTION | 627 | ||
| TRIANGULAR FIBROCARTILAGE COMPLEX RECONSTRUCTION | 627 | ||
| SURGICAL TECHNIQUE | 627 | ||
| Setup and Instruments | 627 | ||
| Step 1: wrist arthroscopy and triangular fibrocartilage complex central opening preparation | 628 | ||
| Step 2: harvesting tendon graft | 628 | ||
| Step 3: radial tunnel preparation with passage of tendon graft | 628 | ||
| Step 4: ulnar tunnel preparation | 629 | ||
| Step 5: passing of the volar limb of tendon graft into joint and exteriorization through ulnar tunnel | 629 | ||
| Step 6: passing of the dorsal limb of tendon graft into joint and exteriorization through ulnar tunnel | 629 | ||
| Step 7: tensioning and tying around ulnar neck | 630 | ||
| REHABILITATION | 631 | ||
| OUTCOMES AND COMPLICATIONS | 632 | ||
| SUMMARY | 636 | ||
| REFERENCES | 636 | ||
| Arthroscopic Management of Ulnocarpal Impaction Syndrome and Ulnar Styloid Impaction Syndrome | 639 | ||
| Key points | 639 | ||
| ULNOCARPAL IMPACTION SYNDROME | 639 | ||
| Relevant Anatomy and Biomechanics | 639 | ||
| Classification | 641 | ||
| Diagnosis | 641 | ||
| ARTHROSCOPIC WAFER RESECTION | 641 | ||
| Indications | 641 | ||
| Contraindications | 642 | ||
| Surgical technique: arthroscopic wafer resection | 642 | ||
| Alternative procedures: arthroscopic distal metaphyseal ulnar shortening osteotomy | 642 | ||
| Outcomes | 643 | ||
| ULNAR STYLOID IMPACTION SYNDROME | 644 | ||
| Relevant Anatomy and Etiologic Factors | 644 | ||
| Diagnosis | 645 | ||
| Treatment | 645 | ||
| Arthroscopic-Assisted Ulnar Styloid Excision Technique | 645 | ||
| Outcomes | 645 | ||
| Ulnar Styloid Nonunions | 647 | ||
| REFERENCES | 649 | ||
| Arthroscopic Evaluation of Associated Soft Tissue Injuries in Distal Radius Fractures | 651 | ||
| Key points | 651 | ||
| INTRODUCTION | 651 | ||
| INDICATIONS FOR ARTHROSCOPY IN DISTAL RADIUS FRACTURES | 652 | ||
| THE ARTHROSCOPIC PROCEDURE: DRY OR WET? | 653 | ||
| THE ARTHROSCOPIC PROCEDURE: ARTHROSCOPIC EVALUATION | 653 | ||
| TRIANGULAR FIBROCARTILAGE COMPLEX INJURIES | 653 | ||
| INTERCARPAL LIGAMENT INJURIES | 653 | ||
| SCAPHOLUNATE LIGAMENT INJURIES | 655 | ||
| Grade I to III Scapholunate Injuries | 655 | ||
| Grade IV Scapholunate Injuries | 656 | ||
| LUNOTRIQUETRAL LIGAMENT INJURIES | 656 | ||
| CHONDRAL LESIONS | 656 | ||
| OUTCOMES | 657 | ||
| SUMMARY | 657 | ||
| REFERENCES | 657 | ||
| Arthroscopic-Assisted Reduction of Intra-articular Distal Radius Fracture | 659 | ||
| Key points | 659 | ||
| INTRODUCTION | 659 | ||
| INDICATIONS/CONTRAINDICATIONS | 660 | ||
| SURGICAL TECHNIQUE | 660 | ||
| Preoperative Planning | 660 | ||
| Preparation and Patient Positioning | 660 | ||
| Surgical Approach | 660 | ||
| Exposure | 660 | ||
| Fracture reduction | 661 | ||
| Wrist arthroscopic inspection | 662 | ||
| Postoperative Care | 663 | ||
| Complications | 664 | ||
| The Advantages of Wrist Arthroscopy | 664 | ||
| Outcomes | 666 | ||
| REFERENCES | 667 | ||
| Arthroscopic Management of Intra-articular Malunion in Fractures of the Distal Radius | 669 | ||
| Key points | 669 | ||
| INTRODUCTION | 669 | ||
| INDICATIONS AND CONTRAINDICATIONS | 670 | ||
| TECHNIQUE | 671 | ||
| ARTHROSCOPIC RESECTION ARTHROPLASTY | 673 | ||
| PROCEDURE | 674 | ||
| DISCUSSION | 674 | ||
| REFERENCES | 675 | ||
| Scaphoid Union | 677 | ||
| Key points | 677 | ||
| RATIONALE | 677 | ||
| SURGICAL TECHNIQUE | 678 | ||
| Case Studies | 678 | ||
| Case 1 | 678 | ||
| Arthroscopic Scapholunate Ligament Reconstruction, Volar and Dorsal Reconstruction | 687 | ||
| Key points | 687 | ||
| INTRODUCTION: NATURE OF THE PROBLEM | 687 | ||
| ANATOMIC RECONSTRUCTION | 688 | ||
| AVOIDANCE OF OPEN SURGERY AND DETACHMENT OF THE JOINT CAPSULE | 688 | ||
| RELIABLE AND STURDY RECONSTRUCTION FOR EARLY MOBILIZATION | 689 | ||
| INDICATIONS AND CONTRAINDICATIONS | 689 | ||
| SURGICAL TECHNIQUE AND PROCEDURE | 690 | ||
| Preoperative Planning | 690 | ||
| Preparation and Patient Positioning | 690 | ||
| Surgical Approach | 690 | ||
| Surgical Procedure | 690 | ||
| Step 1: Bone tunnels | 690 | ||
| Step 2: Preparation to retrieve the graft | 692 | ||
| Step 3: Harvesting the flexor carpi radialis tendon graft | 693 | ||
| Step 4: Graft passage and fixation | 694 | ||
| Step 5: Volar reconstruction | 695 | ||
| Graft reinforcement | 696 | ||
| COMPLICATIONS AND THEIR MANAGEMENT | 696 | ||
| Tunnel Breakage and Fracture | 697 | ||
| Damage of Delicate Structures Around the Portals or Tunnels | 697 | ||
| Avascular Necrosis of Scaphoid or Lunate | 698 | ||
| Postoperative Care | 698 | ||
| OUTCOMES | 700 | ||
| SUMMARY | 703 | ||
| SUPPLEMENTARY DATA | 706 | ||
| REFERENCES | 706 | ||
| Arthroscopic Management of Perilunate Injuries | 709 | ||
| Key points | 709 | ||
| PATIENTS | 709 | ||
| SURGICAL TECHNIQUE | 710 | ||
| Reduction of the Capitolunate Dislocation | 710 | ||
| Reduction and Fixation for Perilunate Dislocations | 710 | ||
| Reduction and Fixation for Trans-scaphoid Perilunate Fracture Dislocations | 712 | ||
| POSTOPERATIVE MANAGEMENT | 712 | ||
| RESULTS | 712 | ||
| SUMMARY | 714 | ||
| REFERENCES | 714 | ||
| Midcarpal Instability | 717 | ||
| Key points | 717 | ||
| INTRODUCTION | 717 | ||
| TYPES OF MIDCARPAL INSTABILITY | 718 | ||
| Palmar | 718 | ||
| Types 1 and 2 (ulnar) | 718 | ||
| Types 3 and 4 (radial) | 718 | ||
| Dorsal | 718 | ||
| Combined | 718 | ||
| GRADING OF PALMAR MIDCARPAL INSTABILITY | 718 | ||
| ASSESSMENT | 719 | ||
| History | 719 | ||
| Examination | 719 | ||
| Anterior midcarpal drawer test | 719 | ||
| Midcarpal shift test | 719 | ||
| Dorsal midcarpal tests | 719 | ||
| Imaging | 720 | ||
| Radiographs | 720 | ||
| Computed tomography | 720 | ||
| MRI | 720 | ||
| Diagnostic Arthroscopy | 720 | ||
| TREATMENT | 720 | ||
| Conservative | 720 | ||
| Soft Tissue Reconstruction | 720 | ||
| Bone Fusions | 721 | ||
| Arthroscopy | 721 | ||
| Arthroscopic Thermal Capsular Shrinkage | 721 | ||
| COMPLICATIONS OF ARTHROSCOPIC CAPSULAR SHRINKAGE | 722 | ||
| Recent Example Case | 724 | ||
| SUMMARY | 724 | ||
| ACKNOWLEDGMENTS | 725 | ||
| REFERENCES | 725 | ||
| The Role of Wrist Arthroscopy in Kienbock Disease | 727 | ||
| Key points | 727 | ||
| INTRODUCTION | 727 | ||
| WRIST PATHOANATOMY IN KIENBOCK DISEASE | 727 | ||
| WRIST ARTHROSCOPY IN KIENBOCK DISEASE | 728 | ||
| BAIN AND BEGG CLASSIFICATION | 728 | ||
| LICHTMAN AND BAIN CLASSIFICATION | 729 | ||
| ARTHROSCOPIC SURGERY IN KIENBOCK DISEASE | 730 | ||
| Arthroscopic Forage | 730 | ||
| Arthroscopic Radioscapholunate Fusion | 730 | ||
| Arthroscopic Scaphocapitate Fusion | 730 | ||
| POSTOPERATIVE MANAGEMENT: ARTHROSCOPIC PARTIAL CARPAL FUSIONS | 732 | ||
| Arthroscopic Proximal Row Carpectomy | 732 | ||
| Postoperative Management of Proximal Row Carpectomy | 732 | ||
| SUMMARY | 733 | ||
| REFERENCES | 733 | ||
| Arthroscopic-Assisted Partial Wrist Arthrodesis | 735 | ||
| Key points | 735 | ||
| INTRODUCTION/NATURE OF PROBLEM | 735 | ||
| WHY DO IT AS AN ARTHROSCOPIC PROCEDURE: INDICATIONS AND CONSIDERATIONS | 737 | ||
| My Personal Thoughts | 737 | ||
| INDICATIONS/CONTRAINDICATIONS FOR PARTIAL WRIST ARTHRODESIS | 737 | ||
| SURGICAL TECHNIQUE/PROCEDURE | 738 | ||
| Preoperative Planning | 738 | ||
| Preparation of the Operation Room, Patient Positioning, and Surgical Approach | 739 | ||
| Setup and Instrumentation | 739 | ||
| Instruments | 739 | ||
| Arthroscopic Diagnostic View | 739 | ||
| Surgical Procedure in Scapholunate Advanced Collapse or Scaphoid Nonunion Advanced Collapse: 4-Corner Fusion | 740 | ||
| Step 1: arthroscopic cleaning, synovectomy, and debridement | 740 | ||
| Step 2: midcarpal arthroscopic resection of arthritic joint surfaces | 740 | ||
| Step 3: resection (of part) of the scaphoid in a miniopen approach | 741 | ||
| Step 4: correction of dorsal intercalated segment instability or other deformities or malalignments | 741 | ||
| Step 5: temporary osteosynthesis after aligning the carpal bones under image intensifier | 741 | ||
| Step 6: arthroscopic bone graft | 742 | ||
| Step 7: final osteosynthesis | 742 | ||
| Step 8: wound closure | 743 | ||
| Postoperative Treatment | 743 | ||
| OTHER ARTHROSCOPIC PARTIAL WRIST ARTHRODESIS | 744 | ||
| Scaphoid-Trapezium-Trapezoid Arthrodesis | 744 | ||
| Indications | 744 | ||
| Scaphoid-Capitate/Scaphoid-Capitate-Lunate Arthrodesis | 745 | ||
| Arthroscopic Transplantation of Osteochondral Autograft for Treatment of Cartilage Defects in the Wrist | 755 | ||
| Key points | 755 | ||
| INTRODUCTION | 755 | ||
| PATIENT SERIES | 756 | ||
| SURGICAL TECHNIQUE | 756 | ||
| RESULT | 759 | ||
| CASE REPORT 1 | 759 | ||
| CASE REPORT 2 | 760 | ||
| DISCUSSION | 762 | ||
| SUMMARY | 766 | ||
| REFERENCES | 766 | ||
| Arthroscopic Management of Dorsal and Volar Wrist Ganglion | 769 | ||
| Key points | 769 | ||
| INTRODUCTION: NATURE OF THE PROBLEM | 769 | ||
| INDICATIONS/CONTRAINDICATIONS | 770 | ||
| SURGICAL TECHNIQUE/PROCEDURE | 770 | ||
| Preoperative Planning | 770 | ||
| Preparation and Patient Positioning | 771 | ||
| Dorsal wrist ganglion | 771 | ||
| Surgical approach | 771 | ||
| Surgical procedure | 771 | ||
| Step 1: resection of the dorsal mucoid dysplasia at the midcarpal interval through a transcystic approach | 771 | ||
| Step 2: resection of the ganglion wall | 771 | ||
| Step 3: treating the scapholunate instability or dorsal capsuloscapholunate septum lesion if any | 771 | ||
| Step 4: wound closure and postoperative care | 772 | ||
| Volar wrist ganglion | 772 | ||
| Surgical approach | 772 | ||
| Surgical procedure | 772 | ||
| Step 1: location of the ganglion | 772 | ||
| Step 2: ganglion resection | 772 | ||
| Step 3: closing and postoperative care | 772 | ||
| COMPLICATIONS AND MANAGEMENT | 773 | ||
| POSTOPERATIVE CARE | 773 | ||
| OUTCOMES | 773 | ||
| Recurrence | 773 | ||
| Objective and Subjective Clinical Results | 773 | ||
| Pain | 773 | ||
| Postoperative range of motion and strength | 774 | ||
| Functional scores and patient satisfaction | 774 | ||
| Return to work and daily activity | 774 | ||
| Comparison Between Open Surgery and Arthroscopic Removal of Wrist Ganglia | 774 | ||
| Indications | 774 | ||
| Recurrence and complications | 775 | ||
| Aesthetics | 776 | ||
| SUMMARY | 776 | ||
| REFERENCES | 776 | ||
| Arthroscopic Synovectomy of Wrist in Rheumatoid Arthritis | 779 | ||
| Key points | 779 | ||
| INTRODUCTION | 779 | ||
| DIAGNOSIS AND CLASSIFICATION | 779 | ||
| TREATMENT | 780 | ||
| SYNOVECTOMY | 780 | ||
| ARTHROSCOPIC SYNOVECTOMY | 781 | ||
| The Timing and Indication of Arthroscopic Synovectomy | 781 | ||
| Other Indications of Arthroscopic Synovectomy | 781 | ||
| SURGICAL TECHNIQUE OF ARTHROSCOPIC SYNOVECTOMY | 781 | ||
| RESULTS | 782 | ||
| SUMMARY | 784 | ||
| REFERENCES | 784 | ||
| Arthroscopic Management of Bennett Fracture | 787 | ||
| Key points | 787 | ||
| INTRODUCTION | 787 | ||
| INDICATIONS | 788 | ||
| CONTRAINDICATIONS | 788 | ||
| SURGICAL TECHNIQUE | 788 | ||
| Preoperative Planning | 788 | ||
| Preparation and Patient Positioning | 790 | ||
| Surgical Approach | 790 | ||
| COMPLICATIONS | 791 | ||
| REHABILITATION | 792 | ||
| OUTCOMES | 793 | ||
| SUMMARY | 793 | ||
| REFERENCES | 793 | ||
| Arthroscopic Management of Thumb Carpometacarpal Joint Arthritis | 795 | ||
| Key points | 795 | ||
| INTRODUCTION/NATURE OF THE PROBLEM | 795 | ||
| Thumb Carpometacarpal Joint Is Born to Have Good Freedom of Motion | 795 | ||
| Good Mobility at the Thumb Carpometacarpal Joint Predisposes Attenuation of Capsuloligamentous Structures, Joint Incongruit ... | 796 | ||
| Prevalence of Radiographic and Symptomatic Thumb Carpometacarpal Joint Osteoarthiritis | 796 | ||
| Why Is Thumb Carpometacarpal Joint Osteoarthritis Painful? | 796 | ||
| Operation Decision | 797 | ||
| Options of Surgical Intervention for Established Thumb Carpometacarpal Joint Osteoarthritis | 797 | ||
| Is There Any Procedure That Is Simpler, Less Invasive, and More Effective to Relieve Patients’ Pain and Meet Their Demands? | 798 | ||
| ARTHROSCOPIC DEBRIDEMENT, SYNOVECTOMY, WITH MINIMAL BONE WORK | 798 | ||
| Patient Series | 798 | ||
| Surgical Techniques | 798 | ||
| Results | 801 | ||
| Subjective exertion pain | 801 | ||
| Thumb mobility | 801 | ||
| Palmar abduction range | 801 | ||
| Strength | 802 | ||
| Satisfaction and complications | 802 | ||
| Correlation of pain symptoms | 802 | ||
| Analysis of the trends for 2 years more | 802 | ||
| Discussion | 802 | ||
| ARTHROSCOPIC PARTIAL TRAPEZIECTOMY + SUTURE BUTTON SUSPENSIONPLASTY | 803 | ||
| Surgical Technique | 804 | ||
| Case Example | 804 | ||
| Results and Discussion | 805 | ||
| Unsatisfactory results | 805 | ||
| Fair results | 805 | ||
| Fair results | 806 | ||
| ARTHROSCOPIC THUMB CARPOMETACARPAL JOINT EXCISION + SUTURE BUTTON SUSPENSIONPLASTY + K-WIRE FIXATION | 808 | ||
| Surgical Technique | 808 | ||
| Case Example | 808 | ||
| Results and Discussion | 809 | ||
| SUMMARY | 809 | ||
| SUPPLEMENTARY DATA | 810 | ||
| REFERENCES | 810 | ||
| Arthroscopic Management of Scaphoid-Trapezium-Trapezoid Joint Arthritis | 813 | ||
| Key points | 813 | ||
| INTRODUCTION | 813 | ||
| SCAPHOID-TRAPEZIUM-TRAPEZOID ARTHROSCOPY FOR ARTHRITIS | 813 | ||
| Anatomy and Pathogenesis of Scaphoid-Trapezium-Trapezoid Arthritis | 813 | ||
| Classification and Traditional Treatment Options | 814 | ||
| Indications and Contraindications for Scaphoid-Trapezium-Trapezoid Arthroscopy | 814 | ||
| Surgical Procedure | 815 | ||
| Postoperative Protocol | 815 | ||
| RESULTS | 816 | ||
| SUMMARY | 816 | ||
| ACKNOWLEDGMENTS | 817 | ||
| REFERENCES | 817 | ||
| Progress and Role of Finger Joint Arthroscopy | 819 | ||
| Key points | 819 | ||
| INTRODUCTION | 819 | ||
| INSTRUMENTS | 819 | ||
| Small Joint Arthroscope | 819 | ||
| Shaver System | 820 | ||
| Grasping Forceps | 820 | ||
| Radiofrequency Probes | 820 | ||
| Traction Apparatus | 820 | ||
| Fluid Management System | 820 | ||
| GENERAL TECHNIQUE | 820 | ||
| Anesthesia | 820 | ||
| Portals | 820 | ||
| Standard Surgical Procedure | 821 | ||
| Authors’ Preferred Methods | 822 | ||
| INDICATIONS AND DETAILS FOR EACH CLINICAL CONDITION | 823 | ||
| Metacarpophalangeal Joint Arthroscopy | 823 | ||
| Inflammatory arthritis | 823 | ||
| Pyogenic arthritis | 823 | ||
| Degenerative arthritis | 823 | ||
| Intra-articular fractures | 823 | ||
| Removal of loose bodies | 824 | ||
| Collateral ligament injury | 824 | ||
| Chronic pain and instability | 824 | ||
| Stiff fingers | 824 | ||
| Proximal Interphalangeal Joint Arthroscopy | 824 | ||
| Inflammatory arthritis | 824 | ||
| Pyogenic arthritis | 824 | ||
| Removal of foreign bodies | 824 | ||
| Distal Interphalangeal Joint Arthroscopy | 825 | ||
| Arthritis | 825 | ||
| Arthrodesis | 825 | ||
| POSSIBLE COMPLICATIONS | 825 | ||
| Articular Cartilage Damage | 825 | ||
| Tendon Injuries | 825 | ||
| Neurovascular Bundle Injuries | 825 | ||
| ROLE OF FINGER JOINT ARTHROSCOPY | 825 | ||
| Arthritis | 826 | ||
| Rheumatoid arthritis | 826 | ||
| Degenerative arthritis | 827 | ||
| Pyogenic arthritis | 827 | ||
| Intra-articular Fractures | 827 | ||
| Collateral Ligament Injury | 827 | ||
| Removal of Loose Bodies or Foreign Bodies | 828 | ||
| Chondral Lesions | 828 | ||
| Arthrodesis | 828 | ||
| Chronic Pain and Instability | 828 | ||
| Stiff Fingers | 828 | ||
| REFERENCES | 828 | ||
| Complications of Wrist and Hand Arthroscopy | 831 | ||
| Key points | 831 | ||
| INTRODUCTION | 831 | ||
| Cadaveric Studies | 832 | ||
| Clinical Studies | 834 | ||
| SUMMARY | 837 | ||
| REFERENCES | 837 |