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Extensor Tendoscopy of the Wrist.

Tun Hing Lui1

  • 1Department of Orthopaedics and Traumatology, North District Hospital, Sheung Shui, NT, Hong Kong SAR, China.

Arthroscopy Techniques
|October 7, 2016
PubMed
Summary

Extensor tendoscopy offers a minimally invasive surgical option for persistent wrist tenosynovitis. This technique allows for synovectomy with minimal dissection and preservation of the extensor retinaculum.

Area of Science:

  • Orthopedic Surgery
  • Minimally Invasive Procedures

Background:

  • Extensor tenosynovitis of the wrist can lead to extensor tendon rupture.
  • Open tenosynovectomy involves extensive soft tissue dissection, including the extensor retinaculum.

Purpose of the Study:

  • To describe extensor tendoscopy of the wrist.
  • To present a minimally invasive approach for complete synovectomy of extensor compartments while preserving the extensor retinaculum.

Main Methods:

  • Extensor tendoscopy allows access to extensor compartments via small incisions.
  • Minimal soft tissue dissection is employed.

Main Results:

  • This technique enables synovectomy of extensor compartments with preservation of the extensor retinaculum.

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  • It is indicated for persistent extensor tenosynovitis unresponsive to conservative treatments.

    • Conclusions:

    • Extensor tendoscopy is a viable alternative to open surgery for extensor tenosynovitis.
    • Contraindications include wrist flexion inability or severe tendinopathy requiring open reconstruction.