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Revolutions in arthroscopic wrist surgeries
Toshiyasu Nakamura1, Pak Cheong Ho2, Andrea Atzei3
1Department of Orthopaedic Surgery, School of Medicine, International University of Health and Welfare, Tokyo, Japan.
The Journal of Hand Surgery, European Volume
|July 23, 2021
Summary
Advancements in wrist arthroscopy enable complex treatments for wrist disorders. This review details techniques for scaphoid nonunion, triangular fibrocartilage tears, and ligament reconstruction using arthroscopic methods.
Area of Science:
- Orthopedic Surgery
- Arthroscopy
- Hand and Wrist Surgery
Background:
- Wrist arthroscopy has evolved, offering new solutions for complex wrist conditions.
- Traditional open surgeries for wrist disorders often involve significant morbidity.
Purpose of the Study:
- To review current arthroscopic techniques for challenging wrist pathologies.
- To highlight advancements in minimally invasive wrist surgery.
Main Methods:
- Review of established and novel arthroscopic surgical procedures.
- Expert descriptions of bone grafting, ligament repair, and soft tissue reconstruction.
Main Results:
- Arthroscopic bone graft for scaphoid nonunion is detailed.
- Transosseous repair for triangular fibrocartilage fovea avulsion is described.
- Palmaris longus tendon graft for triangular fibrocartilage reconstruction is presented.
- Arthroscopic reconstruction of scapholunate and lunotriquetral ligaments is discussed.
Conclusions:
- Wrist arthroscopy provides effective treatment options for previously difficult wrist disorders.
- Minimally invasive arthroscopic approaches offer potential benefits for wrist reconstruction and repair.
