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Updated: Nov 27 2024

Wrist Arthroscopy

Images
  • Introduction
  • Positioning and Scope Insertion
  • Portals
  • Rehabilitation
  • Complications
    • Incidence
      • overall complication rate is 1-2%
    • Dorsal sensory branch of ulnar nerve
      • averages 8mm from 6R portal
      • at risk with establishment of 6U and 6R portals
        • to a lesser extent main ulnar nerve and artery also at risk
      • when performing a TFCC repair, small open incision is typically made prior to knot tying to prevent injury to this nerve.
    • Superficial sensory branch of radial nerve
      • averages 16mm from 3-4 portal
      • at risk during arthroscopy of basal joint, as 1U and 1R portals are on either side of the first branch of this nerve
      • at risk during placement of 1-2 portal
    • Radial artery Injury
      • associated with establishment 1-2 portal, used for arthroscopic radial styloidectomy.
      • dorsal branch at risk with CMC portals
    • Extensor tendon injury
      • most commonly EPL and EDM due to improper portal placement
    • Chondral injuries
      • iatrogenic from scope or instrument placement
    • Portal site infection
    • Stiffness
    • MCPJ pain
      • typically caused by over-distraction
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Hand⎪ Wrist Arthroscopy
  • Hand
  • - Wrist Arthroscopy
13:23 min
9/28/2020
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