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PubMed · 3233120

Powered instruments for wrist arthroscopy.

T L Whipple
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Abstract

Wrist arthroscopy is rapidly becoming a common practice. Use of powered instruments for tissue excision from the wrist offers important advantages. Most tip designs available today are miniature versions of cutting designs developed for use in the knee. They are more effective on thin, filmy tissue than on fibrocartilage or articular surfaces. In the selection of appropriate systems one should consider effectiveness of performance, availability of responsive service, and price. A few companies are developing innovative cutting tips and hand pieces designed specifically for use in the wrist.

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ArthroscopesElectric Power SuppliesEquipment DesignHumansWrist JointJournal Article

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BibTeXRIS

T L Whipple. 1988. Powered instruments for wrist arthroscopy.. https://doi.org/10.1016/s0749-8063(88)80048-3

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PubMed2007

[Indications and techniques for wrist arthroscopy].

After considering the anatomy of the wrist, the technical requirements for wrist arthroscopy are discussed. This method is used as an additional diagnostic procedure and staging procedure as well as a therapeutic technique. Complications, which are rare, most commonly involve nerve irritation, damage to cutaneous nerves and extensor tendons. Lose bodies can be removed arthroscopically, however, arthroscopically assisted fracture treatment or the removal of ganglions are uncommon. Approaches are lateral and oriented on the extensor tendons or other anatomical landmarks. Arthroscopy is especially useful by carpal instability as it offers many possibilities, not only diagnostically but also therapeutically.

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PubMed2006

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THE PROBLEM: Irreversible cartilaginous damage to the femur and tibia due to resection and suture instruments in arthroscopic surgery at the posterior horn of the medial meniscus in narrow knee joints or in the presence of contracted medial capsuloligamentous structures. THE SOLUTION: Enlargement of the medial joint space by repeated percutaneous perforation of the posteromedial capsuloligamentous structures under consistently applied valgus stress. SURGICAL TECHNIQUE: With the knee joint almost in full extension and with simultaneous, uniformly applied valgus stress, repeated percutaneous perforation of the posteromedial capsuloligamentous structures with a sharp-tipped cannula until perceptible enlargement of the medial joint compartment is achieved. POSTOPERATIVE MANAGEMENT AND RESULT: Uneventful healing of the posteromedial capsuloligamentous structures without the need for any special postoperative treatments.

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