Wrist Arthroscopy– Setup, Indications and Complications

Satish Mane, Marwan Hardan, Anup Bansode, Abhijeet L Wahegaonkar

Volume 2 | Issue 2 | Sep-Dec 2017 |

Author: Satish Mane [1], Marwan Hardan [1], Anup Bansode [2],
Abhijeet L Wahegaonkar [1]

[1] Department of Upper Extremity, Hand and Microvascular Reconstructive
Surgery, Sancheti Institute for Orthopedics and Rehabilitation, Pune,
Maharashtra, India,
[2] Department of Hand Surgery, Jehangir Hospital, Pune, Maharashtra, India.

Address of Correspondence
Dr. Satish Mane,
Department of Upper Extremity, Hand and Microvascular Reconstructive Surgery,
Sancheti Institute for Orthopedics and Rehabilitation, Pune, Maharashtra, India.
E-mail: drsatishmane@gmail.com

Abstract

Wrist Arthroscopy, a minimally invasive, outpatient procedure, is a valuable tool in the diagnosis and treatment of most disorders of the wrist. In this article Arthroscopy set up, equipments are described, and operative indications and complications are discussed. Anatomy of Portal is described in details. Portals allow direct visualization of articular surfaces of radio-carpal and mid-carpal joints, triangular fibrocartilage, interosseous and extrinsic ligaments. It offers direct visualization of the structures of the joint anatomy and existing disease processes while causing minimal damage to surrounding soft tissue.
Keywords: Wrist arthroscopy, indications, portals, complications.

How to Cite this article: Mane S, Hardan M, Bansode A, Wahegaonkar AL. Wrist Arthroscopy – Setup, Indications, and Complications. Asian Journal Arthroscopy Sep-Dec 2017; 2(2): 11-14.

 

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Chronic Instability of the Distal Radioulnar Joint: Diagnosis and Management

Abhijeet L Wahegaonkar, Steve Rocha

Volume 2 | Issue 2 | Sep – Dec 2017 | Page 2-7

Author: Abhijeet L Wahegaonkar [1], Steve Rocha [1]

[1]  Department of Orthopaedics, Upper Extremity, Hand and Microvascular Reconstructive Surgery Service, Sancheti Institute for Orthopaedics and Rehabilitation, Pune, Maharashtra, India.
[2] Orthopaedic Speciality Clinic, Pune Mahatrahtra.

Address of Correspondence
Dr. Abhijeet L. Wahegaonkar
Department of Orthopaedics, Upper Extremity, Hand and
Microvascular Reconstructive Surgery Service, Sancheti Institute
for Orthopaedics and Rehabilitation, Pune, Maharashtra, India.
Email: abhiwahe@gmail.com

Abstract

Chronic Instability of the distal radioulnar joint is not uncommon but often misdiagnosed and mistreated. This review focusses on chronic wrist instability and provides an insight into this uncommon disorder.
Keywords: Distal Radioulnar Joint.

References

1. Albert SM, Wohl MA, Rechtman AM. Treatment of the disrupted radio-ulnar joint. J Bone Joint Surg Am 1963;45:1373-1381.
2. Alexander AH. Bilateral traumatic dislocation of the distal radioulnar joint, ulna dorsal: Case report and review of the literature. Clin Orthop Relat Res 1977;129:238-244.
3. Coleman HM. Injuries of the articular disc at the wrist. J Bone Joint Surg Br 1960;42-B:522-529.
4. Dameron TB. Traumatic dislocation of the distal radioulnar joint. Clin Orthop 1972;83:55-63.
5. Darrach N. Anterior dislocation of the head of the ulna. Ann Surg 1912;56:802-803.
6. Essex-Lopresti P. Fractures of the radial head with distal radio-ulnar dislocation; report of two cases. J Bone Joint Surg Br 1951;33B(2):244-247.
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8. Habert CG. Functional aspects of the distal radioulnar joint. J Hand Surg 1979;4:585.
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10. Heiple KG, Freehafer AA, Van’t Hof A. Isolated traumatic dislocation of the distal end of the ulna or distal radio-ulnar joint. J Bone Joint Surg Am 1962;44-A:1387-1394.
11. Liebolt FL. A new method for repair of the distal radioulnar ligaments. N Y State J Med 1950;50(23):2817-2819.
12. Martinek H, Spängler H. The traumatology of the articular disc of the wrist (author’s transl). Arch Orthop Unfallchir 1977;87(3):299-308.
13. Milch H. So-called dislocation of the lower end of the ulna. Ann Surg 1942;116(2):282-292.
14. Rose-Innes AP. Anterior dislocation of the ulna at the inferior radio-ulnar joint. Case report, with a discussion of the anatomy of rotation of the forearm. J Bone Joint Surg Br 1960;42-B:515-521.
15. Taylor GW, Parsons CL. The role of the discus articularis in Colles’ fractures. J Bone Joint Surg (Am) ???;20:149-152.
16. Palmer AK, Werner FW. Biomechanics of the distal radioulnar joint. Clin Orthop Relat Res 1984;187:26-35.
17. Palmer AK, Glisson RR, Werner FW. Relationship between ulnar variance and triangular fibrocartilage complex thickness. J Hand Surg Am 1984;9(5):681-682.
18. Ekenstam FW, Palmer AK, Glisson RR. The load on the radius and ulna in different positions of the wrist and forearm. A cadaver study. Acta Orthop Scand 1984;55(3):363-365.
19. Friedman SL, Palmer AK, Short WH, Levinsohn EM, Halperin LS. The change in ulnar variance with grip. J Hand Surg Am 1993;18(4):713-716.
20. Adams BD. Effects of radial deformity on distal radioulnar joint mechanics. J Hand Surg Am 1993;18(3):492-498.
21. Kihara H, Palmer AK, Werner FW, Short WH, Fortino MD. The effect of dorsally angulated distal radius fractures on distal radioulnar joint congruency and forearm rotation. J Hand Surg Am 1996;21(1):40-47.
22. Melone CP Jr, Nathan R. Traumatic disruption of the triangular fibrocartilage complex: Pathoanatomy. Clin Orthop Relat Res 1992;275:65-73.
23. Hauck RM, Skahen J 3rd, Palmer AK. Classification and treatment of ulnar styloid nonunion. J Hand Surg Am 1996;21(3):418-422.
24. Lester B, Halbrecht J, Levy IM, Gaudinez R. ‘Press test’ for office diagnosis of triangular fibrocartilage complex tears of the wrist. Ann Plast Surg 1995;35(1):41-45.
25. Adams BD, Samani JE, Holley KA. Triangular fibrocartilage injury: A laboratory model. J Hand Surg Am 1996;21(2):189-193.
26. Hui FC, Linscheid RL. Ulnotriquetral augmentation tenodesis: A reconstructive procedure for dorsal subluxation of the distal radioulnar joint. J Hand Surg Am 1982;7(3):230-236.
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How to Cite this article:. Wahegaonkar AL, Rocha S. Chronic instability of the distal radioulnar joint: diagnosis and management. Asian Journal Arthroscopy Sep-Dec 2017;2(2):2-7.

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Wrist Symposium in Asian Journal of Arthroscopy

Abhijeet Wahegaonkar, Sachin Tapasvi

Volume 2 | Issue 2 | Sep – Dec 2017 | Page 1

Author: Abhijeet Wahegaonkar [1], Sachin Tapasvi [2]

[1] Department of Orthopaedics, Upper Extremity, Hand and Microvascular Reconstructive Surgery Service, Sancheti Institute for Orthopaedics and Rehabilitation, Pune, Maharashtra, India.
[2] Orthopaedic Speciality Clinic, Pune Mahatrahtra.

Address of Correspondence
Dr. Abhijeet L. Wahegaonkar
Department of Orthopaedics, Upper Extremity, Hand and Microvascular Reconstructive Surgery Service, Sancheti Institute for Orthopaedics and Rehabilitation, Pune, Maharashtra, India.
Email: abhiwahe@gmail.com

Wrist Symposium in Asian Journal of Arthroscopy

It is perhaps for the first time that a special issue dedicated to wrist arthroscopy is being published in the Asia-Pacific region.
The advent of wrist arthroscopy has facilitated the diagnosis; improved the understanding of the etiopathogenesis and helped in the development of new therapies for several wrist injuries and pathologies with promising results. Therapeutic wrist arthroscopy has been established as the “Gold Standard” in the management of TFCC injuries and the indications are ever evolving, with contributions from brilliant authors and clinicians from around the world.
Arthroscopy of the wrist was once primarily performed for diagnostic applications. With rapid development of this art and science, the indications have expanded to reparative and reconstructive procedures.
This issue of the Asian Journal of Arthroscopy exposes just the tip of the iceberg of the exciting times ahead in the field of wrist surgery. I sincerely hope that the readers will gain some insight into the most commonly performed arthroscopic procedures such as ganglion excision, TFCC repair and scapholunate ligament repair. This is like a sensitization of what is a potentially “complicated” area even for experienced arthroscopists with the intention to drive away a lot of mental blocks towards wrist arthroscopy. The realm of possibility is ever expanding for anyone who wishes to explore this field.
I am grateful to the authors, each a master of wrist arthroscopy, for taking time off their busy practice and schedule to contribute to advancing science and knowledge.
I would like to take this opportunity to thank the Editors of the Asian Journal of Arthroscopy for entrusting me with the responsibility of compiling this special issue on Wrist Arthroscopy. I do hope our efforts satiates the readers’ appetite for information and knowledge.
Happy reading!

Dr. Abhijeet L. Wahegaonkar | Dr Sachin Tapasvi

How to Cite this article:. Wahegaonkar AL, Tapasvi SR. Wrist Symposium in Asian Journal of Arthroscopy. Asian Journal of Arthroscopy Sep-Dec 2017;2(2):1.

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