ARTHROSCOPIC PORTALS OF THE WRIST - AN ANATOMIC STUDY

被引:54
作者
ABRAMS, RA
PETERSEN, M
BOTTE, MJ
机构
[1] University of California, San Diego, Department of Orthopedic Surgery, Hand and Microvascular Surgery Service, and Veterans Administration Hospital, Department of Rehabilitation Medicine, San Diego, CA
来源
JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1994年 / 19A卷 / 06期
关键词
D O I
10.1016/0363-5023(94)90093-0
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Wrist arthroscopy has become an accepted diagnostic technique, and it is starting to be a useful therapeutic tool. Extensor tendons, the radial artery, and dorsal sensory nerve branches are at risk of injury during this procedure; however, understanding periportal anatomy should make wrist arthroscopy safer. Wrist arthroscopic portals were established in 19 fresh cadaver wrists, after which the limbs were dissected and periportal anatomy was described and quantified. The 1-2, 6R, and 6U portals were the most perilous, while the midcarpal, 3-4, 4-5, and distal radioulnar joint portals were relatively safe. Even ''safe'' portals had occasional adjacent sensory nerve branches and tendons. A safe technique of establishing wrist arthroscopy portals is emphasized.
引用
收藏
页码:940 / 944
页数:5
相关论文
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