Arthroscopic Techniques for Wrist Arthritis (Radial Styloidectomy and Proximal Pole Hamate Excisions)
Section snippets
Radial styloidectomy
Radial styloidectomy has been a standard orthopedic treatment since 1948 [1]. and recently has garnered further indications as an adjunct to other procedures around the wrist. Traditionally this procedure is performed by way of a small open incision directly over the radial styloid. Radial styloidectomy performed arthroscopically affords the benefit of visualizing exactly how much of the styloid is removed while preserving under direct vision the volar ligaments essential to the radial
Proximal pole hamate excision
Proximal pole hamate arthritis is a cause of ulnar-sided wrist pain. It is seen commonly in patients who participate in sports with ulnar-deviation loading forces, such as golf. Short of a partial wrist fusion, there is currently no adequate open procedure to treat this common problem that is often painful. Proximal pole hamate arthritis is an excellent indication for arthroscopic debridement.
Summary
Over the last 2 decades, arthroscopy has assumed a greater role in the treatment of disorders of the wrist. The arthroscopic treatment of radioscaphoid arthritis and ulnar hamate impaction provides the benefits of being minimally invasive, with less morbidity, earlier motion, less recovery time, early return to work, and greater patient acceptance. Both procedures are performed easily using standard arthroscopic techniques without any significant learning curve. Long-term studies need to be
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Surgical management of osteoarthritis of the hand and wrist
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2021, Hand ClinicsCitation Excerpt :Contrarily, the treatment of hamate tip syndrome, which may also be addressed arthroscopically, is not as well developed. Even if minimal arthroscopic resections have given excellent results, long-term studies need to be performed to determine the exact clinical sequelae of excision of the proximal pole of the hamate, specifically on the biomechanics of the triquetrohamate articulation.29 Ulna plus variances greater than 3 mm should be treated by USO.
Wrist arthroscopy: indications, portal anatomy and therapeutic advances
2021, Orthopaedics and TraumaCitation Excerpt :Then a 3 mm burr is used through the 1–2 portal to resect 3 mm (the width of the burr) of the arthritic portion of the styloid. You can switch between the burr and the shaver47 as required. It is recommended that this is performed with fluoroscopic assistance to confirm adequate resection and prevent over resection, which risks injury to the RSC ligament.
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