Arthroscopy: The Journal of Arthroscopic and Related Surgery
Volume 25, Issue 12 , Pages 1387-1390 , December 2009

Anatomic Relation of Dorsal Wrist Arthroscopy Portals and Superficial Nerves: A Cadaveric Study

  • Marios Tryfonidis, M.R.C.S.

      Affiliations

    • Department of Anatomy, Sheffield Medical School, Sheffield, England
    • Corresponding Author InformationAddress correspondence and reprint requests to M. Tryfonidis, M.R.C.S., 133 Wulfric Rd, Sheffield S2 1DZ, England
    • ,
  • Charalambos P. Charalambous, M.Sc., F.R.C.S.(Tr&Orth)

      Affiliations

    • Department of Upper Limb Surgery, Wrightington Hospital, Wigan, England
    • ,
  • Greta K. Jass, M.R.C.S.

      Affiliations

    • Department of Anatomy, Sheffield Medical School, Sheffield, England
    • ,
  • Samuel Jacob, Ph.D.

      Affiliations

    • Department of Anatomy, Sheffield Medical School, Sheffield, England
    • ,
  • Mike J. Hayton, F.R.C.S.(Tr&Orth)

      Affiliations

    • Department of Upper Limb Surgery, Wrightington Hospital, Wigan, England
    • ,
  • John K. Stanley, F.R.C.S

      Affiliations

    • Department of Upper Limb Surgery, Wrightington Hospital, Wigan, England

Received 16 November 2008 ,Accepted 10 June 2009.

References 

  1. Bain GI, Munt J, Turner PC. New advances in wrist arthroscopy. Arthroscopy. 2008;24:355–367
  2. Chloros GD, Shen J, Mahirogullari M, Wiesler ER. Wrist arthroscopy. J Surg Orthop Adv. 2007;16:49–61
  3. Buterbaugh GA. Radiocarpal arthroscopy portals and normal anatomy. Hand Clin. 1994;10:567–576
  4. Botte MJ, Cooney WP, Linscheid RL. Arthroscopy of the wrist: Anatomy and technique. J Hand Surg [Am]. 1989;14:313–316
  5. Ekman EF, Poehling GG. Principles of arthroscopy and wrist arthroscopy equipment. Hand Clin. 1994;10:557–566
  6. Ewert A, Mittlmeier T. Indications and techniques for wrist arthroscopy. Orthopade. 2007;36:1157–1168
  7. Warhold LG, Ruth RM. Complications of wrist arthroscopy and how to prevent them. Hand Clin. 1995;11:81–89
  8. Tsu-Hsin Chen E, Wei JD, Huang VW. Injury of the dorsal sensory branch of the ulnar nerve as a complication of arthroscopic repair of the triangular fibrocartilage. J Hand Surg [Br]. 2006;31:530–532
  9. Beredjiklian PK, Bozentka DJ, Leung YL, Monaghan BA. Complications of wrist arthroscopy. J Hand Surg [Am]. 2004;29:406–411
  10. Abrams RA, Petersen M, Botte MJ. Arthroscopic portals of the wrist: An anatomic study. J Hand Surg [Am]. 1994;19:940–944
  11. Tindall A, Patel M, Frost A, Parkin I, Shetty A, Compson J. The anatomy of the dorsal cutaneous branch of the ulnar nerve—A safe zone for positioning of the 6R portal in wrist arthroscopy. J Hand Surg [Br]. 2006;31:203–205
  12. Bland M. Multifactorial methods. In:  Bland M editors. An introduction to medical statistics. Ed 3. Oxford, PA: Oxford University Press; 2000;p. 308–334
  13. Steinberg BD, Plancher KD, Idler RS. Percutaneous Kirschner wire fixation through the snuff box: An anatomic study. J Hand Surg [Am]. 1995;20:57–62
  14. Mok D, Nikolis A, Harris PG. The cutaneous innervation of the dorsal hand: Detailed anatomy with clinical implications. J Hand Surg [Am]. 2006;31:565–574

 Research was performed at University of Sheffield. The authors report no conflict of interest.

PII: S0749-8063(09)00517-9

doi: 10.1016/j.arthro.2009.06.005

Arthroscopy: The Journal of Arthroscopic and Related Surgery
Volume 25, Issue 12 , Pages 1387-1390 , December 2009

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