AI Article Synopsis

  • Accurate restoration of the joint surface is crucial for treating complex distal radius fractures, and wrist joint arthroscopy provides a way to assess intra-articular damage.
  • A cadaveric study investigated changes in the positions of vessels and nerves during the distraction needed for arthroscopic portal formation.
  • Findings showed that using an external fixator during arthroscopy does not limit manipulation and does not change the anatomical relationships of soft tissues in the wrist.

Article Abstract

In cases of splintered intra-articular distal radius fractures, it is important to accurately restore the joint surface. Wrist joint arthroscopy makes possible accurate assessment of intra-articular damage and reposition quality. The joint gap is to be enlarged for arthroscopy, but this can distort the topographic and anatomical relationships in the wrist joint. We performed a cadaveric study of changes in the topography of vessels and nerves and the risk of their traumatization under conditions of distraction with external fixation apparatus during arthroscopic portals formation. It was experimentally demonstrated that the use of external fixator did not limit the possibility of manipulation under arthroscopic control; distraction does not alter the topographic and anatomical relationships of the soft tissue elements in the wrist joint during arthroscopy.

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http://dx.doi.org/10.1007/s10517-018-4271-yDOI Listing

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