eMedicine Specialties > Orthopedic Surgery > Hand & Upper Extremity
Wrist Arthroscopy: Multimedia
Updated: Dec 3, 2009
Multimedia
 | Media file 1: Traction tower after draping. |
 | Media file 2: The wrist is suspended in the traction tower, and the portals are drawn with the associated landmarks on the extensor surface of the wrist. |
 | Media file 3: The wrist is suspended in the traction tower, and the portals are drawn with the associated landmarks on the extensor surface of the wrist. |
 | Media file 4: Arthroscopic image of the radial radiocarpal joint. The radioscaphocapitate ligament is the most volar radial extrinsic wrist ligament. Adjacent and ulnar to the radioscaphocapitate ligament, the long radiolunate ligament is depicted. Note that the long radiolunate ligament is larger. The scaphoid is depicted above. |
 | Media file 5: The short radiolunate ligament appears as a vascularized tuft. It is ulnar to the long radiolunate ligament. |
 | Media file 6: Trampoline test. Similar to a trampoline, the disc of the triangular fibrocartilage complex should be taut when probed. |
 | Media file 7: Lunotriquetral ligament, as depicted from the 4-5 portal in the radiocarpal space. |
 | Media file 8: Grade III scapholunate tear, as depicted from the midcarpal space. Note that the gap allows passage of a 1-mm probe. |
 | Media file 9: Grade IV scapholunate tear, as depicted from the midcarpal space. A 2.7-mm arthroscope may be freely passed through the tear. |
 | Media file 10: Posteroanterior radiograph of a wrist. Abnormal widening between the scaphoid and lunate is present, indicating a complete scapholunate tear. |
 | Media file 11: Electrothermal shrinkage performed in a patient with dynamic carpal instability. Careful use of the probe is required to avoid damage to critical structures. |
 | Media file 12: Class IA tear of the triangular fibrocartilage complex. The probe points at the tear. |
 | Media file 13: Arthroscopic debridement in a class IA tear. The flap has been debrided, and the arthroscope is used to smooth the remaining disc. |
 | Media file 14: Class 1B tear, as depicted from the 3-4 portal. Reactive synovitis may cover the tear. |
 | Media file 15: Repair of a class IB tear with the outside-in technique. A small, longitudinal incision incorporates the 6-R portal. |
 | Media file 16: Arthroscopic image of a cannulated needle piercing the articular disc in a class IB repair. |
 | Media file 17: Arthroscopic view reveals retrieval of the suture with a small joint grasper. |
 | Media file 18: Sutures placed before being tied in a class IB tear. |
 | Media file 19: Class ID tear. Avulsion of the disc from the sigmoid notch is depicted. |
 | Media file 20: Arthroscopic image of the rim of the sigmoid notch, which is debrided to a bleeding bone bed before reattachment of the disc. |
 | Media file 21: Class IIC tear of the triangular fibrocartilage complex. Note the chondromalacia of the ulna. |
 | Media file 22: Radiocarpal view after arthroscopic removal of the ganglion stalk. |
 | Media file 23: Arthroscopic view demonstrating the articular step-off in a distal radius fracture. Hematoma and debris are removed for optimal visualization. |
 | Media file 24: Radiograph of a wrist after arthroscopic-assisted pinning of an intra-articular distal radius fracture |
 | Media file 25: Before the scaphoid is pinned, the wrist is flexed at 45 degrees, which places the scaphoid in 90 degrees flexion. |
 | Media file 26: Fluoroscopic image demonstrates reaming of the scaphoid in a proximal-to-distal fashion after arthroscopic reduction and percutaneous pinning. |
 | Media file 27: Anteroposterior radiograph after reduction and fixation with a headless screw. |
 | Media file 28: Lateral radiograph after reduction and fixation with a headless screw. |
More on Wrist Arthroscopy |
| Overview: Wrist Arthroscopy |
| Treatment: Wrist Arthroscopy |
| Follow-up: Wrist Arthroscopy |
 Multimedia: Wrist Arthroscopy |
| References |
| Further Reading |
| « Previous Page |
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Further Reading
Related eMedicine topics
Wrist Arthritis
Ulnar-Sided Wrist Pain
Scapholunate Advanced Collapse
Carpal Bone Injuries
Hand, Wrist Fractures and Dislocations
Keywords
wrist arthroscopy, wrist injury/trauma, TFCC, triangular fibrocartilage complex injury/trauma, intra-articular fractures of the wrist, scapholunate instability, carpal interosseous ligament injury/trauma
