The Risk of Injury in Wrist Arthroscopy Portals: A Cadaveric Study.

cadaveric study dorsal wrist volar wrist wrist arthroscopy wrist arthroscopy portals

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
Nov 2023
Historique:
accepted: 30 11 2023
medline: 2 1 2024
pubmed: 2 1 2024
entrez: 1 1 2024
Statut: epublish

Résumé

During wrist arthroscopy, the wrist joint can be visualized from almost every perspective through a combination of standard dorsal and volar arthroscopic portals. This cadaveric study aims to compare all wrist portals described in terms of their safety in order to rank them according to the distance from the nearest structure at risk for arthroscopic wrist procedures. Twenty-nine cadaveric formalin-embellished upper limbs were examined. Needles were inserted at dorsal and volar portal sites to perform the measurements. During the subsequent dissection, distances were measured as the shortest possible distance from the nearest structure at risk for each portal. Safe zones were determined for all portals, and the safety classification of arthroscopic wrist portals was proposed, ranking them from the safest to the most perilous. Applying the proposed safety classification to arthroscopic practice, wrist arthroscopy can be performed with a lower risk of iatrogenic complications arising from the implementation of the wrist portals.

Identifiants

pubmed: 38161872
doi: 10.7759/cureus.49702
pmc: PMC10757396
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e49702

Informations de copyright

Copyright © 2023, Antonoglou et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

Auteurs

Georgios Antonoglou (G)

Anatomy, University of Ioannina, Ioannina, GRC.

Aristeidis Vrettakos (A)

Orthopaedics, Agios Pavlos General Hospital of Thessaloniki, Thessaloniki, GRC.

Dimitrios Varvarousis (D)

Orthopaedics, University General Hospital of Ioannina, Ioannina, GRC.

Panagiotis Kanavaros (P)

Anatomy, University of Ioannina, Ioannina, GRC.

Theodore Troupis (T)

Anatomy, National and Kapodistrian University of Athens, Athens, GRC.

George K Paraskevas (GK)

Orthopaedics, Aristotle University of Thessaloniki, Thessaloniki, GRC.

Chrysanthos Chrysanthou (C)

Anatomy and Surgical Anatomy, Aristotle University of Thessaloniki, Thessaloniki, GRC.

Elpida Apostolidi (E)

Anatomy and Surgical Anatomy, Aristotle University of Thessaloniki, Thessaloniki, GRC.

Alexandros Poutoglidis (A)

Anatomy and Surgical Anatomy, Aristotle University of Thessaloniki, Thessaloniki, GRC.

Classifications MeSH