Abe Yukio, Doi Kazuteru, Hattori Yasunori, Ikeda Keisuke, Dhawan Vikas
Department of Orthopaedic Surgery, Ogori Daiichi General Hospital, Ube, Yamaguchi, Japan.
J Hand Surg Am. 2003 Jan;28(1):69-73. doi: 10.1053/jhsu.2003.50020.
The volar region of the scapholunate interosseous ligament is one of the key structures that maintains scapholunate alignment. It is, however, difficult to evaluate this ligament using standard diagnostic procedures, including the arthroscopy through a dorsal portal. We have performed arthroscopic evaluation of this ligament through a volar portal.
Skin incision was made at just radial of the flexor carpi radialis tendon and the portal was opened through the tendon sheath.
The volar approach enabled us to directly observe the extent of the tear of the volar region of scapholunate interosseous ligament. A shaver is inserted through the dorsal portal, and debridement can be performed by using the volar portal vein. We have not had any complications using volar portal.
Volar approach is a feasible and safe procedure to evaluate and treat the volar region of the scapholunate interosseous ligament.
舟月骨间韧带掌侧区域是维持舟月关节对线的关键结构之一。然而，使用包括经背侧入路关节镜检查在内的标准诊断程序很难评估该韧带。我们通过掌侧入路对该韧带进行了关节镜评估。
在桡侧腕屈肌腱桡侧做皮肤切口，并通过腱鞘打开入路。
掌侧入路使我们能够直接观察舟月骨间韧带掌侧区域的撕裂程度。通过背侧入路插入刨削器，并利用掌侧入路静脉进行清创。使用掌侧入路未出现任何并发症。
掌侧入路是评估和治疗舟月骨间韧带掌侧区域的一种可行且安全的方法。
