Feldkamp G, Whipple T L
Orthopädisch-Unfallchirurgischen Praxisklinik Bochum-Wattenscheid.
Handchir Mikrochir Plast Chir. 1992 Nov;24(6):296-303.
Wrist arthroscopy is a new approach to the diagnosis and treatment of chronic wrist pain and pathology, that could not be achieved by conventional diagnostic instruments. The arthroscopy allows detailed assessment to articular surfaces, chronic synovitis, triangular fibro-cartilage tears, lesions of the intercarpal and palmar ligaments, and intraarticular fractures of the radius. The technique is very demanding and should be performed only by experienced surgeons. The dorsal portals are located with relation to the six extensor compartments. Because of the limited space of the wrist joint, an arthroscope with an outermost diameter of 2.5 mm or less is necessary with a high-sensitivity, light-weight microchip video-camera and special mini-instrument. With this equipment, surgery can be performed within the radio-carpal- and midcarpal joint. Only few in Germany are experienced in wrist arthroscopy; looking to the USA, this technique has already shown its great potential.
腕关节镜检查是诊断和治疗慢性腕关节疼痛及病变的一种新方法，而传统诊断器械无法实现这一点。关节镜检查可对关节表面、慢性滑膜炎、三角纤维软骨撕裂、腕骨间和掌侧韧带损伤以及桡骨关节内骨折进行详细评估。该技术要求很高，应由经验丰富的外科医生操作。背侧入路是根据六个伸肌间隔定位的。由于腕关节空间有限，需要使用外径不超过2.5毫米的关节镜，并配备高灵敏度、轻便的微型芯片摄像机和特殊的微型器械。借助这些设备，可以在桡腕关节和腕中关节内进行手术。在德国，只有少数人有腕关节镜检查的经验；在美国，这项技术已经显示出巨大的潜力。
