Whipple T L, Marotta J J, Powell J H
Arthroscopy. 1986;2(4):244-52. doi: 10.1016/s0749-8063(86)80079-2.
Wrist arthroscopy is a promising new technique for the evaluation of wrist pain or dysfunction. Cadaveric wrist specimens were used to devise safe and advantageous entry portals for arthroscopy and to establish respective advantages for each portal. Thirty-five clinical cases were used to correlate the laboratory experience and to refine a reproducible surgical technique. Seven portals are useful: five in the radiocarpal interval, one in the midcarpal area, and one in the distal radioulnar joint space. Detailed wrist anatomy is reviewed in this paper and must be thoroughly understood to interpret arthroscopic views. Blunt subcutaneous dissection protects cutaneous nerve branches at the various portals. Intraoperative photographs illustrate the excellent perspectives achieved using these techniques.
腕关节镜检查是一种用于评估腕部疼痛或功能障碍的很有前景的新技术。使用尸体腕关节标本设计安全且有利的关节镜检查入口，并确定每个入口的各自优势。35例临床病例用于关联实验室经验并完善可重复的手术技术。有七个入口是有用的：五个位于桡腕间隙，一个位于腕中区域，一个位于桡尺远侧关节间隙。本文回顾了详细的腕部解剖结构，必须透彻理解这些结构才能解读关节镜视野。钝性皮下分离可保护各个入口处的皮神经分支。术中照片展示了使用这些技术所获得的极佳视野。
