Abstract
Arthroscopic surgery has become the gold standard for diagnosis and treatment for major joint disorders. With advancement in arthroscopic technique and instruments, arthroscopy has become feasible in most human joints, even as small as the finger joints including the carpometacarpal joint, metacarpophalangeal joint and proximal interphalangeal joint. Intra-articular injury is not uncommon in athletes participating in ball sports. These injuries can be acute injury or if left undiagnosed, become a chronic arthritis. With the introduction of small joint arthroscopy, a wide variety of treatment can be performed, such as arthroscopic reduction of an intra-articular fracture, reduction of an acute dislocation, reduction of a Stener lesion in gamekeeper’s thumb, arthroscopic debridement of post-traumatic synovitis and removal of loose bodies. The advantages of finger joint arthroscopy include (1) allow better visualization of intra-articular structures, (2) minimal trauma to the surrounding tendon structure to avoid post-op adhesions, (3) allow immediate mobilization and early return to sports activities and (4) smaller wound and less post-operative pain.
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Chen YC (1979) Arthroscopy of the wrist and finger joints. Orthop Clin North Am 10:723–733
Menon J (1996) Arthroscopic management of trapeziometacarpal joint arthritis of the thumb. Arthroscopy 12:581–587
Berger RA (1997) A technique for arthroscopic evaluation of the first carpometacarpal joint. J Hand Surg 22A:1077–1080
Walsh EF, Akelman E, Fleming BC et al (2005) Thumb carpometacarpal arthroscopy: a topographic, anatomical study of the thenar portal. J Hand Surg 30A:373–379
Ryu J (1995) Arthroscopic treatment of acute complete thumb metacarpophalangeal ulnar collateral ligament tears. J Hand Surg 20A(6):1037–1042
Badia A (2007) Arthroscopy of the trapeziometacarpal and metacarpophalangeal joints. J Hand Surg 32A:707–724
Ostendorf B (2001) Magnetic resonance imaging and miniarthroscopy of metacarpophalangeal joints. Arthritis Rheum 44(11):2492–2502
Sekiya I et al (2002) Arthroscopy of the proximal interphalangeal and metacarpophalangeal joints in rheumatoid hands. Arthroscopy 18(3):292–297
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© 2013 Springer-Verlag France
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Chow, E.C.S., Choi, K.Y.A., Tse, W.L., Ho, P.C. (2013). Small Joints Arthroscopy. In: Chick, G. (eds) Acute and Chronic Finger Injuries in Ball Sports. Sports and Traumatology. Springer, Paris. https://doi.org/10.1007/978-2-8178-0382-1_9
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DOI: https://doi.org/10.1007/978-2-8178-0382-1_9
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