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Overview of Wrist and Hand Approaches: Indications for Minimally Invasive Techniques

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Minimally Invasive Surgery in Orthopedics
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Abstract

Orthopedic surgery has seen a recent explosion of minimally invasive techniques [1–7], and the wrist and hand are no exception. These techniques range from percutaneous, endoscopic, arthroscopic to mini-open procedures. The main topics covered in the following chapters include minimally invasive fixation for wrist fractures, endoscopic carpal tunnel release, minimally invasive trigger finger release, and minimally invasive treatment of finger fractures. Indications and advantages of minimally invasive wrist and hand surgery will be discussed as well as detailed descriptions of these new surgical techniques.

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References

  1. Bottner F, Delgado S, Sculco TP. Minimally invasive total hip replacement: the posterolateral approach. Am J Orthop (Belle Mead NJ). 2006;35(5):218–24.

    Google Scholar 

  2. Egol KA. Minimally invasive orthopaedic trauma surgery: a review of the latest techniques. Bull Hosp Jt Dis. 2004;62(1–2):6–12.

    PubMed  Google Scholar 

  3. Klein GR, Parvizi J, Sharkey PF, Rothman RH, Hozack WJ. Minimally invasive total hip arthroplasty: internet claims made by members of the Hip Society. Clin Orthop Relat Res. 2005;441:68–70.

    Article  PubMed  Google Scholar 

  4. Langlotz K. Minimally invasive approaches in orthopaedic surgery. Minim Invasive Ther Allied Technol. 2003;12(1):19–24.

    Article  PubMed  Google Scholar 

  5. Lehman Jr RA, Vaccaro AR, Bertagnoli R, Kuklo TR. Standard and minimally invasive approaches to the spine. Orthop Clin North Am. 2005;36(3):281–92.

    Article  PubMed  Google Scholar 

  6. Nogler M. Navigated minimal invasive total hip arthroplasty. Surg Technol Int. 2004;12:259–62.

    PubMed  Google Scholar 

  7. Wall EJ, Bylski-Austrow DI, Kolata RJ, Crawford AH. Endoscopic mechanical spinal hemiepiphysiodesis modifies spine growth. Spine. 2005;30(10):1148–53.

    Article  PubMed  Google Scholar 

  8. Saw NL, Jones S, Shepstone L, Meyer M, Chapman PG, Logan AM. Early outcome and cost-effectiveness of endoscopic versus open carpal tunnel release: a randomized prospective trial. J Hand Surg Br. 2003;28(5):444–9.

    Article  CAS  PubMed  Google Scholar 

  9. Trumble TE, Diao E, Abrams RA, Gilbert-Anderson MM. Singleportal endoscopic carpal tunnel release compared with open release: a prospective, randomized trial. J Bone Joint Surg Am. 2002;84-A(7):1107–15.

    PubMed  Google Scholar 

  10. Weil WM, Trumble TE. Treatment of distal radius fractures with intrafocal (Kapandji) pinning and supplemental skeletal stabilization. Hand Clin. 2005;21(3):317–28.

    Article  PubMed  Google Scholar 

  11. Duncan SF, Weiland AJ. Minimally invasive reduction and osteosynthesis of articular fractures of the distal radius. Injury. 2001;32 Suppl 1:SA14–24.

    Article  PubMed  Google Scholar 

  12. Ring D, Jupiter JB. Percutaneous and limited open fixation of fractures of the distal radius. Clin Orthop Relat Res. 2000;375:105–15.

    Article  PubMed  Google Scholar 

  13. Geissler WB, Fernandes D. Percutaneous and limited open reduction of intra-articular distal radial fractures. Hand Surg. 2000;5(2):85–92.

    Article  CAS  PubMed  Google Scholar 

  14. Auge II WK, Velazquez PA. The application of indirect reduction techniques in the distal radius: the role of adjuvant arthroscopy. Arthroscopy. 2000;16(8):830–5.

    Article  PubMed  Google Scholar 

  15. Trumble TE, Wagner W, Hanel DP, Vedder NB, Gilbert M. Intrafocal (Kapandji) pinning of distal radius fractures with and without external fixation. J Hand Surg. 1998;23(3):381–94.

    Article  CAS  Google Scholar 

  16. Naidu SH, Capo JT, Moulton M, Ciccone II W, Radin A. Percutaneous pinning of distal radius fractures: a biomechanical study. J Hand Surg. 1997;22(2):252–7.

    Article  CAS  Google Scholar 

  17. Slade III JF, Grauer JN, Mahoney JD. Arthroscopic reduction and percutaneous fixation of scaphoid fractures with a novel dorsal technique. Orthop Clin North Am. 2001;32(2):247–61.

    Article  PubMed  Google Scholar 

  18. Slade III JF, Jaskwhich D. Percutaneous fixation of scaphoid fractures. Hand Clin. 2001;17(4):553–74.

    PubMed  Google Scholar 

  19. Slade III JF, Gutow AP, Geissler WB. Percutaneous internal fixation of scaphoid fractures via an arthroscopically assisted dorsal approach. J Bone Joint Surg Am. 2002;84-A Suppl 2:21–36.

    PubMed  Google Scholar 

  20. Slade III JF, Geissler WB, Gutow AP, Merrell GA. Percutaneous internal fixation of selected scaphoid nonunions with an arthroscopically assisted dorsal approach. J Bone Joint Surg Am. 2003;85-A Suppl 4:20–32.

    PubMed  Google Scholar 

  21. Slade III JF, Dodds SD. Minimally invasive management of scaphoid nonunions. Clin Orthop Relat Res. 2006;445:108–19.

    PubMed  Google Scholar 

  22. Macdermid JC, Richards RS, Roth JH, Ross DC, King GJ. Endoscopic versus open carpal tunnel release: a randomized trial. J Hand Surg. 2003;28(3):475–80.

    Article  Google Scholar 

  23. Thoma A, Veltri K, Haines T, Duku E. A meta-analysis of randomized controlled trials comparing endoscopic and open carpal tunnel decompression. Plast Reconstr Surg. 2004;114(5):1137–46.

    Article  PubMed  Google Scholar 

  24. Kretschmer T, Antoniadis G, Borm W, Richter HP. Pitfalls of endoscopic carpal tunnel release. Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen. 2004;75(12):1207–9.

    Article  CAS  PubMed  Google Scholar 

  25. Thoma A, Veltri K, Haines T, Duku E. A systematic review of reviews comparing the effectiveness of endoscopic and open carpal tunnel decompression. Plast Reconstr Surg. 2004;113(4):1184–91.

    Article  PubMed  Google Scholar 

  26. Uchiyama S, Yasutomi T, Fukuzawa T, Nakagawa H, Kamimura M, Miyasaka T. Median nerve damage during two-portal endoscopic carpal tunnel release. Clin Neurophysiol. 2004;115(1):59–63.

    Article  PubMed  Google Scholar 

  27. Varitimidis SE, Herndon JH, Sotereanos DG. Failed endoscopic carpal tunnel release. Operative findings and results of open revision surgery. J Hand Surg Br. 1999;24(4):465–7.

    Article  CAS  PubMed  Google Scholar 

  28. Agee JM, Peimer CA, Pyrek JD, Walsh WE. Endoscopic carpal tunnel release: a prospective study of complications and surgical experience. J Hand Surg. 1995;20(2):165–71; discussion 172.

    Article  CAS  Google Scholar 

  29. Chow JC, Hantes ME. Endoscopic carpal tunnel release: thirteen years’ experience with the Chow technique. J Hand Surg. 2002;27(6):1011–8.

    Article  Google Scholar 

  30. Chow JC. Endoscopic release of the carpal ligament for carpal tunnel syndrome: long-term results using the Chow technique. Arthroscopy. 1999;15(4):417–21.

    Article  CAS  PubMed  Google Scholar 

  31. Slesarenko YA, Mallo G, Hurst LC, Sampson SP, Serra-Hsu F. Percutaneous release of A1 pulley. Tech Hand Up Extrem Surg. 2006;10(1):54–6.

    Article  PubMed  Google Scholar 

  32. Ragoowansi R, Acornley A, Khoo CT. Percutaneous trigger finger release: the “lift-cut” technique. Br J Plast Surg. 2005;58(6):817–21.

    Article  CAS  PubMed  Google Scholar 

  33. Wilhelmi BJ, Mowlavi A, Neumeister MW, Bueno R, Lee WP. Safe treatment of trigger finger with longitudinal and transverse landmarks: an anatomic study of the border fingers for percutaneous release. Plast Reconstr Surg. 2003;112(4):993–9.

    Article  PubMed  Google Scholar 

  34. Wilhelmi BJ, Snyder NT, Verbesey JE, Ganchi PA, Lee WP. Trigger finger release with hand surface landmark ratios: an anatomic and clinical study. Plast Reconstr Surg. 2001;108(4):908–15.

    Article  CAS  PubMed  Google Scholar 

  35. Blumberg N, Arbel R, Dekel S. Percutaneous release of trigger digits. J Hand Surg Br. 2001;26(3):256–7.

    Article  CAS  PubMed  Google Scholar 

  36. Ha KI, Park MJ, Ha CW. Percutaneous release of trigger digits. J Bone Joint Surg. 2001;83(1):75–7.

    Article  CAS  Google Scholar 

  37. Dunn MJ, Pess GM. Percutaneous trigger finger release: a comparison of a new push knife and a 19-gauge needle in a cadaveric model. J Hand Surg. 1999;24(4):860–5.

    Article  CAS  Google Scholar 

  38. Cihantimur B, Akin S, Ozcan M. Percutaneous treatment of trigger finger. 34 fingers followed 0.5–2 years. Acta Orthop Scand. 1998;69(2):167–8.

    Article  CAS  PubMed  Google Scholar 

  39. Bain GI, Turnbull J, Charles MN, Roth JH, Richards RS. Percutaneous A1 pulley release: a cadaveric study. J Hand Surg. 1995;20(5):781–4; discussion 785–6.

    Article  CAS  Google Scholar 

  40. Pope DF, Wolfe SW. Safety and efficacy of percutaneous trigger finger release. J Hand Surg. 1995;20(2):280–3.

    Article  CAS  Google Scholar 

  41. Geissler WB. Cannulated percutaneous fixation of intra-articular hand fractures. Hand Clin. 2006;22(3):297–305, vi.

    Article  PubMed  Google Scholar 

  42. Sawaizumi T, Nanno M, Nanbu A, Ito H. Percutaneous leverage pinning in the treatment of Bennett’s fracture. J Orthop Sci. 2005;10(1):27–31.

    Article  PubMed  Google Scholar 

  43. Galanakis I, Aligizakis A, Katonis P, Papadokostakis G, Stergiopoulos K, Hadjipavlou A. Treatment of closed unstable metacarpal fractures using percutaneous transverse fixation with Kirschner wires. J Trauma. 2003;55(3):509–13.

    Article  PubMed  Google Scholar 

  44. Klein DM, Belsole RJ. Percutaneous treatment of carpal, metacarpal, and phalangeal injuries. Clin Orthop Relat Res. 2000;375:116–25.

    Article  PubMed  Google Scholar 

  45. Freeland AE, Orbay JL. Extraarticular hand fractures in adults: a review of new developments. Clin Orthop Relat Res. 2006;445:133–45.

    PubMed  Google Scholar 

  46. Mader K, Gausepohl T, Pennig D. Minimally invasive management of metacarpal I fractures with a mini-fixateur. Handchir Mikrochir Plast Chir. 2000;32(2):107–11.

    Article  CAS  PubMed  Google Scholar 

  47. McCulley SJ, Hasting C. External fixator for the hand: a quick, cheap and effective method. J R Coll Surg Edinb. 1999;44(2):99–102.

    CAS  PubMed  Google Scholar 

  48. Drenth DJ, Klasen HJ. External fixation for phalangeal and metacarpal fractures. J Bone Joint Surg. 1998;80(2):227–30.

    Article  CAS  Google Scholar 

  49. Seitz Jr WH, Gomez W, Putnam MD, Rosenwasser MP. Management of severe hand trauma with a mini external fixateur. Orthopedics. 1987;10(4):601–10.

    PubMed  Google Scholar 

  50. Slade III JF, Gutow AP. Arthroscopy of the metacarpophalangeal joint. Hand Clin. 1999;15(3):501–27.

    PubMed  Google Scholar 

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Correspondence to Steve K. Lee .

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Lee, S.K. (2016). Overview of Wrist and Hand Approaches: Indications for Minimally Invasive Techniques. In: Scuderi, G., Tria, A. (eds) Minimally Invasive Surgery in Orthopedics. Springer, Cham. https://doi.org/10.1007/978-3-319-34109-5_133

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  • DOI: https://doi.org/10.1007/978-3-319-34109-5_133

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-34107-1

  • Online ISBN: 978-3-319-34109-5

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