Skip to main content
SpringerLink
Log in

Handgelenksarthroskopie

Herausforderndes Verfahren der modernen Handchirurgie

Wrist arthroscopy

Challenging procedure of modern hand surgery

  • CME Zertifizierte Fortbildung
  • Published:
Der Orthopäde Aims and scope Submit manuscript

Zusammenfassung

Die Arthroskopie des Handgelenks hat sich im Schatten der Arthroskopie der großen Gelenke entwickelt. Heute hat die Handgelenksarthroskopie einen relevanten Stellenwert in der handchirurgischen Diagnostik und Therapie und ist aus der seriösen Handgelenkschirurgie nicht mehr wegzudenken. Für die Durchführung sind eine spezielle Ausstattung und große Sachkenntnis des Chirurgen erforderlich.

Abstract

Arthroscopy of the wrist has developed in the shadow of arthroscopy of the large joints. Nowadays, wrist arthroscopy has a relevant importance in the diagnostics and therapy in hand surgery and is indispensable for serious surgery of the wrist. Special equipment and extensive knowledge of the surgeon are necessary for carrying out the procedure.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Abb. 1
Abb. 2
Abb. 3
Abb. 4
Abb. 5
Abb. 6
Abb. 7
Abb. 8
Abb. 9
Abb. 10
Abb. 11
Abb. 12
Abb. 13
Abb. 14
Abb. 15

Literatur

  1. Watanabe M (1985) Arthroscopy of small joints. Igaku-Shoin Medical Publishers, Inc, New York City

    Google Scholar 

  2. Whipple TL, Marotta JJ, Powell JH (1986) Techniques of wrist arthroscopy. Arthroscopy 2:244–252

    Article  CAS  PubMed  Google Scholar 

  3. Lichtman DM, Bruckner JD, Culp RW et al (1993) Palmar midcarpal instability: results of surgical reconstruction. J Hand Surg 18:307–315

    Article  CAS  Google Scholar 

  4. Preissler P, Feldkamp G (1996) Arthroscopic image of wrist joint instability. Handchir Mikrochir Plast Chir 28:233–238

    CAS  PubMed  Google Scholar 

  5. Reagan DS, Linscheid RL, Dobyns JH (1984) Lunotriquetral sprains. J Hand Surg 9:502–514

    Article  CAS  Google Scholar 

  6. Taleisnik J (1987) Pain on the ulnar side of the wrist. Hand Clin 3:51–68

    CAS  PubMed  Google Scholar 

  7. Watson HK, Ashmead D, Makhlouf MV (1988) Examination of the scaphoid. J Hand Surg 13:657–660

    Article  CAS  Google Scholar 

  8. Viegas SF, Wagner K, Patterson R et al (1990) Medial (hamate) facet of the lunate. J Hand Surg 15:564–571

    Article  CAS  Google Scholar 

  9. Darlis NA, Weiser RW, Sotereanos DG (2005) Partial scapholunate ligament injuries treated with arthroscopic debridement and thermal shrinkage. J Hand Surg 30:908–914

    Article  Google Scholar 

  10. Geissler WB, Freeland AE (1996) Arthroscopically assisted reduction of intraarticular distal radial fractures. Clin Orthop 327:125–134

    Article  PubMed  Google Scholar 

  11. Viegas SF, Patterson RM, Hokanson JA et al (1993) Wrist anatomy: incidence, distribution, and correlation of anatomic variations, tears, and arthrosis. J Hand Surg 18:463–475

    Article  CAS  Google Scholar 

  12. Nishikawa S, Toh S, Miura H et al (2002) The carpal detachment injury of the triangular fibrocartilage complex. J Hand Surg Scotl 27:86–89

    Article  CAS  Google Scholar 

  13. Palmer AK (1989) Triangular fibrocartilage complex lesions: a classification. J Hand Surg 14:594–606

    Article  CAS  Google Scholar 

  14. Palmer AK, Werner FW (1981) The triangular fibrocartilage complex of the wrist – anatomy and function. J Hand Surg 6:153–162

    Article  CAS  Google Scholar 

  15. Hagert CG (1994) Distal radius fracture and the distal radioulnar joint – anatomical considerations. Handchir Mikrochir Plast Chir. 26:22–26

    CAS  PubMed  Google Scholar 

  16. Haugstvedt J-R, Berger RA, Nakamura T et al (2006) Relative contributions of the ulnar attachments of the triangular fibrocartilage complex to the dynamic stability of the distal radioulnar joint. J Hand Surg 31:445–451

    Article  Google Scholar 

  17. Kleinman WB (2007) Stability of the distal radioulna joint: biomechanics, pathophysiology, physical diagnosis, and restoration of function what we have learned in 25 years. J Hand Surg 32:1086–1106

    Article  Google Scholar 

  18. Nakamura T, Takayama S, Horiuchi Y et al (2001) Origins and insertions of the triangular fibrocartilage complex: a histological study. J Hand Surg Edinb Scotl 26:446–454

    Article  CAS  Google Scholar 

  19. Atzei A (2009) New trends in arthroscopic management of type 1-B TFCC injuries with DRUJ instability. J Hand Surg Eur 34:582–591

    Article  CAS  Google Scholar 

  20. Mathoulin CL, Dauphin N, Wahegaonkar AL (2011) Arthroscopic dorsal capsuloligamentous repair in chronic scapholunate ligament tears. Hand Clin 27:563–572

    Article  PubMed  Google Scholar 

  21. Osterman AL, Raphael J (1995) Arthroscopic resection of dorsal ganglion of the wrist. Hand Clin 11:7–12

    CAS  PubMed  Google Scholar 

  22. Lee HI, Lee KH, Koh KH et al (2014) Long-term results of arthroscopic wrist synovectomy in rheumatoid arthritis. J Hand Surg 39:1295–1300

    Article  Google Scholar 

  23. Moseley JB, O’Malley K, Petersen NJ et al (2002) A controlled trial of arthroscopic surgery for osteoarthritis of the knee. N Engl J Med 347:81–88

    Article  PubMed  Google Scholar 

  24. Wahegaonkar AL, Mathoulin CL (2013) Arthroscopic dorsal capsulo-ligamentous repair in the treatment of chronic scapho-lunate ligament tears. J Wrist Surg 2:141–148

    Article  PubMed Central  PubMed  Google Scholar 

  25. Tünnerhoff HG, Haussmann P (2002) Results of arthroscopic synovialectomy of the wrist. Handchir Mikrochir Plast Chir 34:158–167

    Article  PubMed  Google Scholar 

  26. Wedemeyer A, Wedemeyer C, Heckelei W et al (2009) Arthroscopic refixation of traumatic 1B-lesions of the TFCC–a retrospective study. Handchir Mikrochir Plast Chir 41:135–140

    Article  CAS  PubMed  Google Scholar 

  27. Bain GI, McGuire D, Lee YC et al (2014) Anatomic foveal reconstruction of the triangular fibrocartilage complex with a tendon graft. Tech Hand Up Extrem Surg 18:92–97

    PubMed  Google Scholar 

  28. Shinohara T, Tatebe M, Okui N et al (2013) Arthroscopically assisted repair of triangular fibrocartilage complex foveal tears. J Hand Surg 38:271–277

    Article  Google Scholar 

  29. Tang C, Fung B, Chan R et al (2013) The beauty of stability: distal radioulnar joint stability in arthroscopic triangular fibrocartilage complex repair. Hand Surg 18:21–26

    Article  PubMed  Google Scholar 

  30. Löw S, Herold D, Mühldorfer-Fodor M et al (2012) The effect of labeling photo documents in wrist arthroscopies on intra- and interobserver reliability. Arch Orthop Trauma Surg 132:1813–1818

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Orthopädische Klinik für die Universität Regensburg, Asklepios Klinikum Bad Abbach, Kaiser-Karl V.-Allee 3, 93077, Bad Abbach, Deutschland

    H.-Robert Springorum, S. Winkler, G. Maderbacher, J. Götz, G. Heers & J. Grifka

  2. Handchirurg, Duisburg

    P. Preissler

Authors
  1. H.-Robert Springorum
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. S. Winkler
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. G. Maderbacher
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. J. Götz
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. G. Heers
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. J. Grifka
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. P. Preissler
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to H.-Robert Springorum.

Ethics declarations

Interessenkonflikt

H.-R. Springorum, S. Winkler, G. Maderbacher, J. Götz, G. Heers, J. Grifka und P. Preissler geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Springorum, HR., Winkler, S., Maderbacher, G. et al. Handgelenksarthroskopie. Orthopäde 44, 89–102 (2015). https://doi.org/10.1007/s00132-014-3059-7

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00132-014-3059-7

Schüsselwörter

Keywords

Search

Navigation