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Assessment of the structures at risk during wrist arthroscopy : a cadaveric study and systematic review
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Shyamalan, G., Jordan, R. W., Kimani, Peter K., Liverneaux, P. A. and Mathoulin, C. (2016) Assessment of the structures at risk during wrist arthroscopy : a cadaveric study and systematic review. Journal of Hand Surgery (European Volume), 41 (8). pp. 852-858. doi:10.1177/1753193416641061 ISSN 1753-1934.
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Official URL: http://dx.doi.org/10.1177/1753193416641061
Abstract
We assessed the proximity of neurological structures to arthroscopic portals in a cadaveric study and through a systematic review. Arthroscopy was performed on ten cadaveric wrists. Subsequently the specimens were dissected to isolate the superficial branch of the radial nerve, the dorsal branch of the ulnar nerve, the posterior interosseous nerve and the extensor tendons. We measured the distances from the nerves to common portals. For the systematic review Pubmed and EMBASE were searched on the 31 May 2014 for cadaveric studies reporting the proximity of neurological structures to any arthroscopic wrist portal. In the cadaveric study, partial injuries were seen to six extensor tendons and one posterior interosseous nerve; it was assumed this was due to creation of the portals. Seven published studies were included in the systematic review. The dorsal sensory branch of the ulnar nerve was found to be at risk by performing the 6 Ulnar, 6 Radial and ulnar midcarpal portals, the sensory branch of the radial nerve by the 1–2 and 3–4 portals and the posterior interosseous nerve by the 3–4 and 4–5 portals.
Item Type: | Journal Article | ||||||||||
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Subjects: | R Medicine > RD Surgery | ||||||||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||||||||
Library of Congress Subject Headings (LCSH): | Wrist -- Surgery -- Research, Arthroscopy, Systematic reviews (Medical research) | ||||||||||
Journal or Publication Title: | Journal of Hand Surgery (European Volume) | ||||||||||
Publisher: | Sage Publications Ltd. | ||||||||||
ISSN: | 1753-1934 | ||||||||||
Official Date: | 1 October 2016 | ||||||||||
Dates: |
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Volume: | 41 | ||||||||||
Number: | 8 | ||||||||||
Page Range: | pp. 852-858 | ||||||||||
DOI: | 10.1177/1753193416641061 | ||||||||||
Status: | Peer Reviewed | ||||||||||
Publication Status: | Published | ||||||||||
Access rights to Published version: | Restricted or Subscription Access | ||||||||||
Date of first compliant deposit: | 1 July 2016 | ||||||||||
Date of first compliant Open Access: | 1 July 2016 |
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