Wrist Arthroscopy
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Wrist Arthroscopy
Wrist arthroscopy can be used to look inside the joint of the wrist. It is a minimally invasive technique which can be utilized for diagnostic purposes as well as for therapeutic interventions. Wrist arthroscopy has been used for diagnostic purposes since it was first introduced in 1979. However, it only became accepted as diagnostic tool around the mid-1980s. At that time, arthroscopy of the wrist was an innovative technique to determine whether a problem could be found in the wrist. A few years later, wrist arthroscopy could also be used as a therapeutic tool. Medical uses There are several therapeutic wrist arthroscopy indications, in this article the focus will be on the TFCC-lesion, the SL-lesion, the dorsal ganglion resection and the distal radius fracture. TFCC lesion The TFCC is a fibrous structure covering both the radiocarpal and distal radioulnar joint. Tears in this ligament occur commonly after a person falls or secondary to a wrist fracture. Abnormalities in the ...
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Lunotriquetral Shear Test
The lunotriquetral shear test or lunotriquetral shear maneuver involves stabilizing the lunate between thumb and index finger of one hand and the triquetrum between the thumb and index finger of the other. The pisiform and triquetrum are pushed in a palmar to dorsal Dorsal (from Latin ''dorsum'' ‘back’) may refer to: * Dorsal (anatomy), an anatomical term of location referring to the back or upper side of an organism or parts of an organism * Dorsal, positioned on top of an aircraft's fuselage * Dorsal co ... direction. Discomfort in this area suggests the possibility of injury to the lunotriquetral interosseous ligament. References External linksVideo of test Musculoskeletal examination {{Orthopedics-stub ...
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TFCC
The triangular fibrocartilage complex (TFCC) is formed by the triangular fibrocartilage discus (TFC), the radioulnar ligaments (RULs) and the ulnocarpal ligaments (UCLs). Structure Triangular fibrocartilage disc The triangular fibrocartilage disc (TFC) is an articular discus that lies on the pole of the distal ulna. It has a triangular shape and a biconcave body; the periphery is thicker than its center. The central portion of the TFC is thin and consists of chondroid fibrocartilage; this type of tissue is often seen in structures that can bear compressive loads. This central area is often so thin that it is translucent and in some cases it is even absent. The peripheral portion of the TFC is well vascularized, while the central portion has no blood supply. This discus is attached by thick tissue to the base of the ulnar styloid and by thinner tissue to the edge of the radius just proximal to the radiocarpal articular surface. Radioulnar ligaments The radioulnar ligaments ...
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Arthritis
Arthritis is a term often used to mean any disorder that affects joints. Symptoms generally include joint pain and stiffness. Other symptoms may include redness, warmth, swelling, and decreased range of motion of the affected joints. In some types of arthritis, other organs are also affected. Onset can be gradual or sudden. There are over 100 types of arthritis. The most common forms are osteoarthritis (degenerative joint disease) and rheumatoid arthritis. Osteoarthritis usually occurs with age and affects the fingers, knees, and hips. Rheumatoid arthritis is an autoimmune disorder that often affects the hands and feet. Other types include gout, lupus, fibromyalgia, and septic arthritis. They are all types of rheumatic disease. Treatment may include resting the joint and alternating between applying ice and heat. Weight loss and exercise may also be useful. Recommended medications may depend on the form of arthritis. These may include pain medications such as ibuprofen ...
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Traction Towe
Traction may refer to: Engineering *Forces: ** Traction (engineering), adhesive friction or force ** Traction vector, in mechanics, the force per unit area on a surface, including normal and shear components * Traction motor, an electric motor used for propulsion of a vehicle, for example a car or a locomotive * Railway electric traction, the use of electric motors to propel rail cars * Traction engine, a self-propelled steam engine Other uses * Traction (agency), San Francisco-based interactive advertising agency * Traction (orthopedics), a set of mechanisms for straightening broken bones or relieving pressure on the skeletal system * Traction (organization), a non-profit activism organization in North Carolina * ''Traction'' (album), by New Zealand band Supergroove * Traction TeamPage, a commercial blog/wiki software platform * Traction (The Batman), 2nd episode of ''The Batman'' * Traction (geology), a process which transports bed load through a channel See also *Tracktio ...
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Portals Wrist Arthroscopy
Portal often refers to: *Portal (architecture), an opening in a wall of a building, gate or fortification, or the extremities (ends) of a tunnel Portal may also refer to: Arts and entertainment Gaming * ''Portal'' (series), two video games developed by Valve ** ''Portal'' (video game), a 2007 video game, the first in the series ** ''Portal 2'', the 2011 sequel ** '' Portal Stories: Mel'', a mod for ''Portal 2'' * ''Portal'' (1986 video game), a 1986 computer game by Activision * Portal (''Magic: The Gathering''), a set in the ''Magic: The Gathering'' card game * Portal (video game element), an element in video game design Music * Portal (band), an Australian extreme metal band * ''Portal'' (album), a 1994 album by Wendy & Carl * ''Portals'' (Arsonists Get All the Girls album), 2009 * ''Portals'' (Sub Focus and Wilkinson album), 2020 * "Portals", by Alan Silvestri, from the soundtrack for the film '' Avengers: Endgame'' * ''Portals (EP)'', a 2022 EP by Kirk Hammett O ...
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Extensor Compartments
In anatomy, extension is a movement of a joint that increases the angle between two bones or body surfaces at a joint. Extension usually results in straightening of the bones or body surfaces involved. For example, extension is produced by extending the flexed (bent) elbow. Straightening of the arm would require extension at the elbow joint. If the head is tilted all the way back, the neck is said to be extended. Muscles of extension Upper limb *of arm at shoulder **Axilla and Shoulder ***Latissimus Dorsi *** Posterior Fibres of Deltoid ***Teres Major *of forearm at elbow **Posterior compartment of the arm ***Triceps Brachii ***Anconeus *of hand at wrist **Posterior compartment of the forearm ***Extensor carpi radialis longus ***Extensor carpi radialis brevis ***Extensor carpi ulnaris ***Extensor digitorum *of phalanges, at all joints **Posterior compartment of the forearm ***Extensor digitorum ***Extensor digiti minimi (little finger only) ***Extensor indicis (index finger only) ...
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Anatomical Snuff Box
The anatomical snuff box or snuffbox or foveola radialis is a triangular deepening on the radial, dorsal aspect of the hand—at the level of the carpal bones, specifically, the scaphoid and trapezium bones forming the floor. The name originates from the use of this surface for placing and then sniffing powdered tobacco, or "snuff." It is sometimes referred to by its French name ''tabatière''. Structure Boundaries * The medial border (ulnar side) of the snuffbox is the tendon of the extensor pollicis longus. * The lateral border (radial side) is a pair of parallel and intimate tendons, of the extensor pollicis brevis and the abductor pollicis longus. (Accordingly, the anatomical snuffbox is most visible, having a more pronounced concavity, during thumb extension.) * The proximal border is formed by the styloid process of the radius * The distal border is formed by the approximate apex of the schematic snuffbox isosceles triangle. * The floor of the snuffbox varies depending ...
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Lister's Tubercle
Lister's tubercle or dorsal tubercle of radius is a bony prominence located at the distal end of the radius. It is palpable on the dorsum of the wrist. Structure Lister's tubercle is found on the dorsal distal radius. It varies in size and shape significantly. It can range from around 2 to 6 mm in height (averaging 3 mm), and around 6 to 26 mm in length (averaging 13 mm). Function Lister's tubercle serves as a pulley for the tendon of extensor pollicis longus, which wraps around the medial side and takes a 45° turn. Clinical significance Lister's tubercle is used as a useful landmark during wrist arthroscopy and other wrist surgery. It is palpable on the dorsum of the wrist. It is often difficult to clearly distinguish with radiography. Hyperextension of the wrist can lead to fracture of Lister's tubercle, as pressure is increased from the extensor pollicis longus tendon. An "island-shaped" fracture can also expose the tendon to a rough edge and lead to tendon rupture Te ...
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Extensor Carpi Ulnaris
In human anatomy, the extensor carpi ulnaris is a skeletal muscle located on the ulnar side of the forearm. The extensor carpi ulnaris acts to extend and adduct at the carpus/wrist from anatomical position. Being an extensor muscle, extensor carpi ulnaris is located on the posterior side of the forearm. Origin and insertion It originates from the lateral epicondyle of the humerus and the posterior border of the ulna, and crosses the forearm to the ulnar (medial) side to insert at the base of the 5th metacarpal. Action The extensor carpi ulnaris extends the wrist, but when acting alone inclines the hand toward the ulnar side; by its continued action it extends the elbow-joint. The muscle is a minor extensor of the carpus in carnivores, but has become a flexor in ungulates. In this case it would be described as ''ulnaris lateralis''. Innervation Despite its name, the extensor carpi ulnaris is innervated by the posterior interosseous nerve (C7 and C8), the continuation of the dee ...
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Dorsal Radiocarpal Ligament
The dorsal radiocarpal ligament (posterior ligament) is less thick and strong than its volar counterpart, and has a proximal attachment to the posterior border of the distal radius. Its fibers run medially and inferiorly to form a distal attachment at the dorsal surfaces of the scaphoid (navicular bone of the hand), lunate, and triquetral. The fibres of the dorsal radiocarpal ligament blend with those of the dorsal intercarpal ligament. It is in relation, behind, with the Extensor tendons of the fingers; in front, it is blended with the articular disk The articular disk (or disc) is a thin, oval plate of fibrocartilage present in several joints which separates synovial cavities. This separation of the cavity space allows for separate movements to occur in each space. The presence of an articula .... External links * This article was originally based on an entry from a public domain edition of Gray's Anatomy. As such, some of the information contained herein may be outdated. Pl ...
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Scapholunate
The scapholunate ligament is a ligament of the wrist. Rupture of the scapholunate ligament causes scapholunate instability, which, if untreated, will eventually cause a predictable pattern of wrist osteoarthritis called scapholunate advanced collapse (SLAC). Anatomy The scapholunate ligament is an intraarticular ligament binding the scaphoid and lunate bones of the wrist together. It is divided into three areas, dorsal, proximal and palmar, with the dorsal segment being the strongest part. It is the main stabilizer of the scaphoid. In contrast to the scapholunate ligament, the lunotriquetral ligament is more prominent on the palmar side. Instability Complete rupture of this ligament leads to wrist instability. The main type of such instability is dorsal intercalated segment instability (DISI) deformity, where the lunate angulates to the posterior side of the hand. A ''dynamic scapholunate instability'' is where the scapholunate ligament is completely ruptured, but secondary ...
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Portals Hand
Portal often refers to: *Portal (architecture), an opening in a wall of a building, gate or fortification, or the extremities (ends) of a tunnel Portal may also refer to: Arts and entertainment Gaming * ''Portal'' (series), two video games developed by Valve ** ''Portal'' (video game), a 2007 video game, the first in the series ** ''Portal 2'', the 2011 sequel ** '' Portal Stories: Mel'', a mod for ''Portal 2'' * ''Portal'' (1986 video game), a 1986 computer game by Activision * Portal (''Magic: The Gathering''), a set in the ''Magic: The Gathering'' card game * Portal (video game element), an element in video game design Music * Portal (band), an Australian extreme metal band * ''Portal'' (album), a 1994 album by Wendy & Carl * ''Portals'' (Arsonists Get All the Girls album), 2009 * ''Portals'' (Sub Focus and Wilkinson album), 2020 * "Portals", by Alan Silvestri, from the soundtrack for the film '' Avengers: Endgame'' * ''Portals (EP)'', a 2022 EP by Kirk Hammett O ...
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