| ARTHROSCOPIC DIAGNOSIS AND TREATMENT OF THE WRIST DISORDERS |
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Chung Kim, Min Jong Park, Jin Hwan Ahn, Chul Won Ha |
| 관절경을 이용한 수근 관절 질환의 진단과 치료 |
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김 청, 박민종, 안진환, 하철원 |
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| Abstract |
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We analyzed 65 wrist arthroscopic procedures based on the arthroscopic findings, operation methods and complications. 30 TFCC lesions, 22 rheumatoid arthritis wrists, 8 distal radius fractures and 6 carpal instabilities were included. For TFCC lesions, 24 partial excisions and 6 repairs were performed. 22 rheumatoid arthritis patients had arthroscopic synovectomies. In 8 distal radius fractures, 6 had associated scapho-lunate ligament injuries and 3 had TFCC tears. For scapho-lunate instabilities, one percutaneous pinning and 2 laser shrinkage ligamentoplasties were performed under the arthroscopic control. Wrist arthroscopy should be useful in diagnosis and treatment of TFCC lesions and intercarpal ligament injuries. Hypertrophied synovium can be removed arthroscopically in rheumatoid arthritis wrists. In the case of distal radius fracture, arthroscopy is useful in assessing intra-articular soft tissue lesions. |
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