Abstract
Volar portals for wrist arthroscopy have certain advantages over the standard dorsal
portals for visualizing dorsal capsular structures as well as the palmar aspects of
the carpal ligaments. The volar radial (VR) portal is relatively easy to use and is
an ideal portal for evaluation of the dorsal radiocarpal ligament (DRCL) and the palmar
aspect of the scapholunate interosseous ligament. The volar midcarpal portal may be
considered as an occasional accessory portal for visualizing the palmar aspects of
the capitate and hamate in cases of avascular necrosis or osteochondral fractures.
The volar ulnar (VU) portal is especially useful for the viewing and debridement of
palmar tears of the lunotriquetral ligament. Copyright © 2002 by the American Society
for Surgery of the Hand
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References
References
- Arthroscopic assisted internal fixation of volar intraarticular wrist fractures.Arthroscopy. 1993; 9: 122-124
- Palmar approaches/portals for arthroscopy of the wrist.Arthroskopie. 1994; 7: 225-231
- An anterior portal for wrist arthroscopy. Anatomical study and case reports.J Hand Surg [Br]. 1999; 24B: 445-447
- Intra-articular fractures of the distal aspect of the radius: arthroscopically assisted reduction compared with open reduction and internal fixation.J Bone Joint Surg Am. 1999; 81: 1093-1110
- Ulnar-sided perilunate instability: an anatomic and biomechanic study.J Hand Surg [Am]. 1990; 15A: 268-278
- The dorsal ligaments of the wrist: anatomy, mechanical properties, and function.J Hand Surg [Am]. 1999; 24A: 456-468
- A kinematic study of luno-triquetral dissociations.J Hand Surg [Am]. 1991; 16A: 355-362
- Scaphoid nonunions: a 3-dimensional analysis of patterns of deformity.J Hand Surg [Am]. 2000; 25A: 520-528
- The effect of sectioning the dorsal radiocarpal ligament and insertion of a pressure sensor into the radiocarpal joint on scaphoid and lunate kinematics.J Hand Surg [Am]. 2002; 27A: 68-76
- The arthroscopic repair of dorsal radiocarpal ligament tears.Arthroscopy. 2002; (in press)
- Wrist arthroscopy: ligamentous instability.in: 4th ed. Green's operative hand surgery. Churchill Livingstone, Philadelphia1999: 200-206
- The palmar radiocarpal ligaments: a study of adult and fetal human wrist joints.J Hand Surg [Am]. 1990; 15A: 847-854
- The gross and histologic anatomy of the scapholunate interosseous ligament.J Hand Surg [Am]. 1996; 21A: 170-178
- Constraint and material properties of the subregions of the scapholunate interosseous ligament.J Hand Surg [Am]. 1999; 24A: 953-962
- Physical examination of the wrist.Hand Clin. 1997; 13: 17-34
- Lunotriquetral ligament properties: a comparison of three anatomic subregions.J Hand Surg [Am]. 1998; 23A: 425-431
- The lunotriquetral joint: kinematic effects of sequential ligament sectioning, ligament repair, and arthrodesis.J Hand Surg [Am]. 1998; 23A: 432-445
- The role of arthroscopy in the treatment of lunatotriquetral ligament injuries.Hand Clin. 1995; 11: 41-50
- Lunotriquetral injuries in the athlete.Hand Clin. 2000; 16: 433-438
- A simplified lead oxide cadaver injection technique.Plast Reconstr Surg. 1986; 77: 141-145
- The cutaneous innervation of the palm: an anatomic study of the ulnar and median nerves.J Hand Surg [Am]. 1996; 21A: 634-638
- Anatomy of the palmar cutaneous branch of the median nerve: clinical significance.J Hand Surg [Am]. 1996; 21A: 639-643
- The arterial anatomy of the human carpus. Part I: the extraosseous vascularity.J Hand Surg. 1983; 8: 367-375
- A new free thenar flap.Plast Reconstr Surg. 1993; 92: 1380-1384
- Vascular and neural anatomy of the thenar area of the hand: its surgical applications.Plast Reconstr Surg. 1997; 99 (204): 116-121
- The gross and histologic anatomy of the ligaments of the capitohamate joint.J Hand Surg [Am]. 1996; 21A: 1022-1028
- Stability of the transverse carpal arch: an experimental study.J Hand Surg [Am]. 1989; 14A: 277-282
- The nerve of Henle: an anatomic and immunohistochemical study.J Hand Surg [Am]. 1999; 24A: 1103-1108
- The nerve of Henle.J Hand Surg [Am]. 1990; 15A: 784-788
- The arthroscopic release of wrist contracture, Presented at the 55th Annual Meeting of the American Society for Surgery of the Hand, Seattle, WA2000
- Complications of wrist arthroscopy.Hand Clin. 1999; 15: 529-535
- Microvascular anatomy of the radioscapholunate ligament of the wrist.J Hand Surg [Am]. 1990; 15A: 279-282
- Radioscapholunate ligament: a gross anatomic and histologic study of fetal and adult wrists.J Hand Surg [Am]. 1991; 16A: 350-355
- The ligaments of the wrist.J Hand Surg [Am]. 1976; 1A: 110-118
- Wrist arthroscopy via a volar radial portal.Arthroscopy. 2002; 18: 624-630
- Vascular anatomy of the dorsal wrist ligaments, Presented at the 55th Annual Meeting of the American Society for Surgery of the Hand, Seattle, WA2000
- Arthroscopic portals of the wrist: an anatomic study.J Hand Surg [Am]. 1994; 19A: 904-940
Article info
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1531-0914/02/0204-0008$35.00/0
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© 2002 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.
