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Reiser D, Hedspång M, Sagerfors M. Dry Arthroscopy of the Wrist With a Single-use, 1.9 mm Chip-on-tip System in Wide-awake Local Anesthesia No Tourniquet. Tech Hand Up Extrem Surg 2022; 26:246-249. [PMID: 35698296 DOI: 10.1097/bth.0000000000000393] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
We retrospectively reviewed our 34 first wrist dry arthroscopy cases using a single-use, 1.9 mm chip-on-tip system in wide-awake local anesthesia no tourniquet (WALANT). Thirteen patients were acute injuries; all acute patients underwent a magnetic resonance imaging (MRI) before arthroscopy. In total, 20 of 34 patients had a preoperative MRI. We use this method as a diagnostic tool in patients with wrist pain with suspected ligament tears and for the planning of treatment. We see 2 main advantages in the use of the needle chip-on-tip system: the simplicity of the procedure, and the minimal invasive character of the procedure due to the needle size that makes it possible to perform the procedure in WALANT. We find that the needle chip-on-tip arthroscopy system is a safe and cost-efficient alternative to wrist MRI with superior diagnostic ability. The procedure is minimally invasive and well suited for WALANT.
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Affiliation(s)
- Daniel Reiser
- Department of Hand Surgery, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
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Flores DV, Umpire DF, Mejía Gómez C, Saad T, Cerezal L, Pathria MN. Carpal Instability: Anatomy, Kinematics, Imaging, and Classification. Radiographics 2021; 41:E155-E156. [PMID: 34469217 DOI: 10.1148/rg.2021210044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Dyan V Flores
- From the Department of Radiology at St Paul's Hospital, University of British Columbia, 1081 Burrard St, Vancouver, BC, Canada V5Z 1M9 (D.V.F.); Medico Radiólogo en Clínica Internacional, Lima, Peru (D.F.U.); Ayudas Diagnósticas Sura, Medellín, Colombia (C.M.G.); Centro da Imagem Diagnósticos, Cabo Frio, Brazil (T.S.); Diagnóstico Médico Cantabria DMC, Santander, Spain (L.C.); and UCSD Medical Center, San Diego, Calif (M.N.P.)
| | - Darwin Fernández Umpire
- From the Department of Radiology at St Paul's Hospital, University of British Columbia, 1081 Burrard St, Vancouver, BC, Canada V5Z 1M9 (D.V.F.); Medico Radiólogo en Clínica Internacional, Lima, Peru (D.F.U.); Ayudas Diagnósticas Sura, Medellín, Colombia (C.M.G.); Centro da Imagem Diagnósticos, Cabo Frio, Brazil (T.S.); Diagnóstico Médico Cantabria DMC, Santander, Spain (L.C.); and UCSD Medical Center, San Diego, Calif (M.N.P.)
| | - Catalina Mejía Gómez
- From the Department of Radiology at St Paul's Hospital, University of British Columbia, 1081 Burrard St, Vancouver, BC, Canada V5Z 1M9 (D.V.F.); Medico Radiólogo en Clínica Internacional, Lima, Peru (D.F.U.); Ayudas Diagnósticas Sura, Medellín, Colombia (C.M.G.); Centro da Imagem Diagnósticos, Cabo Frio, Brazil (T.S.); Diagnóstico Médico Cantabria DMC, Santander, Spain (L.C.); and UCSD Medical Center, San Diego, Calif (M.N.P.)
| | - Thales Saad
- From the Department of Radiology at St Paul's Hospital, University of British Columbia, 1081 Burrard St, Vancouver, BC, Canada V5Z 1M9 (D.V.F.); Medico Radiólogo en Clínica Internacional, Lima, Peru (D.F.U.); Ayudas Diagnósticas Sura, Medellín, Colombia (C.M.G.); Centro da Imagem Diagnósticos, Cabo Frio, Brazil (T.S.); Diagnóstico Médico Cantabria DMC, Santander, Spain (L.C.); and UCSD Medical Center, San Diego, Calif (M.N.P.)
| | - Luis Cerezal
- From the Department of Radiology at St Paul's Hospital, University of British Columbia, 1081 Burrard St, Vancouver, BC, Canada V5Z 1M9 (D.V.F.); Medico Radiólogo en Clínica Internacional, Lima, Peru (D.F.U.); Ayudas Diagnósticas Sura, Medellín, Colombia (C.M.G.); Centro da Imagem Diagnósticos, Cabo Frio, Brazil (T.S.); Diagnóstico Médico Cantabria DMC, Santander, Spain (L.C.); and UCSD Medical Center, San Diego, Calif (M.N.P.)
| | - Mini N Pathria
- From the Department of Radiology at St Paul's Hospital, University of British Columbia, 1081 Burrard St, Vancouver, BC, Canada V5Z 1M9 (D.V.F.); Medico Radiólogo en Clínica Internacional, Lima, Peru (D.F.U.); Ayudas Diagnósticas Sura, Medellín, Colombia (C.M.G.); Centro da Imagem Diagnósticos, Cabo Frio, Brazil (T.S.); Diagnóstico Médico Cantabria DMC, Santander, Spain (L.C.); and UCSD Medical Center, San Diego, Calif (M.N.P.)
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