- Training
- 17/12/2019
- USA
A Guide To Performing Wrist Arthroscopy
Description
The surgical video presentation is led by Dr. Sanj Kakar, who guides viewers through the anatomical and procedural aspects of diagnostic wrist arthroscopy. Dr. Kakar begins by discussing the wrist's anatomy, highlighting the two rows of carpal bones and their ligaments, such as the scapholunate and lunotriquetral ligaments which are critical to wrist stability. He outlines his surgical setup, emphasizing the use of appropriate anesthesia and traction methods, as well as the significance of the dry arthroscopy technique.
The video includes detailed descriptions of various anatomical portals used during the procedure, with a focus on the 3-4 radiocarpal portal as the main working portal. Dr. Kakar explains the importance of careful dissection to avoid damaging nearby nerves and blood vessels. The viewer is guided through a case study involving a patient with wrist pain and the methods employed to assess and treat potential injuries. Techniques such as the trampoline sign and suction test for evaluating the Triangular Fibrocartilage Complex (TFCC) are illustrated, showcasing their relevance in diagnosing tears and other wrist injuries.
As the video progresses, Dr. Kakar transitions to techniques for dealing with midcarpal joint evaluation and the use of an automatic washout to clear debris from the joint during arthroscopy. He also explains the approach to the volar side of the joint and discusses the technical details of the volar ulnar portal.
Post-operative care protocols are briefly covered, emphasizing the need for individualized recovery plans based on the specific pathologies addressed in surgery. The presentation concludes with Dr. Kakar inviting viewers to reach out with any questions, reinforcing the educational intent of the video.
Part of: Surgical Techniques and Training Collection
"A Guide To Performing Wrist Arthroscopy" is included in the following Surgical Techniques and Training playlist: