Isolated Arthroscopic Radial Styloidectomy: The Three-Portal Approach

Abstract

Background The current gold-standard technique for radial styloidectomy is arthroscopic. The use of only two dorsal portals may not allow a crystal-clear view of the dorsal arthritic rim of the radius because of the dorsal capsule synovitis. Objectives To propose a new technique for isolated arthroscopic radial styloidectomy. The addition of a volar radial portal and a sequential procedure are presented. Patients and Methods Two trochars for alternatively viewing from volar radial or 3–4 are used. A 1–2 portal is used for instrumentation with a motorized burr. We have been using the three-portal technique in 34 cases (26 isolated). Results This modification of the classic arthroscopic radial styloidectomy is technically easy and the view of the dorsal rim of the radius provides a clear definition and treatment of the dorso-radial arthritic pathology. Conclusions The authors recommend this technical trick to perform an easy and comprehensive isolated palliative or curative arthroscopic radial styloidectomy.

Wrist Arthroscopy Using the 2R Portal: Is It Safer Than the 1,2 Portal?

“…Since its original description in 1986, 1 the 1,2 portal has been used for treating radial sided disorders. 2-5 Concern exists due to its location in the anatomical snuffbox and resultant proximity to neurovascular structures. 6-10…”

“…Since its original description in 1986, 1 the 1,2 portal has been used for treating radial sided disorders. [2][3][4][5] Concern exists due to its location in the anatomical snuffbox and resultant proximity to neurovascular structures. [6][7][8][9][10] The recommended location of the 1,2 portal within the anatomical snuffbox has changed over time.…”