Wrist arthroscopy: beware the novice

Wrist arthroscopy in children and adolescents: a single surgeon experience of thirty-four cases

“…Since 2009 our treatment strategy changed from TFCC resection arthroplasty in any case showing TFCC pathology to resection of the central part in case of central perforation, and TFCC refixation in case of avulsion from the ulnar styloid process (inside-out suture technique). However, we agree with Puhaindran et al that wrist arthroscopy in particular should not be undertaken by inexperienced beginners [17].…”

Comparison of iatrogenic articular cartilage injury in canine stifle arthroscopy versus medial parapatellar mini‐arthrotomy in a cadaveric model

“…In a short‐term 2‐year retrospective study on human hip arthroscopy, iatrogenic punctures of the labrum did not affect clinical outcome . Partial thickness cartilage damage in human wrist arthroscopy is believed to be asymptomatic in the short term, but the long‐term ramifications are unknown . In dogs, there are severe limitations to articular cartilage healing and regeneration .…”

“…Recommendations to utilize cadaver training, validated outcome assessment scales, and to perform postoperative dissections to assess damage to articular surfaces should be mandatory in veterinary medicine . The use of the India ink assay in cadaveric training would enable surgeons to predict and then prevent IACI.…”

“…Additionally, the majority of the joints showed no evidence of instability, which was less clinically relevant and likely decreased visibility scores in mini‐arthrotomy stifles. We did not compare the rate of IACI and surgery difficulty between surgeons with varying levels of training and experience . Use of an extraarticular joint distractor such as the Leipzig stifle distractor on IACI occurrence was not examined, although there is no correlation between using distractors to aid in visualization and the development of IACI in human hip arthroscopy …”

(iv) Wrist arthroscopy

“…7 studied and popularized by Slutsky. However, there are still some risks, especially during the learning curve.…”