ABSTRACT
Although arthroscopy represents a new and dynamic diagnostic technique for evaluating the wrist, specific indications for arthroscopic intervention in the wrist are not defined. To place this technique in perspective, we review our experience with 54 consecutive arthroscopies of the radiocarpal and midcarpal joints in 53 patients with chronic wrist pain. On the basis of this review, we believe arthroscopy is indicated for the diagnosis of wrist pain of longer than 3 months' duration. Defects of the triangular fibrocartilage and lesions of the articular cartilage, including loose bodies, are detectable and easily treated with wrist arthroscopy.
Subject(s)
Arthroscopy , Pain/etiology , Wrist Joint/pathology , Adolescent , Adult , Arthroscopy/methods , Child , Chronic Disease , Female , Humans , Male , Middle Aged , Wrist Injuries/diagnosisABSTRACT
In total shoulder replacement the result is highly dependent upon the integrity or reconstructability of the muscles, tendons, and capsule, as well as the experience of the surgeon. Stability and function of an unconstrained implant are a result of the interrelationship of critical factors such as humeral length, humeral and glenoid version, appropriate abductor tension, rotator cuff integrity, and capsular reconstruction. If these factors are not present and preserved, they must be reconstructed. The results obtained in this study are comparable to those previously published using similar shoulder arthroplasty systems. Total shoulder replacement must be considered a relatively new procedure, but results justify some optimism for the durability of this procedure.
