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Journal of Hand Surgery (British and European Volume)
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Articles

Arthroscopy of the Proximal Interphalangeal Joints of the Finger

N. O. B. THOMSEN
N. S. NIELSEN
U. JØRGENSEN
F. BOJSEN–MØLLER

From the Departments of Hand Surgery and Orthopedics, Gentofte Hospital and the Institute of Functional Anatomy and Biomechanics, University of Copenhagen, Denmark

Correspondence: Dr Niels O. B. Thomsen, Department of Orthopaedics and Trauma, The Queen Elizabeth Hospital, 28 Woodville Road, Woodville South, S Australia 5011. E-mail: doctorthomsen{at}hotmail.com

Cadaveric studies were carried out to evaluate the technique, portals and possible indications for arthroscopy of the proximal interphalangeal joints of the finger. We suggest horizontal placement of the hand instead of using a traction tower, as it is important to be able to flex the joint freely. The recommended arthroscopic portals are either between the central slip and the lateral bands of the extensor mechanism or between the lateral band and the collateral ligament. A blunt technique of introduction is used to avoid iatrogenic cartilage damage and possible digital nerve injury.

Journal of Hand Surgery (British and European Volume), Vol. 27, No. 3, 253-255 (2002)
DOI: 10.1054/jhsb.2001.0725
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