Wrist Joint Aspiration & Arthroscopy

- Discussion:
      - joint is entered dorsally;
      - if there is any difficulty in entering Wrist Joint, hand can be suspended in Chinese finger traps to help open the joint space;
      - there are 2 main entry sites, 3-4 & 4-5 sites;
            - 3-4 site is used most often & enters wrist between 3rd & 4th extensor compartments;
                   - palpate Lister's tubercle on distal radius & enter skin just distal to this, volar flexing wrist to facilitate entry;
            - 4-5 site is between 4th & 5th extensor compartments;
                   - this is used for ulnar carpal pathology, but other than palpating distal ulnar, there is no good bony landmark to identify the entry site

Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Wednesday, December 12, 2012 3:16 pm