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Wheeless' Textbook of Orthopaedics
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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.