{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T19:49:53Z","timestamp":1740167393749,"version":"3.37.3"},"reference-count":10,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2003Continuing advances in wrist arthroscopy and better understanding of carpal conditions have created the need to design new wrist access portals that facilitate the implementation of new surgical techniques. The aim of this study was to define and verify the safety of the medial triquetrohamate (MTH) portal.<\/jats:p><jats:p>\n          Description of the technique\u2003The MTH portal is located about 5-10\u2009mm ulnar and 2-3\u2009mm distal to the midcarpal ulnar portal, ulnar to the extensor digitorum communis (EDC) tendon of the fourth and fifth fingers, and radial to the extensor digiti quinti (minimi) (EDQ) tendon.<\/jats:p><jats:p>\n          Methods\u2003An anatomical study was performed on 15 upper limb specimens from 15 human cadavers. Iatrogenic injuries to potentially at-risk neurovascular and tendinous structures were assessed, and the distance from the portal to these structures was measured.<\/jats:p><jats:p>\n          Results\u2003There were no iatrogenic injuries to the structures at risk. Mean distances from the MTH portal to the EDC tendon of the fourth and fifth fingers and to the EDQ tendon were 4.67\u2009\u00b1\u20090.35\u2009mm and 7.27\u2009\u00b1\u20090.18\u2009mm, respectively. No differences were observed between the left and right wrists. The distance from the MTH portal to the dorsal sensory branch of the ulnar nerve was 15.07\u2009\u00b1\u20090.44\u2009mm. The structure with the highest risk of injury was the EDC tendon of the fourth and fifth fingers, with a distance of less than 5\u2009mm.<\/jats:p><jats:p>\n          Conclusions\u2003The MTH portal is safe, reproducible and facilitates the implementation of various techniques related to midcarpal pathology.<\/jats:p>","DOI":"10.1055\/s-0043-1771439","type":"journal-article","created":{"date-parts":[[2023,7,28]],"date-time":"2023-07-28T22:51:49Z","timestamp":1690584709000},"page":"176-180","source":"Crossref","is-referenced-by-count":0,"title":["The Medial Triquetrohamate Portal: A New Portal in Wrist Arthroscopy. Anatomical Study"],"prefix":"10.1055","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8310-1162","authenticated-orcid":false,"given":"Francisco J.","family":"Lucas","sequence":"additional","affiliation":[{"name":"Unidad de cirug\u00eda de mano y miembro superior, Hospital Quir\u00f3nSalud Valencia, Valencia, Espa\u00f1a"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vicente","family":"Carratal\u00e1","sequence":"additional","affiliation":[{"name":"Unidad de cirug\u00eda de mano y miembro superior, Hospital Quir\u00f3nSalud Valencia, Valencia, Espa\u00f1a"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ignacio","family":"Miranda","sequence":"additional","affiliation":[{"name":"Servicio de Cirug\u00eda Ortop\u00e9dica y Traumatolog\u00eda, Hospital Arnau de Vilanova Valencia, Valencia, Espa\u00f1a"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sergio","family":"Pombo Alonso","sequence":"additional","affiliation":[{"name":"Unidad de cirug\u00eda de mano y miembro superior, Hospital Quir\u00f3nSalud Valencia, Valencia, Espa\u00f1a"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,7,28]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1016\/S2386-3129(14)70003-9","article-title":"Generalidades, portales y anatom\u00eda artrosc\u00f3pica","volume":"21","author":"F Lucas Garc\u00eda","year":"2014","journal-title":"Rev Esp Artrosc Cir Articul."},{"issue":"01","key":"ref2","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1055\/s-0035-1570741","article-title":"Volar Central Portal in Wrist Arthroscopy","volume":"5","author":"F Corella","year":"2016","journal-title":"J Wrist Surg"},{"issue":"04","key":"ref3","doi-asserted-by":"crossref","first-page":"577","DOI":"10.1016\/S0749-0712(21)01197-5","article-title":"Midcarpal arthroscopy: anatomy and portals","volume":"10","author":"S F Viegas","year":"1994","journal-title":"Hand Clin"},{"issue":"04","key":"ref4","doi-asserted-by":"crossref","first-page":"661","DOI":"10.1016\/j.jhsa.2004.04.016","article-title":"Arthroscopic resection of arthrosis of the proximal hamate: a clinical and biomechanical study","volume":"29","author":"B J Harley","year":"2004","journal-title":"J Hand Surg Am"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1007\/978-3-642-30544-3","volume-title":"Arthroscopic Management of Ulnar Pain","author":"F Del Pi\u00f1al","year":"2012"},{"issue":"04","key":"ref6","doi-asserted-by":"crossref","first-page":"743","DOI":"10.1016\/j.arthro.2017.01.010","article-title":"Incidence of posterior interosseous nerve trauma during creation of the 3-4 wrist arthroscopy portal in cadavers","volume":"33","author":"A EJ Cheah","year":"2017","journal-title":"Arthroscopy"},{"first-page":"2","volume-title":"Techniques in hand and wrist arthroscopy","author":"D J Slutsky","key":"ref7"},{"issue":"04","key":"ref8","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1055\/s-0036-1584899","article-title":"The course of the terminal posterior interosseous nerve and its relationship with wrist arthroscopy portals","volume":"5","author":"Y Pan","year":"2016","journal-title":"J Wrist Surg"},{"issue":"02","key":"ref9","first-page":"348","article-title":"Use of the Triquetrum-Hamate Portal in Four-Corner Wrist Fusion: A Useful Technical Trick","volume":"57","author":"D F Falcochio","year":"2022","journal-title":"Rev Bras Ortop"},{"issue":"11","key":"ref10","doi-asserted-by":"crossref","first-page":"725","DOI":"10.5435\/00124635-201211000-00006","article-title":"Advances in wrist arthroscopy","volume":"20","author":"J M Wolf","year":"2012","journal-title":"J Am Acad Orthop Surg"}],"container-title":["Journal of Wrist Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0043-1771439.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T12:14:58Z","timestamp":1730808898000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0043-1771439"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,28]]},"references-count":10,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2024,3,18]]},"published-print":{"date-parts":[[2024,4]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0043-1771439","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2163-3916","2163-3924"],"issn-type":[{"type":"print","value":"2163-3916"},{"type":"electronic","value":"2163-3924"}],"subject":[],"published":{"date-parts":[[2023,7,28]]}}}