Naviculocuneiform Arthroscopy

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Naviculocuneiform Arthroscopy Tun Hing Lui, M.B.B.S.(H.K.), F.R.C.S.(Edin.), F.H.K.A.M., F.H.K.C.O.S., Cho Yau Lo, M.B.Ch.B., H.K.I.C.B.S.C.  Arthroscopy Techniques  Volume 7, Issue 5, Pages e437-e442 (May 2018) DOI: 10.1016/j.eats.2017.11.003 Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 1 Naviculocuneiform arthroscopy of the left foot. The patient is in supine position with the legs spread. Three portals are used for the naviculocuneiform arthroscopy. The medial portal is at the plantar medial corner of the medial naviculocuneiform joint. The middle portal is at the dorsal junction between the medial and middle naviculocuneiform joints. The dorsolateral portal is at the dorsolateral corner of the lateral naviculocuneiform joint. The cuneiform and navicular bones are outlined, and the portals are marked under fluoroscopic guide. (DLP, dorsolateral portal; LC, lateral cuneiform; MeC, medial cuneiform; MeP, medial portal; MiC, middle cuneiform; MiP, middle portal; Na, navicular.) Arthroscopy Techniques 2018 7, e437-e442DOI: (10.1016/j.eats.2017.11.003) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 2 Naviculocuneiform arthroscopy of the left foot. The patient is in supine position with the legs spread. (A) The medial portal is the viewing portal. (B) The dorsal capsuloligamentous tissue is resected with an arthroscopic shaver (Dyonics; Smith & Nephew) via the middle portal. The underlying dorsal boss is exposed. (AS, arthroscopic shaver; DB, dorsal boss; MeC, medial cuneiform; MeP, medial portal; MiP, middle portal; Na, navicular.) Arthroscopy Techniques 2018 7, e437-e442DOI: (10.1016/j.eats.2017.11.003) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 3 Naviculocuneiform arthroscopy of the left foot. The patient is in supine position with the legs spread. The medial portal is the viewing portal. The dorsal boss of the medial cuneiform is resected by an arthroscopic burr. (AB, arthroscopic burr; DB, dorsal boss.) Arthroscopy Techniques 2018 7, e437-e442DOI: (10.1016/j.eats.2017.11.003) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 4 Naviculocuneiform arthroscopy of the left foot. The patient is in supine position with the legs spread. The medial portal is the viewing portal. The medial naviculocuneiform joint (arrowhead) is examined. (MeC, medial cuneiform; Na, navicular.) Arthroscopy Techniques 2018 7, e437-e442DOI: (10.1016/j.eats.2017.11.003) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 5 Naviculocuneiform arthroscopy of the left foot. The patient is in supine position with the legs spread. (A) The middle portal is the viewing portal, and the medial portal is the working portal. (B) The degenerated part of the joint (star) is resected by an arthroscopic burr. (AB, arthroscopic burr; MeC, medial cuneiform; MeP, medial portal; MiP, middle portal; Na, navicular.) Arthroscopy Techniques 2018 7, e437-e442DOI: (10.1016/j.eats.2017.11.003) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 6 Naviculocuneiform arthroscopy of the left foot. The patient is in supine position with the legs spread. (A) The middle portal is the viewing portal, and the dorsolateral portal is the working portal. (B) The lateral naviculocuneiform joint (arrowhead) is exposed. (DLP, dorsolateral portal; LC, lateral cuneiform; MiP, middle portal; Na, navicular.) Arthroscopy Techniques 2018 7, e437-e442DOI: (10.1016/j.eats.2017.11.003) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions