1. Wrist Arthroscopy, Glasgow 2004 Wrist Arthroscopy Set - up and Equipment Paul R Stuart Hand & Upper Limb Surgeon Newcastle upon Tyne

2. Wrist Arthroscopy, Glasgow 2004 Anaesthesia general anaesthesia –majority, d/c, quick regional block –patient can observe, ‘dead arm’ local anaesthesia –tourniquet pain, incomplete anaesthesia, finger pain

3. Wrist Arthroscopy, Glasgow 2004 Theatre set-up size layout lighting

4. Wrist Arthroscopy, Glasgow 2004 Traction / Suspension vertical position traction to open joint tower / suspension system shoulder holder

5. Wrist Arthroscopy, Glasgow 2004 Traction / Suspension

6. Wrist Arthroscopy, Glasgow 2004 Traction / Suspension

7. Wrist Arthroscopy, Glasgow 2004 Traction / Suspension re-usable finger traps plastic / metal

8. Wrist Arthroscopy, Glasgow 2004 Prep & Drape un-dyed prep solution –hand off prior to taking infusion fluid sterile finger traps (multi-use) waterproof drapes top drapes

9. Wrist Arthroscopy, Glasgow 2004 Prep & Drape

10. Wrist Arthroscopy, Glasgow 2004 Tourniquet Pros –no portal bleeding, no interference with vision –support for weights Cons –? Loss of definition of colour –pain in conscious patient (<15 mins)

11. Wrist Arthroscopy, Glasgow 2004 Fluids Gravity fed 1 litre bag n/s joint filled via 3/4 / MCR portals using 20 ml syringe bubbles are the enemy!

12. Wrist Arthroscopy, Glasgow 2004 Basic equipment Marking pen 15 blade green / white needles small straight clip 2.5mm, 25 o small joint scope probe (1.5mm tip)

13. Wrist Arthroscopy, Glasgow 2004 Basic equipment

14. Wrist Arthroscopy, Glasgow 2004 Basic equipment

15. Wrist Arthroscopy, Glasgow 2004 Basic equipment

16. Wrist Arthroscopy, Glasgow 2004 Simple Operative Equipment Suction punch small graspers small power instruments

17. Wrist Arthroscopy, Glasgow 2004 Advanced Operative Equipment Procedure specific (eg tfc) electrodes distal radial fracture fixation scaphoid fixation