Endoscopic Resection of Carpometacarpal Boss and Synovectomy of the Second Carpometacarpal Joint Tun Hing Lui, M.B.B.S. (H.K.), F.R.C.S. (Edin.), F.H.K.A.M.,

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Endoscopic Resection of Carpometacarpal Boss and Synovectomy of the Second Carpometacarpal Joint 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., Zhuohao Chow Liang, M.B.Ch.B. Arthroscopy Techniques Volume 8, Issue 3, Pages e231-e235 (March 2019) DOI: 10.1016/j.eats.2018.10.018 Copyright © 2018 Arthroscopy Association of North America Terms and Conditions

Fig 1 Endoscopic resection of carpometacarpal boss and synovectomy of the second carpometacarpal joint of left hand. Lateral (A) and anteroposterior (B) radiographs of the illustrated wrist showing the carpometacarpal boss (arrowhead). Arthroscopy Techniques 2019 8, e231-e235DOI: (10.1016/j.eats.2018.10.018) Copyright © 2018 Arthroscopy Association of North America Terms and Conditions

Fig 2 Endoscopic resection of carpometacarpal boss and synovectomy of the second carpometacarpal joint of left hand. Magnetic resonance imaging of the illustrated wrist. (A) Sagittal T2-weighted image shows bone edema of the carpometacarpal boss (arrowhead). (B) Transverse T1-weighted image shows synovitis of the second carpometacarpal joint (arrow). Arthroscopy Techniques 2019 8, e231-e235DOI: (10.1016/j.eats.2018.10.018) Copyright © 2018 Arthroscopy Association of North America Terms and Conditions

Fig 3 Endoscopic resection of carpometacarpal boss and synovectomy of the second carpometacarpal joint of left hand. The patient is in the supine position with the hand on the side table. Ulnar and radial portals are located at the respective ulnar and radial ends of the carpometacarpal boss and at the level of the carpometacarpal joint. (CB, carpometacarpal boss; ECRL, extensor carpi radialis longus tendon; MC2, second metacarpal; RP, radial portal; UP, ulnar portal.) Arthroscopy Techniques 2019 8, e231-e235DOI: (10.1016/j.eats.2018.10.018) Copyright © 2018 Arthroscopy Association of North America Terms and Conditions

Fig 4 Endoscopic resection of carpometacarpal boss and synovectomy of the second carpometacarpal joint of left hand. The patient is in the supine position with the hand on the side table. (A) Ulnar portal is the viewing portal, and radial portal is the working portal. (B) Arthroscopic view shows resection of the “carpal” component of the carpometacarpal boss. (C) Arthroscopic view shows resection of the “metacarpal” component of the carpometacarpal boss. (ECRL, extensor carpi radialis longus tendon; MC2, second metacarpal; RP, radial portal; Tb, trapezoid bone; UP, ulnar portal.) Arthroscopy Techniques 2019 8, e231-e235DOI: (10.1016/j.eats.2018.10.018) Copyright © 2018 Arthroscopy Association of North America Terms and Conditions

Fig 5 Endoscopic resection of carpometacarpal boss and synovectomy of the second carpometacarpal joint of left hand. The patient is in the supine position with the hand on the side table. (A) Radial portal is the viewing portal, and ulnar portal is the working portal. (B) Arthroscopic view shows resection of the ulnar part of the carpometacarpal boss. (CMCJ2, second carpometacarpal joint; ECRL, extensor carpi radialis longus tendon; MC2, second metacarpal; RP, radial portal; Tb, trapezoid bone; UP, ulnar portal.) Arthroscopy Techniques 2019 8, e231-e235DOI: (10.1016/j.eats.2018.10.018) Copyright © 2018 Arthroscopy Association of North America Terms and Conditions

Fig 6 Endoscopic resection of carpometacarpal boss and synovectomy of the second carpometacarpal joint of left hand. The patient is in the supine position with the hand on the side table. Radial portal is the viewing portal, and ulnar portal is the working portal. Inflamed synovium is resected with an arthroscopic shaver. (ECRL, extensor carpi radialis longus tendon; IS, inflamed synovium.) Arthroscopy Techniques 2019 8, e231-e235DOI: (10.1016/j.eats.2018.10.018) Copyright © 2018 Arthroscopy Association of North America Terms and Conditions