ABSTRACT
Arthroscopic stabilization of intra-articular fractures is a tech-
nique that is widely accepted for the treatment of fractures of
the knee, shoulder, and wrist. Very little has been published
regarding the use of these techniques for the small joints in the
hand. It has only been in the past decade that reports have
surfaced regarding the use of arthroscopy to treat fractures in
the hand (1). This has corresponded largely to the development
of smaller arthroscopes (1.9 mm) and smaller instrumentation.
Techniques to stabilize intra-articular fractures of the hand
stress the importance of anatomically restoring the joint
surface within less than 1 mm of step-off (2,3). For fractures
of the metacarpophalangeal joint this traditionally has required
an open approach that necessitated mobilization of the
surrounding tendons and a capsulotomy to permit visual-
ization. Unfortunately a common response to arthrotomy in
the digits is stiffness, devitilization of bone fragments, and
delayed healing (4). These adverse effects have focused atten-
tion towards alternative, less invasive ways to stabilize these
uncommon but difficult fractures. The assistance of arthroscopy
provides superior visualization through magnification and the
ability to manipulate small articular fragments into place while
limiting the insult to the surrounding soft tissue.
