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Objetivo: Describir las complicaciones sufridas durante las primeras artroscopias de muneca realizadas por la autora y como evitarlas, tras analizar la anatomia. Material y metodo: Definimos como complicacion, los efectos adversos directamente relacionados con la tecnica artroscopica. Valoramos retrospectivamente una serie de cincuenta artroscopias realizadas en tres anos (2008-2011): indicaciones y procedimientos realizados. Analizamos las nueve complicaciones recogidas: su pico de incidencia, su relacion con el procedimiento terapeutico y con la anatomia. Resultados: Se recogieron: un caso de rotura del tendon EDM, tres casos de dolor por los nudos del anclaje periferico del fibrocartilago triangular (FCT) y cinco casos de lesion de la rama sensitiva dorsal del nervio cubital (RSDNC). El mayor indice de complicaciones aparecio durante el segundo ano de la practica artroscopica. Conclusion: La artroscopia de muneca ha experimentado un considerable auge en los ultimos anos. Abundan los cursos para aprender la tecnica. Poco se habla en ellos de complicaciones lo que puede sugerir que es una tecnica inocua y sencilla. Pero las complicaciones existen y pueden comportar importante iatrogenia. Tras la deteccion y analisis de las complicaciones acaecidas durante la curva de aprendizaje (2008-2011) y tras realizar estudios anatomicos especificos, la autora ha modificado su tecnica artroscopica. La incidencia de complicaciones desde el 2011 es practicamente nula. Objective: To describe the complications suffered during the first 50 wrist arthroscopies performed by the author and how to avoid them after analyzing the anatomy. Material and Method: We define as a complication the adverse effect directly related to the technique We retrospectively assess 50 arthroscopies performed in 3 years (2008-2011): indications, procedures performed. We analyze the 9 complications collected and their relation to the technique and the anatomy. Results: We found: 1 case of EDM tendon rupture, 3 cases of pain due to the knots of the peripheral TFCC tears sutures and 5 cases of injuries to the dorsal sensory branch of the ulnar nerve (DSBUN). Complications mainly occurred during the second year of the arthroscopic practice. Conclusion:. Wrist arthroscopy has experienced a considerable boom in recent years. There are plenty of courses to learn the technique. Little is said in them about complications: this may suggest that the technique is safe and simple. But complications exist and they may incur in significant injuries. Following the detection and analysis of the complications that appeared during the learning curve(2008-2011) and following specific anatomical studies, the authors have modified their arthroscopic technique. The complication rate since 2011 is practically zero.

Análisis de las complicaciones de la artroscopia de muñeca sufridas durante la curva de aprendizaje de la técnica