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Wrist Trauma, An Issue of Hand Clinics - E-Book

Wrist Trauma, An Issue of Hand Clinics - E-Book

Steven Papp

(2010)

Additional Information

Book Details

Abstract

Articles in this issue include: Anatomy and Approaches of the Wrist; Chronic Scaphoid Nonunion; External Fixation of Distal Radius Fractures; Complications of Distal Radius Fractures; Perilunate Dislocations; Plate Fixation of Distal Radius Fractures; Post Traumatic Malunion of Distal Radius Fractures; Traumatic Problems of The Distal RadioUlnar Joint; Acute Scaphoid Fractures; Distal Radius Fractures; When should we Operate? What is the Evidence? Carpal Bone Fractures; Physical Exam of the Wrist; Closed Management of Distal Radius Fractures; Management of SL injuries.

Table of Contents

Section Title Page Action Price
Cover Cover
Contents v
Hand Clinics viii
Preface ix
Chapter 1. Wrist Anatomy and Surgical Approaches 1
SURFACE LANDMARKS 1
OSTEOLOGY AND JOINT ANATOMY 1
LIGAMENT ANATOMY 2
RETINACULAR ANATOMY 3
VASCULAR ANATOMY 5
SURGICAL APPROACHES 6
REFERENCES 19
Chapter 2. Physical Examination of the Wrist 21
OBSERVATION AND RANGE OF MOTION 21
PALPATION 21
SPECIAL TESTS 21
RADIAL WRIST EXAMINATION 22
ULNAR WRIST EXAMINATION 29
THE PALMAR WRIST EXAMINATION 31
PROVOCATIVE TESTS OF CARPAL INSTABILITY 31
DIFFERENTIAL LIDOCAINE INJECTION 35
SUMMARY 36
REFERENCES 36
Chapter 3. Distal Radius Fractures—Classification of Treatment and Indications for Surgery 37
CLASSIFICATION 37
SUMMARY 41
REFERENCES 41
Chapter 4. Distal Radius Fractures: Nonoperative and Percutaneous Pinning Treatment Options 43
NONOPERATIVE MANAGEMENT 43
PERCUTANEOUS PINNING OF DISTAL RADIUS FRACTURES 47
REFERENCES 50
Chapter 5. External Fixation of Distal Radius Fractures 55
PATIENT EVALUATION 55
TREATMENT ALGORITHM 56
OPERATIVE TECHNIQUE 56
CASE EXAMPLE 58
POSTOPERATIVE CARE 58
RESULTS 58
DISCUSSION 60
REFERENCES 60
Chapter 6. Plating for Distal Radius Fractures 61
DISCUSSION 61
PLATING TECHNIQUES 61
SUMMARY 67
REFERENCES 68
Chapter 7. Management of Post-Traumatic Malunion of Fractures of the Distal Radius 71
EXTRA-ARTICULAR MALUNION 71
INTRA-ARTICULAR MALUNION 75
EVOLVING TRENDS 77
SUMMARY 80
REFERENCES 80
Chapter 8. Complications of Distal Radius Fractures 85
IMMEDIATE COMPLICATIONS 85
EARLY COMPLICATIONS (<6 WEEKS) 87
LATE COMPLICATIONS (>6 WEEKS) 91
TENDON COMPLICATIONS 94
SUMMARY 94
REFERENCES 94
Chapter 9. Acute Scaphoid Fractures 97
DIAGNOSIS OF ACUTE SCAPHOID FRACTURES 97
CLASSIFICATION 99
TREATMENT OF ACUTE SCAPHOID FRACTURES 100
AUTHORS’ PREFERRED APPROACH TO ACUTE SCAPHOID FRACTURES 100
SCAPHOID NONUNIONS 100
SUMMARY 101
REFERENCES 101
Chapter 10. Management of Scaphoid Nonunions 105
APPROACH TO TREATMENT 105
SCAPHOID WAIST NONUNION WITH A VIABLE PROXIMAL POLE: PALMAR APPROACH 106
PROXIMAL POLE SCAPHOID NONUNION WITH A VIABLE PROXIMAL POLE: DORSAL APPROACH 109
PROXIMAL POLE SCAPHOID NONUNION WITH AN AVASCULAR PROXIMAL POLE: DORSAL-RADIAL APPROACH WITH VASCULARIZED GRAFT 110
SCAPHOID WAIST NONUNION WITH AN AVASCULAR PROXIMAL POLE: VOLAR-RADIAL APPROACH WITH VASCULARIZED GRAFT 113
COMPLICATIONS FOLLOWING SCAPHOID NONUNION SURGERY 114
SUMMARY 115
REFERENCES 115
Chapter 11. Carpal Bone Fractures 119
HAMATE FRACTURES 119
TRIQUETRAL FRACTURES 121
PISIFORM FRACTURES 122
CAPITATE FRACTURES 123
LUNATE FRACTURES 124
TRAPEZIUM FRACTURES 125
TRAPEZOID FRACTURES 126
REFERENCES 126
Chapter 12. The Diagnosis and Treatment of Scapholunate Instability 129
HISTORY 129
PATHOPHYSIOLOGY 129
MECHANISM 131
DIAGNOSIS 131
TREATMENT 135
CASTING/IMMOBILIZATION 136
CLOSED REDUCTION AND KIRSCHNER WIRE FIXATION 137
ARTHROSCOPIC DEBRIDEMENT 137
ELECTROTHERMAL COLLAGEN SHRINKAGE 137
OPEN REDUCTION, INTERNAL FIXATION WITH REPAIR OF LIGAMENTS 137
DORSAL CAPSULODESIS 137
BONE–RETINACULUM–BONE/ BONE–LIGAMENT–BONE 138
TENODESIS 139
REDUCTION AND ASSOCIATION OF THE SCAPHOID AND LUNATE 139
COMPLETE SCAPHOLUNATE LIGAMENT INJURY WITH IRREDUCIBLE MALALIGNMENT AND NORMAL CARTILAGE 139
COMPLETE SCAPHOLUNATE LIGAMENT INJURY WITH IRREDUCIBLE MALALIGNMENT AND CARTILAGE DEGENERATION 140
SUMMARY 141
REFERENCES 141
Chapter 13. Perilunate Injuries 145
ANATOMY 145
PATHOMECHANICS 146
DIAGNOSIS 146
CLASSIFICATION 147
INITIAL MANAGEMENT 147
OPERATIVE MANAGEMENT 148
POSTOPERATIVE MANAGEMENT 151
RESULTS 151
MISSED DIAGNOSIS 153
SUMMARY 153
REFERENCES 153
Chapter 14. Traumatic Injuries of the Distal Radioulnar Joint 155
THE ANATOMY AND STABILIZERS OF THE DISTAL RADIOULNAR JOINT 155
ISOLATED DISTAL RADIOULNAR JOINT DISLOCATION 156
COMBINED INJURY WITH FRACTURED RADIUS 157
CHRONIC INSTABILITY FOLLOWING FRACTURE OF THE DISTAL RADIUS 160
SUMMARY 161
REFERENCES 161
Index 165