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Book Details
Abstract
For step-by-step, easy-to-follow guidance from an expert in the field, turn to Techniques in Wrist and Hand Arthroscopy, 2nd Edition. Dr. David J. Slutsky describes the utility and applications of wrist and small joint arthroscopy for a variety of clinical conditions. Each chapter contains a large literature review section which provides perspective as to the expected outcomes of any given procedure, in addition to multiple clinical examples.
- Covers hand and wrist arthroscopy in great detail , helping you enhance your arthroscopic skills in the surgical management of patients with chronic wrist pain, carpal instability, triangular fibrocartilage tears, distal radioulnar joint instability, arthroscopic resection arthroplasty of the trapeziometacarpal and scaphotrapezial joints, arthroscopic partial wrist fusions, and proximal row carpectomy, to name just a few.
- Offers detailed instruction in the use of arthroscopy as an adjunctive procedure to the open treatment of distal radius fractures, scapholunate ligament reconstruction, perilunate injuries, and more.
- Includes hundreds of high-quality color photographs.
- Uses a consistent, templated format so you can find the guidance you need quickly.
- Provides online access to over 100 videos of clinical case examples and anatomical demonstrations showcasing the application and technique of a variety of procedures.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front cover | Cover | ||
| Front matter | iii | ||
| Techniques in WRIST and hand arthroscopy | iii | ||
| Copyright | iv | ||
| Dedication | v | ||
| Preface | vii | ||
| Table of Contents | ix | ||
| Video Contents | xi | ||
| 1 Wrist Arthroscopy Portals | 1 | ||
| 1 WRIST arthroscopy portals | 2 | ||
| Introduction | 2 | ||
| Indications | 2 | ||
| Contraindications | 3 | ||
| Relevant anatomy | 3 | ||
| Dorsal portals | 3 | ||
| Dorsal radiocarpal portals | 3 | ||
| Dorsal midcarpal portals | 4 | ||
| Triquetro-hamate portal | 4 | ||
| Dorsal radioulnar portals | 4 | ||
| Volar portals | 4 | ||
| Volar radial portal | 4 | ||
| Volar radial midcarpal portal | 5 | ||
| Volar ulnar portal | 5 | ||
| Volar distal radioulnar portal | 5 | ||
| Volar central portal | 6 | ||
| Field of view | 6 | ||
| 3,4 and 4,5 relevant clinical and biomechanical studies | 6 | ||
| Author’s experience | 8 | ||
| Complications | 8 | ||
| Equipment and implants | 8 | ||
| Required | 8 | ||
| Optional | 9 | ||
| Methodology | 9 | ||
| 3,4 portal | 10 | ||
| 4,5 portal | 10 | ||
| 6r and 6u portals | 10 | ||
| Midcarpal portals | 11 | ||
| Stt-u portal | 12 | ||
| Volar portals | 12 | ||
| Rehabilitation | 15 | ||
| Summary | 15 | ||
| References | 15 | ||
| 2 Trapeziometacarpal and scaphotrapezial arthroscopy portals | 17 | ||
| Trapeziometacarpal joint portals | 17 | ||
| Standard portals | 17 | ||
| Modified radial portal | 17 | ||
| Thenar portal | 17 | ||
| Distal-dorsal portal | 18 | ||
| Scaphotrapeziotrapezoidal joint portals | 18 | ||
| Stt-u portal | 18 | ||
| Stt-r portal | 18 | ||
| Stt-p portal | 18 | ||
| Methodology | 20 | ||
| Trapeziometacarpal joint | 20 | ||
| Scaphotrapezial trapezoidal joint | 22 | ||
| References | 24 | ||
| II Ulnocarpal Joint | 25 | ||
| 3 Triangular fibrocartilage tears | 26 | ||
| Triangular fibrocartilage tears | 26 | ||
| Relevant anatomy and biomechanics | 26 | ||
| Mechanism and classification | 26 | ||
| Diagnosis and nonoperative treatment | 27 | ||
| Indications for arthroscopy | 29 | ||
| Contraindications for arthroscopy | 29 | ||
| Surgical technique | 29 | ||
| Type ib lesions | 29 | ||
| Type IC lesions | 31 | ||
| Type id lesions | 31 | ||
| Debridement | 31 | ||
| Repair | 31 | ||
| Outcomes | 33 | ||
| Longitudinal split tear of the ulnotriquetral ligament | 33 | ||
| Relevant anatomy and biomechanics | 33 | ||
| Diagnosis | 34 | ||
| Surgical technique | 34 | ||
| Outcomes | 35 | ||
| References | 35 | ||
| 4 Foveal tears and arthroscopy of the distal radioulnar joint | 37 | ||
| Relevant anatomy and biomechanics | 37 | ||
| Triangular fibrocartilage complex anatomy | 37 | ||
| Diagnosis | 38 | ||
| Technique of distal radioulnar joint arthroscopy | 44 | ||
| Volar distal radioulnar portal | 44 | ||
| Dorsal distal radioulnar portals | 45 | ||
| Arthroscopic-assisted reattachment of the deep radioulnar ligament | 45 | ||
| Indications | 45 | ||
| Contraindications | 45 | ||
| Arthroscopic-assisted suture repair techniques | 45 | ||
| Outcomes | 47 | ||
| References | 48 | ||
| 5 Ulnocarpal impaction syndrome and ulnar styloid impaction syndrome | 50 | ||
| Relevant anatomy and biomechanics | 50 | ||
| Mechanism and classification | 50 | ||
| Diagnosis | 51 | ||
| Arthroscopic wafer resection | 51 | ||
| Indications | 52 | ||
| Contraindications | 53 | ||
| Surgical technique—arthroscopic wafer resection | 53 | ||
| Alternative procedures | 53 | ||
| Outcomes | 55 | ||
| Ulnar styloid impaction syndrome | 56 | ||
| Relevant anatomy and etiology | 56 | ||
| Diagnosis | 57 | ||
| Treatment | 57 | ||
| Arthroscopic-assisted ulnar styloid excision technique | 58 | ||
| Outcomes | 58 | ||
| Ulnar styloid nonunions | 58 | ||
| References | 61 | ||
| III Carpal Ligament Injury | 63 | ||
| 6 The role of WRIST arthroscopy in scapholunate instability | 64 | ||
| Relevant anatomy and biomechanics | 64 | ||
| Diagnosis | 65 | ||
| Treatment | 65 | ||
| Diagnostic arthroscopy | 66 | ||
| Indications | 66 | ||
| Contraindications | 66 | ||
| Surgical technique | 66 | ||
| Arthroscopic classification of ligament instability | 67 | ||
| Arthroscopic debridement | 68 | ||
| Indications | 68 | ||
| Contraindications to debridement alone | 69 | ||
| Surgical technique | 69 | ||
| Outcomes | 69 | ||
| Thermal shrinkage | 69 | ||
| Indications | 70 | ||
| Contraindications | 70 | ||
| Surgical technique | 70 | ||
| Outcomes | 70 | ||
| Arthroscopic-assisted transarticular k-wire fixation | 71 | ||
| Indications | 71 | ||
| IV Wrist and Carpal Fractures | 103 | ||
| 10 Arthroscopic treatment of scaphoid fractures and nonunions | 104 | ||
| Relevant anatomy and biomechanics | 104 | ||
| Diagnosis | 105 | ||
| Treatment | 106 | ||
| Nonoperative | 106 | ||
| Surgical treatment | 107 | ||
| Indications for arthroscopic-assisted percutaneous scaphoid fixation | 107 | ||
| Contraindications | 107 | ||
| Surgical technique | 107 | ||
| Dorsal approach | 107 | ||
| Volar approach | 110 | ||
| Hybrid technique | 113 | ||
| Arthroscopic bone grafting | 113 | ||
| Complications | 115 | ||
| Coronal fractures of the scaphoid | 117 | ||
| Outcomes | 118 | ||
| References | 119 | ||
| 11 Arthroscopic treatment of distal radius fractures | 121 | ||
| Anatomy | 121 | ||
| Mechanism of injury | 121 | ||
| Diagnosis | 122 | ||
| Classification | 122 | ||
| Treatment of distal radius fractures | 123 | ||
| Closed treatment | 123 | ||
| Technique of closed reduction | 123 | ||
| External fixation | 123 | ||
| Ligamentotaxis | 123 | ||
| Biomechanical considerations for external fixation | 124 | ||
| Bridging external fixation | 124 | ||
| Temporary external fixation: Indications | 124 | ||
| Definitive external fixation: Indications | 125 | ||
| Contraindications | 125 | ||
| Surgical technique | 125 | ||
| Complications | 125 | ||
| Augmented external fixation | 126 | ||
| Indications20 | 126 | ||
| V Arthritis and Degenerative Disorders | 159 | ||
| 14 Arthroscopic WRIST capsulotomy | 160 | ||
| Pathomechanics | 160 | ||
| Physical examination | 160 | ||
| Indications | 160 | ||
| Contraindications | 160 | ||
| Equipment | 161 | ||
| Surgical technique | 161 | ||
| Radiocarpal joint | 161 | ||
| Volar capsulotomy | 161 | ||
| Dorsal capsulotomy | 161 | ||
| Midcarpal joint | 162 | ||
| Distal radioulnar joint | 162 | ||
| Postoperative management | 163 | ||
| Complications | 164 | ||
| Outcomes | 164 | ||
| References | 164 | ||
| 15 Arthroscopy in arthritis | 165 | ||
| Pathophysiology | 165 | ||
| Synovial biopsy | 165 | ||
| Synovial biopsy indications | 165 | ||
| Contradindications | 165 | ||
| Outcomes | 165 | ||
| Synovectomy | 165 | ||
| Indications for arthroscopic synovectomy | 165 | ||
| Contraindications | 166 | ||
| Surgical technique | 166 | ||
| Outcomes | 167 | ||
| Arthrosis of the proximal pole of the hamate | 167 | ||
| Indications | 168 | ||
| Contraindications | 168 | ||
| Surgical technique | 168 | ||
| Outcomes | 168 | ||
| Chondral defects | 169 | ||
| Indications | 169 | ||
| Contraindications | 169 | ||
| Surgical technique | 169 | ||
| Outcomes | 169 | ||
| Septic arthritis | 170 | ||
| References | 171 | ||
| 16 The use of arthroscopy in kienböck disease | 172 | ||
| Relevant anatomy and etiology | 172 | ||
| Diagnosis | 172 | ||
| Open treatment | 173 | ||
| Arthroscopic treatment | 175 | ||
| Surgical technique | 175 | ||
| Arthroscopic survey | 175 | ||
| Arthroscopic-assisted scaphocapitate fusion with lunate excision | 178 | ||
| Arthroscopic proximal row carpectomy | 179 | ||
| Outcomes | 181 | ||
| References | 182 | ||
| 17 Arthroscopic WRIST ganglionectomy | 183 | ||
| Relevant anatomy and etiology | 183 | ||
| Diagnosis | 184 | ||
| Treatment | 184 | ||
| Nonoperative | 184 | ||
| Arthroscopic resection | 184 | ||
| Indications | 184 | ||
| Contraindications | 184 | ||
| Surgical technique | 184 | ||
| Outcomes | 187 | ||
| References | 188 | ||
| 18 Arthroscopic radial styloidectomy | 189 | ||
| Pathophysiology | 189 | ||
| Diagnosis | 190 | ||
| Treatment | 191 | ||
| Indications | 191 | ||
| Contraindications | 191 | ||
| Equipment | 191 | ||
| Surgical technique | 192 | ||
| Outcomes | 194 | ||
| References | 195 | ||
| 19 Arthroscopic partial scaphoidectomy for scaphoid nonunion | 196 | ||
| Relevant anatomy and pathomechanics | 196 | ||
| Diagnosis | 198 | ||
| Treatment | 199 | ||
| Indications | 199 | ||
| Contraindications | 200 | ||
| Surgical technique | 200 | ||
| Complications | 202 | ||
| Outcomes | 202 | ||
| References | 202 | ||
| 20 Arthroscopic partial WRIST fusions | 204 | ||
| Introduction | 204 | ||
| Instrumentation and methodology | 204 | ||
| Arthroscopic-assisted capitolunate fusion and scaphoidectomy | 205 | ||
| Indications | 205 | ||
| Contraindications | 205 | ||
| Surgical technique | 205 | ||
| Arthroscopic-assisted 4-corner fusion and scaphoidectomy | 207 | ||
| Arthroscopic-assisted scaphocapitate fusion with and without lunate excision | 208 | ||
| Arthroscopic-assisted radioscapholunate fusion | 210 | ||
| Outcomes | 211 | ||
| References | 212 | ||
| 21 Arthroscopic proximal row carpectomy | 213 | ||
| Biomechanics and kinematics | 213 | ||
| Diagnosis | 213 | ||
| Treatment | 214 | ||
| Indications | 214 | ||
| Contraindications | 214 | ||
| Surgical technique | 214 | ||
| Outcomes | 215 | ||
| References | 218 | ||
| VI Small Joint Arthroscopy | 219 | ||
| 22 Metacarpophalangeal joint arthroscopy | 220 | ||
| Anatomy and methodology | 220 | ||
| Physical examination and imaging | 220 | ||
| Indications | 221 | ||
| Inflammatory arthritis | 221 | ||
| Acute ulnar collateral ligament injury of the thumb | 221 | ||
| Reduction of metacarpophalangeal joint fractures | 221 | ||
| Posttraumatic volar plate adhesions | 221 | ||
| Removal of loose bodies | 221 | ||
| Arthroscopic assisted reduction of mcp joint dislocation | 221 | ||
| Contraindications | 222 | ||
| Surgical technique | 222 | ||
| Complications | 224 | ||
| Outcomes | 224 | ||
| References | 225 | ||
| 23 Arthroscopic treatment of first metacarpal base fractures | 226 | ||
| Ligament anatomy and biomechanics | 226 | ||
| Diagnosis | 227 | ||
| Treatment | 227 | ||
| Surgical technique | 228 | ||
| Outcomes | 229 | ||
| References | 233 | ||
| 24 Arthroscopic reduction and percutaneous fixation of fifth carpometacarpal fracture dislocations | 234 | ||
| Rationale | 234 | ||
| Anatomy and pathomechanics | 234 | ||
| Imaging | 235 | ||
| Equipment and implants | 235 | ||
| Surgical technique | 235 | ||
| Postoperative management | 236 | ||
| Complications | 237 | ||
| Outcomes | 237 | ||
| References | 239 | ||
| 25 Arthroscopic treatment of trapeziometacarpal osteoarthritis | 240 | ||
| Biomechanics and anatomy | 240 | ||
| Trapeziometacarpal joint portals (video 25-1) | 241 | ||
| Diagnosis | 242 | ||
| Treatment | 244 | ||
| Nonoperative | 244 | ||
| Arthroscopic treatment | 245 | ||
| Indications | 245 | ||
| Precautions | 245 | ||
| Contraindications | 245 | ||
| Surgical technique | 245 | ||
| Arthroscopic debridement and capsular shrinkage | 245 | ||
| Arthroscopic partial or complete trapeziectomy with interposition | 245 | ||
| Arthroscopic partial or complete trapeziectomy without tendon interposition | 246 | ||
| Outcomes | 247 | ||
| References | 249 | ||
| 26 Arthroscopic treatment of scaphotrapeziotrapezoidal osteoarthritis | 250 | ||
| Relevant anatomy and pathomechanics | 250 | ||
| Diagnosis | 252 | ||
| Treatment | 252 | ||
| Indications | 252 | ||
| Contraindications | 252 | ||
| Surgical technique | 253 | ||
| Interposition substances | 255 | ||
| Complications | 256 | ||
| Outcomes | 258 | ||
| Open resection | 258 | ||
| Open partial trapeziectomy | 258 | ||
| Arthroscopic partial trapeziectomy | 258 | ||
| Arthroscopic debridement | 259 | ||
| Pyrocarbon implants | 259 | ||
| References | 261 | ||
| Index | 263 | ||
| A | 263 | ||
| B | 263 | ||
| C | 264 | ||
| D | 264 | ||
| E | 264 | ||
| F | 264 | ||
| G | 265 | ||
| H | 265 | ||
| I | 265 | ||
| J | 265 | ||
| K | 265 | ||
| L | 265 | ||
| M | 265 | ||
| N | 266 | ||
| O | 266 | ||
| P | 266 | ||
| R | 266 | ||
| S | 266 | ||
| T | 267 | ||
| U | 267 | ||
| V | 268 | ||
| W | 268 |