MUSCULOSKELETAL MEDICINE

Ligament Reconstruction with Tendon Interposition

Mar 21, 2017 by in MUSCULOSKELETAL MEDICINE Comments Off on Ligament Reconstruction with Tendon Interposition

69 Ligament Reconstruction with Tendon Interposition Indications Moderate to severe painful thumb carpometacarpal (CMC) joint arthritis recalcitrant to nonoperative management. Considerable joint degeneration precludes metacarpal osteotomy or ligament reconstruction without…

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Total Wrist Arthroplasty

Mar 21, 2017 by in MUSCULOSKELETAL MEDICINE Comments Off on Total Wrist Arthroplasty

54 Total Wrist Arthroplasty Indications Rheumatoid arthritis and low-demand patients with post-traumatic or osteoarthritis involving both the radiocarpal and midcarpal joints Technique A dorsal, longitudinal 10 to 12 cm skin…

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Open Reduction and Internal Fixation Lunate Dislocation via Combined Dorsal–Palmar Approach

Mar 21, 2017 by in MUSCULOSKELETAL MEDICINE Comments Off on Open Reduction and Internal Fixation Lunate Dislocation via Combined Dorsal–Palmar Approach

40 Open Reduction and Internal Fixation Lunate Dislocation via Combined Dorsal—Palmar Approach Indications Incomplete closed reduction, percutaneous fixation Failed closed reduction and percutaneous fixation Some authors recommend early open reduction,…

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Madelung’s Deformity

Mar 21, 2017 by in MUSCULOSKELETAL MEDICINE Comments Off on Madelung’s Deformity

62 Madelung’s Deformity Indications Symptomatic adolescent with considerable Madelung’s deformity Technique Volar incision over the flexor carpi radialis (FCR) tendon beginning at wrist crease and extending 6 to 8 cm…

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Ligament Reconstruction

Mar 21, 2017 by in MUSCULOSKELETAL MEDICINE Comments Off on Ligament Reconstruction

65 Ligament Reconstruction Indications Mild to moderate painful thumb carpometacarpal (CMC) joint arthritis recalcitrant to nonoperative management Also indicated for persistent instability after thumb CMC joint dislocation Technique Plan incision…

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Thumb Carpometacarpal Joint Fusion

Mar 21, 2017 by in MUSCULOSKELETAL MEDICINE Comments Off on Thumb Carpometacarpal Joint Fusion

68 Thumb Carpometacarpal Joint Fusion Indications Mild to moderate painful thumb carpometacarpal (CMC) joint arthritis recalcitrant to nonoperative management. Arthritis must be limited to the trapeziometacarpal joint without involvement of…

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Closing Wedge Osteotomy of Carpus

Mar 21, 2017 by in MUSCULOSKELETAL MEDICINE Comments Off on Closing Wedge Osteotomy of Carpus

60 Closing Wedge Osteotomy of Carpus Indications Arthrogryposis with a fixed flexion and ulnar deviation deformity of the wrist Technique Dorsal transverse or semicircular incision across the midcarpal joint (Fig….

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