MUSCULOSKELETAL MEDICINE

Distal Ulna Implant Arthroplasty

Mar 21, 2017 by in MUSCULOSKELETAL MEDICINE Comments Off on Distal Ulna Implant Arthroplasty

24 Distal Ulna Implant Arthroplasty Indications Chronic instability of the distal ulna after Darrach resection (see Chapter 21) Osteoarthritis or posttraumatic arthritis in patients with low activity demands Pitfall Implant…

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Radial Shortening

Mar 21, 2017 by in MUSCULOSKELETAL MEDICINE Comments Off on Radial Shortening

55 Radial Shortening Indications Symptomatic Kienböck disease without lunate collapse (stages 0, I, or II) in a wrist with a positive ulnar variance Technique Palmar incision over the flexor carpi…

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Metacarpal Osteotomy

Mar 21, 2017 by in MUSCULOSKELETAL MEDICINE Comments Off on Metacarpal Osteotomy

67 Metacarpal Osteotomy Indications Mild to moderate painful thumb carpometacarpal (CMC) joint arthritis recalcitrant to nonoperative management Technique Incision along the dorsoradial aspect of the thumb at the junction between…

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Scaphotrapeziotrapezoid Joint Fusion

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

48 Scaphotrapeziotrapezoid Joint Fusion Indications Long-standing scaphotrapeziotrapezoid (STT) arthritis recalcitrant to nonoperative treatment Technique Dorsoradial incision that begins at Lister’s tubercle, traverses the anatomical snuffbox, and ends at the STT…

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Fractional Lengthening

Mar 21, 2017 by in MUSCULOSKELETAL MEDICINE Comments Off on Fractional Lengthening

59 Fractional Lengthening Indications Spastic, flexed fingers with inadequate finger extension and the inability to release objects. This spasticity is usually associated with cerebral palsy or traumatic brain injury. Technique…

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Radiocarpal Fusion

Mar 21, 2017 by in MUSCULOSKELETAL MEDICINE Comments Off on Radiocarpal Fusion

52 Radiocarpal Fusion Indications Radioscapholunate (RSL) fusion for post-traumatic radiocarpal arthritis Radiolunate (RL) fusion to prevent ulnocarpal subluxation in rheumatoid arthritis (RA). Technique Remove articular cartilage and subchondral plate down…

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