Musculoskeletal Key

Volar Shear Fractures 7 Fig. 7.1 The term volar shearing fracture comprises a varied group of fractures. In the simplest form, the volar fragment is just broken at the metaphysis…

Intra-articular Malunions: Basic Concepts 17 Fig. 17.1 Several developments in recent years allow us to approach intra-articular malunions in a safe and predictable manner. I have developed this algorithm that…

Rim Fractures 9 Fig. 9.1 Current plates are not designed to contain marginal fractures of the rim of the radius. Several authors have already shown that placing the plate in…

Intra- and Extra-articular Malunion 20 Fig. 20.1 These radiographs belong to a 36-year-old man who sustained a bike fall 4 months prior to presentation. He is a security guard and…

Intra-articular Malunions: Jammed Fragments in the Metaphysis 18 Fig. 18.1 Orbay described the so-called “extended FCR approach” for comminuted articular fractures. His rationale is to use the carpus as a…

Management of Small Fragments 6 Fig. 6.1 When fragments are small and jammed, there is a real risk of fragmentation if the surgeon pulls with the shoulder probe while attempting…

Free Osteochondral Fragment 8 Fig. 8.1 By definition a free osteochondral fragment is not connected to ligaments. It is an ill-conceived notion that a disconnected, depressed fragment could reduce by…

Management of Explosion-Type Fractures: Case Two 14 Fig. 14.1 Rim fractures have a lot of difficulties and complications, above all the feared volar ulnar radiocarpal dislocation that were discussed in…

Management of Explosion-Type Fractures: Case One 13 Fig. 13.1 I defined an explosion type distal radius fracture as one that results in four or more articular fragments and/or a free…

Intra-articular Malunions: Complex Cases 19 Fig. 19.1 This 54-year-old man was seen 7 weeks after being treated for a radiocarpal and distal radioulnar joint dislocation sustained in a horse fall….