Musculoskeletal Key

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….

Extra-articular Distal Radius Fracture Malunions: Arthroscopic Tips and Tricks 16 Fig. 16.1 This chapter will not reiterate the excellent work done by Diego Fernandez and Jesse Jupiter on extra-articular osteotomies….

Corollary: Plates Are Not the Panacea 22 Fig. 22.1 Volar locking plates are not the panacea. There are several ways they may fail. The first way, that I learned the…