Chronic Distal Radio-ulna Instability
Fig. 11.1 Anatomy of distal radius and ulna (A) Radial styloid (B) Listers tubercule (C) Groove for extensor pollicis longus (D) Dorsal rim of radius (E) Attachment of Dorsal Radio-Ulna…
Tendon Transfers
1. Supple joints before transfer. 2. Tissue equilibrium 3. Adequate strength (donor) 4. Adequate excursion (donor) 5. Expendable donor 6. Straight line of pull 7. Synergism 8. One tendon –…
Ulnar Tunnel Syndrome
Dorsal sensation intact Dorsal sensation diminished Level of compression Proximal or distal to wrist Proximal to wrist Motor symptoms are consistent with intrinsic muscle weakness. Patients may complain of…
Nerve Reconstruction
Fig. 1.1 Preoperative brachial plexus chart The British Medical Research Council grading scale is used by most physicians. This system has been further modified by Terzis [13] with intermediate grades…
Compressive Neuropathies of the Radial Nerve
Fig. 16.1 Common PIN compression sites (“Copyright [2011] Mayo Foundation for Medical Education and Research”) The Arcade of Frohse, which is the proximal margin of the supinator muscle, forms an…
Scaphoid Non Union
Fig. 6.1 (a) Humpack deformity of scaphoid non-union. (b) Nonunion of the proximal pole with preserved shape and length With respect to the morphology, in his original classification published in…
Malunion/Nonunion of the Digits
Fig. 5.1 (a) Crush injury with TM dislocation, and fractures of the fourth and fifth metacarpals. Initial treatment with percutaneous K-wires, performed at an outside Hospital before transfer to our…
Chronic Carpal Instability
Fig. 10.1 If the SL ligaments are normal, closing the fist should not cause separation of the scaphoid and lunate bones. As compared to the contralateral side, any asymmetrical SL…
Flexor Tendon Reconstruction
All fractures should be healed in anatomic alignment Wounds must have healed with soft, stable scars and skin cover Joint contractures have been mobilized to near normal passive ROM Tendons…
Carpal Tunnel Syndrome
Tips on examination technique Typical findings in early CTS Typical findings in late CTS Other findings that indicate a possible alternative diagnosis Inspection Look for wasting of thenar eminence and…
