Wrist Denervation
43 Wrist Denervation Indications Symptomatic arthritis in elderly patient with concurrent medical problems that preclude major wrist reconstruction Patients of all ages with symptomatic arthritis who want an opportunity to…
Open Reduction and Internal Fixation of Trans-scaphoid Perilunate Fracture Dislocation
41 Open Reduction and Internal Fixation of Transscaphoid Perilunate Fracture Dislocation Indications Acute carpal fracture dislocations. After 2 to 3 weeks, the surgeon should consider a salvage procedure. Technique Pearl…
Excision of Palmar Wrist Ganglion
64 Excision of Palmar Wrist Ganglion Indications Painful or cosmetically unacceptable mass on palmar aspect of wrist Technique Brunner incision over mass (Fig. 64-1). Expose mass, usually in the interval…
Flexor Carpi Radialis Tendon Stabilization of the Scapholunate Joint (Brunelli Procedure)
36 Flexor Carpi Radialis Tendon Stabilization of the Scapholunate Joint (Brunelli Procedure) Indications Patients with symptomatic static scapholunate dissociation without arthritis at the radioscaphoid or scaphotrapeziotrapezoidal joints Technique Dorsal longitudinal…
Hemiresection Arthroplasty of the Distal Ulna
20 Hemiresection Arthroplasty of the Distal Ulna Indications Distal radioulnar joint (DRUJ) arthritis from DJD, inflammatory disease, or trauma Pitfall Hemiresection arthroplasty will improve arthritic symptoms but will not restore…
Reconstruction of Distal Radioulnar Ligaments
18 Reconstruction of Distal Radioulnar Ligaments Indications Distal radioulnar joint (DRUJ) instability with an irreparable triangular fibrocartilage complex (TFCC) tear and no appreciable arthritis Distal radial malunion with DRUJ instability…
Darrach Procedure (Distal Ulna Resection)
21 Darrach Procedure (Distal Ulna Resection) Indications Rheumatoid disease with distal radioulnar joint (DRUJ) arthritis Elderly, low-demand patients with DRUJ incongruity or positive ulnar variance (e.g., distal radial malunion) Pitfall…
Open Reduction and Internal Fixation of Scaphoid Nonunion with Vascularized Bone Graft
31 Open Reduction and Internal Fixation of Scaphoid Nonunion with Vascularized Bone Graft Indications Proximal pole scaphoid nonunion, especially in cases of an avascular proximal pole and after failed open…
Arthroscopic “Wafer” Procedure
25 Arthroscopic “Wafer” Procedure Indications Ulnar impaction syndrome Pitfall Cannot be used if positive ulnar variance is greater than 4 mm or when there is arthritis of the distal radioulnar…
Open Reduction and Internal Fixation of an Ulnar Styloid Fracture
11 Open Reduction and Internal Fixation of an Ulnar Styloid Fracture Indications Fracture of the distal radius and ulna with instability of the distal radioulnar joint (DRUJ) Technique a linear…
