50 Arthroscopic Synovectomy Indications Chronic synovitis from inflammatory arthritis that is unresponsive to medical management Pitfall Results are less predictable if radiographs demonstrate joint erosions. Technique Standard wrist arthroscopy setup…
33 Arthroscopy and Percutaneous Pin Fixation of Scapholunate Ligament Injuries Indications Acute (< 3 months) partial tear or stretch injury of the scapholunate (SL) ligament where dynamic instability is present…
32 Excision Hook of Hamate for Nonunion Indications Palmar pain and tenderness directly over hook of hamate Weak grip Ulnar nerve paresthesia Small finger flexor digitorum sublimis (FDS) rupture Preoperative…
39 Open Reduction and Internal Fixation Perilunate Dislocation via Dorsal Approach Indications Any perilunate dislocation Technique Make a longitudinal incision over the third to fourth extensor compartment (Fig. 39-1). Incise…
29 Open Reduction and Internal Fixation of Displaced Scaphoid Fractures via Dorsal Approach Indications Acute unstable fractures Displacement greater than 1 mm Lateral intrascaphoid angulation greater than 35 degrees Significant…
34 Open Scapholunate Ligament Repair Indications Wide scapholunate (SL) joint (> 3 mm) and a dorsi-flexed lunate Repairable remnant of SL ligament (can be present up to 3 months postinjury)…
28 Percutaneous Screw Fixation of Scaphoid Fractures Indications Acute nondisplaced and displaced fractures of the scaphoid Fractures in competitive athletes or laborers or other individuals who wish to avoid prolonged…
13 Fractures of the Ulnar Neck Indications Unstable fractures through the neck of the distal ulna Pitfall Fractures with metaphyseal comminution are particularly difficult to manage. Pearl If reduction and…
19 Sauve-Kapandji Procedure Indications Distal radioulnar joint (DRUJ) arthritis from degenerative joint disease (DJD), inflammatory disease, or trauma Technique Expose the DRUJ through the fifth extensor compartment. Pearl No need…
51 Extensor Carpi Radialis Longus to Extensor Carpi Ulnaris Tendon Transfer Indications Radial deviation of the wrist with reduced capacity for active ulnar deviation due to an inflammatory arthropathy. Post-traumatic…
