Physical Examination for Meniscus Tears
Fig. 2.1 Palpation of the meniscus. (a) Palpation of medial meniscus. (b) Palpation of lateral meniscus The lateral knee must also be evaluated carefully with palpation. Analogous to the medial…
Meniscectomy: The Basics
Fig. 4.1 Positioning of the operative leg in a standard circumferential leg holder proximal to the knee Fig. 4.2 A knee undergoing valgus stress which allows for opening and visualization…
Meniscus Allograft Transplantation
Fig. 5.1 Prepared allograft. A single stitch placed at the junction of the posterior horn and the body and a continuous loop suture is fastened to both horns utilizing a…
Meniscal Anatomy
Fig. 1.1 Cross-sectional view of meniscus demonstrating orientations of fibers. (1) Superficial mesh layer, (2) lamellar network, and (3) circumferential fibers. Arrows indicate radially oriented fibers. (Reprinted with permission from…
Ligament Reconstruction with Tendon Interposition
69 Ligament Reconstruction with Tendon Interposition Indications Moderate to severe painful thumb carpometacarpal (CMC) joint arthritis recalcitrant to nonoperative management. Considerable joint degeneration precludes metacarpal osteotomy or ligament reconstruction without…
Tendon Transfer for Wrist Extension
61 Tendon Transfer for Wrist Extension Indications Wrist in a flexed posture with inadequate wrist extension due to spasticity, paresis, or paralysis. Flexor carpi ulnaris (FCU) or extensor carpi ulnaris…
Total Wrist Arthroplasty
54 Total Wrist Arthroplasty Indications Rheumatoid arthritis and low-demand patients with post-traumatic or osteoarthritis involving both the radiocarpal and midcarpal joints Technique A dorsal, longitudinal 10 to 12 cm skin…
Open Reduction and Internal Fixation Lunate Dislocation via Combined Dorsal–Palmar Approach
40 Open Reduction and Internal Fixation Lunate Dislocation via Combined Dorsal—Palmar Approach Indications Incomplete closed reduction, percutaneous fixation Failed closed reduction and percutaneous fixation Some authors recommend early open reduction,…
Madelung’s Deformity
62 Madelung’s Deformity Indications Symptomatic adolescent with considerable Madelung’s deformity Technique Volar incision over the flexor carpi radialis (FCR) tendon beginning at wrist crease and extending 6 to 8 cm…
Ligament Reconstruction
65 Ligament Reconstruction Indications Mild to moderate painful thumb carpometacarpal (CMC) joint arthritis recalcitrant to nonoperative management Also indicated for persistent instability after thumb CMC joint dislocation Technique Plan incision…
