45 Proximal Row Carpectomy with Capsular Resurfacing Indications Radioscaphoid arthritis with preservation of the radiolunate and midcarpal joints. This pattern is typically seen in long-standing scapholunate dissociation. Pitfall Degenerative changes…
44 Radial Styloidectomy Indications Arthritis between the distal pole of the scaphoid and radial styloid seen in scaphoid nonunion with advanced collapse This procedure may relieve pain when performed alone…
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…
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…
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…
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…
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…
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…
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…
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…
