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…
Arthroscopic Synovectomy
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…
Arthroscopy and Percutaneous Pin Fixation of Scapholunate Ligament Injuries
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…
Excision Hook of Hamate for Nonunion
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…
Open Reduction and Internal Fixation Perilunate Dislocation via Dorsal Approach
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…
Open Reduction and Internal Fixation of Displaced Scaphoid Fractures via Dorsal Approach
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…
Open Scapholunate Ligament Repair
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)…
Percutaneous Screw Fixation of Scaphoid Fractures
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…
Fractures of the Ulnar Neck
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…
