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…
16 Open Repair of an Ulnar-Sided Triangular Fibrocartilage Complex Tear Indications A tear of the triangular fibrocartilage complex (TFCC) from the fovea of the ulnar head with or without distal…
14 Resect Ulnar Styloid Fracture with Repair of Triangular Fibrocartilage Complex Indications Symptomatic nonunion of the ulnar styloid with and without instability of the distal radioulnar joint (DRUJ) Patients should…
26 Open “Wafer” Procedure Indications Ulnar impaction syndrome In conjunction with repair of a traumatic triangular fibrocartilage complex (TFCC) peripheral tear Pitfall Cannot be used if positive ulnar variance is…
23 Extensor Carpi Ulnaris—Flexor Carpi Ulnaris Tenodesis Stabilization of the Resected Distal Ulna Indications Unstable distal ulna after a distal ulnar resection (Darrach procedure) Performed in conjunction with a distal…
15 Nonunion of an Ulnar Neck Fracture Indications Delayed or nonhealing of a neck fracture following nonoperative treatment Failed fixation with nonunion following operative treatment Pitfall A significant bone defect…
17 Peripheral Tear of the Triangular Indications Peripheral tear of the triangular fibrocartilage complex (TFCC) from its attachments to the ulna or the joint capsule. Pitfall May not restore stability…
9 Malunion of the Distal Radius with Palmar Translation of the Articular Surface Indications Fractures with disruption of the palmar cortex that have healed with palmar subluxation of all or…
7 Extension Osteotomy for the Malunited Distal Radius Indications Wrist pain, limited wrist motion (especially flexion), and limited forearm rotation Deformity of the radius (Fig. 7-1) Loss of radial length…
