The Interosseous Ligament and the Essex-Lopresti Injury
∗ To my wife, Elissa, and our children, Meredith, Alexis, and Zoe. † To my wife, Sandra, and our children, Michael, Mia, and Peyton. INTRODUCTION The Essex-Lopresti injury or longitudinal…
Bone Tumors of the Hand and Wrist
INTRODUCTION Bone tumors of the hand and wrist are rare overall. Primary malignant bone tumors in the distal upper extremity are far more uncommon. Most surgeons lack experience with such…
Scaphoid Hemiresection and Arthrodesis of the Radiocarpal Joint
Videos corresponding to this chapter are available on DVD and online. “ Good, better, best… . Never let it rest… . Till your good is better… . And your better…
Repair of the Foveal Insertion of the TFCC Through the DF portal
RATIONALE AND BASIC SCIENCE PERTINENT TO THE PROCEDURE Injury to the triangular fibrocartilage complex (TFCC) is a common cause of ulnar-sided pain and disability in the wrist. In 1989, Palmer…
Vascular Thrombosis and Aneurysm About the Wrist
BACKGROUND Chronic post-traumatic thrombosis and aneurysms of the ulnar and radial arteries may affect 10% to 15% of laborers who use their hands as a “hammer,” and thus this condition…
Pisohamate Ligament Instability/Tear
INTRODUCTION Pisiform ligament complex syndrome (PLCS) is peri-pisiform ulnar palmar wrist pain caused by injury or disease to the components of the pisiform ligament complex (PLC). The PLC consists of…
Rheumatoid Arthritis of the Wrist
INTRODUCTION Treatment of the rheumatoid wrist includes preventive, reconstructive, and salvage surgery. It is undertaken only after careful evaluation of the problems, deformity, and needs of the individual patient. In…
Kienböck’s Disease
Videos corresponding to this chapter are available on DVD and online. INTRODUCTION Kienböck’s disease, or lunatomalacia, is an avascular osteonecrosis of the lunate that causes progressive collapse of the bone…
Carpal Tunnel Syndrome, Guyon’s Canal Entrapment, and Superficial Radial Nerve Entrapment
Videos corresponding to this chapter are available on DVD and online. DISTAL MEDIAN NEUROPATHY (CARPAL TUNNEL SYNDROME) Anatomy The carpal tunnel is open-ended proximally and distally, but it behaves like…
Carpus: Perilunate and Greater Arc Injuries
INTRODUCTION Perilunate dislocations (PLDs) and interosseous ligament tears are among the most common forms of carpal injuries. They are primarily an injury of the younger population and have many possible…
