CRITICAL POINTS Indications ▪ Wrist salvage procedures provide options for patients with a history of long-standing wrist instability, degeneration, and/or pain that severely limit function. They are performed to decrease…
CRITICAL POINTS ▪ The surgical treatment of fractures of the distal humerus remains one of the most difficult challenges faced by the orthopedic surgeon. ▪ Recent trends for early mobilization…
CRITICAL POINTS ▪ Carpal bone fracture may lead to pain, weakness of grip, and loss of motion. ▪ Carpal bone fractures may have associated ligament disruption and nerve involvement, which…
CRITICAL POINTS Treatment Alternatives for the Different Stages of Scapholunate (SL) Instability Stage 1 (Partial SL Ligament Injury) ▪ Proprioception reeducation of the flexor carpi radialis (FCR) muscle ▪ Percutaneous…
CRITICAL POINTS ▪ The complex ligamentous support of the distal ulna in the shallow sigmoid notch of the radius provides a delicate balance of stability while allowing great mobility. Change…
CRITICAL POINTS ▪ When considering the ulnar wrist patient, one must thoroughly investigate the triangular fibrocartilage complex (TFCC); however, a more global look at the functional forearm joint complex is…
CRITICAL POINTS ▪ The goal of rehabilitation of the wrist after ligament injury or with instability is a symptom-free, stable wrist that is capable of withstanding the forces involved in…
CRITICAL POINTS ▪ Distal radius fractures are not a single injury that can be treated with one method of management. ▪ Patterns of injury should be characterized in the context…
CRITICAL POINTS Indications For Surgical Management Failure to progress with further nonoperative treatment options; typically 4 months or longer from time of injury or initial surgery Priorities Regain passive motion…
CRITICAL POINTS ▪ Extensor tendons in all zones except digital I and II and thumb TI and TII tolerate controlled active tension by the third post-operative day with precise orthotic…
