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…
CRITICAL POINTS ▪ Potential donors for transfer are those muscles with 1 Adequate power to motor the recipient tendon 2 Similar tendon excursion to the recipient 3 Function synergistic or…
CRITICAL POINTS ▪ All edema is not the same. ▪ Stimulation of the lymphatic system is necessary to decrease subacute and chronic edema. ▪ The proteins associated with subacute and…
CRITICAL POINTS ▪ After a peripheral nerve lesion, muscle denervation and sensory loss contribute to upper extremity prehensile limitations, leading to incoordination and maladaptive strategies. ▪ The key to successful…
CRITICAL POINTS ▪ A team approach is critical to effectively address preoperative issues and enhance postoperative success. ▪ Preoperative factors considered by the team include (1) psychosocial issues, (2) status…
