Excision of Dorsal Wrist Ganglion
63 Excision of Dorsal Wrist Ganglion Indications Prominent lump that is painful, interferes with wrist use, or is considered cosmetically unacceptable Technique Transverse incision over mass Place tag suture into…
MUSCULOSKELETAL MEDICINE
Flexor Carpi Ulnaris Tenodesis Stabilization of the Resected Distal Ulna
22 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 ulnar resection…
Scaphotrapeziotrapezoid Joint Arthroplasty
49 Scaphotrapeziotrapezoid Joint Arthroplasty Indications Long-standing scaphotrapeziotrapezoid (STT) arthritis recalcitrant to nonoperative treatment Technique Dorsoradial incision that begins at Lister’s tubercle, traverses the anatomical snuffbox, and ends at the scaphotrapeziotrapezoid…
Bone Graft–Bone Autograft Reconstruction
37 Bone Graft-Bone Autograft Reconstruction Indications Patients with symptomatic dynamic scapholunate (SL) dissociation without arthritis at the radioscaphoid or scaphotrapeziotrapezoidal joints Technique Dorsal longitudinal incision Incise the third dorsal compartment…
Scapholunate Reconstruction with Dorsal Capsular Flap (Blatt Procedure)
35 Scapholunate Reconstruction with Dorsal Capsular Flap (Blatt Procedure) Indications Acute or chronic, static or dynamic scapholunate (SL) instability No arthritis at radioscaphoid or capitolunate joint Reducible scaphoid Technique Dorsal…
Closed Reduction and Internal Fixation of Reverse Bennett’s Fractures
70 Closed Reduction and Internal Fixation of Reverse Bennett’s Fractures Indications Base of the small metacarpal fracture with either or both displacement and joint subluxation. The entire ray is displaced…
Excision Distal Pole of the Scaphoid
47 Excision Distal Pole of the Scaphoid Indications Symptomatic, long-standing scaphoid (S) nonunion with radioscaphoid arthritis Margins of scaphoid nonunion sclerotic, with cystic changes in the proximal and distal poles;…
Proximal Row Carpectomy with Capsular Resurfacing
45 Proximal Row Carpectomy with Capsular Resurfacing Indications Radioscaphoid arthritis with preservation of the radiolunate and midcarpal joints. This pattern is typically seen in long-standing scapholunate dissociation. Pitfall Degenerative changes…
Radial Styloidectomy
44 Radial Styloidectomy Indications Arthritis between the distal pole of the scaphoid and radial styloid seen in scaphoid nonunion with advanced collapse This procedure may relieve pain when performed alone…
Wrist Denervation
43 Wrist Denervation Indications Symptomatic arthritis in elderly patient with concurrent medical problems that preclude major wrist reconstruction Patients of all ages with symptomatic arthritis who want an opportunity to…
